caa a22 4500 475781937 CHVBK 20180406123647.0 cr unu---uuuuu 170329e20001101xx s 000 0 eng 10.1007/s004640000281 doi (NATIONALLICENCE)springer-10.1007/s004640000281 A simple scoring system to reduce intraabdominal septic complications after laparoscopic appendectomy [Elektronische Daten] [A. Serralta, M. Planells, J. Bueno, D. Rodero] Background: The development of intraabdominal abscess (IAA) following laparoscopic appendectomy (LA) is associated with significant morbidity. The aim of the present study was to validate an IAA risk score constructed from a previous review of 156 consecutive LA. Methods: The score was tested in 250 subsequent consecutive LA and in patients with a positive risk score. Broad-spectrum antibiotics were administered in order to avoid IAA. Results: Factors related to IAA included clinically complicated appendicitis, leucocytosis >15,000/μl, a difference of >1°C between axillary and rectal temperature, intraoperative findings such as (gangrenes and perforation), and intraoperative perforation of the appendix. In this series, broad-spectrum antibiotic therapy in patients with a positive IAA risk score reduced the incidence of IAA from 7.05% to 1.60%. Conclusion: This policy of identifying high-risk patient via the scoring system and instituting subsequent antibiotic therapy in patients at risk reduces the incidence of IAA following LA. Springer-Verlag New York Inc., 2000 Key words: Laparoscopic appendectomy — Postoperative complications — Scoring system — Intraabdominal abscess nationallicence Serralta A. Servicio de Cirugía General y del Aparato Digestivo II, Hospital Universitario 's'sLa Fe,'', Avda Campanar 21, 46009 Valencia, Spain, ES aut Planells M. Servicio de Cirugía General y del Aparato Digestivo II, Hospital Universitario 's'sLa Fe,'', Avda Campanar 21, 46009 Valencia, Spain, ES aut Bueno J. Servicio de Cirugía General y del Aparato Digestivo II, Hospital Universitario 's'sLa Fe,'', Avda Campanar 21, 46009 Valencia, Spain, ES aut Rodero D. Servicio de Cirugía General y del Aparato Digestivo II, Hospital Universitario 's'sLa Fe,'', Avda Campanar 21, 46009 Valencia, Spain, ES aut https://doi.org/10.1007/s004640000281 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004640000281 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Serralta A. Servicio de Cirugía General y del Aparato Digestivo II, Hospital Universitario 's'sLa Fe,'', Avda Campanar 21, 46009 Valencia, Spain, ES aut NATIONALLICENCE 700 1- Planells M. Servicio de Cirugía General y del Aparato Digestivo II, Hospital Universitario 's'sLa Fe,'', Avda Campanar 21, 46009 Valencia, Spain, ES aut NATIONALLICENCE 700 1- Bueno J. Servicio de Cirugía General y del Aparato Digestivo II, Hospital Universitario 's'sLa Fe,'', Avda Campanar 21, 46009 Valencia, Spain, ES aut NATIONALLICENCE 700 1- Rodero D. Servicio de Cirugía General y del Aparato Digestivo II, Hospital Universitario 's'sLa Fe,'', Avda Campanar 21, 46009 Valencia, Spain, ES aut Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer