PERFORATED APPENDICITIS

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Drain abscess and antibiotics, the lap 6 weeks after.  Non able to drain,
inmediate lap (laparotomy or laparoscopically).
Some may need surgery in the first group if they develop peritonitis,
persistent fever o leucocitosis.
Less complications and less intestinal resections.

Dr. Aguilar Revelo
General Surgeon
Emergency Department
Hospital Calderón Guardia, Costa Rica

On Mon, Nov 3, 2008 at 12:06 AM, <moore677 at aol.com> wrote:

> Would any of you on the listserver attempt an appendectomy (lap or open) on
> a patient with a perforated appendicitis with phlegmon and abscess?? If so,
> what would be your indications?? I have had 2 partners within the last month
> take 2 separate patients to the OR for the same type of presentation -- both
> able to succesfully remove the appendix laparoscopically.
>
>
> Forrest "Dell" Moore, MD
> Trauma Critical Care Surgery
> St. Joseph's Hospital and Medical Center
> Phoenix, AZ
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