Evidence map›Paper›PMID 41089092›Full record

ArticleCureus2025

Outcomes of the Use of Pelvic Drain Post-laparoscopic Appendicectomy for Complicated Appendicitis: A Two-Year Single Centre Audit Experience.

Arafa Bakr, James Tsejime, Ellie Herniman, Monique J Lucas, Chenai Mandangu, Quadri A Sanni, Sameh Fahmy

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Arafa BakrGeneral Surgery, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
James TsejimeGeneral Surgery, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
Ellie HernimanGeneral Surgery, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
Monique J LucasGeneral Surgery, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
Chenai MandanguGeneral Surgery, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
Quadri A SanniUrology, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
Sameh FahmyGeneral Surgery, South Warwickshire University NHS Foundation Trust, Warwick, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionComplicated appendicitis is defined as perforated appendicitis, periappendicular abscess, or peritonitis (acute inflammation of the peritoneum secondary to infection of the appendix). The use of pelvic drains in patients undergoing laparoscopic appendicectomy for complicated appendicitis emerged as a topic of considerable debate.

aimThis audit aimed to explore local practice and the outcomes of patients undergoing laparoscopic appendicectomy for complicated appendicitis with and without the use of pelvic drains.

methodsThis retrospective audit was conducted at a district general hospital in the West Midlands, UK, between April 2022 and April 2024. All patients undergoing laparoscopic appendicectomy for complicated appendicitis were identified via theatre records, including children (≥5 years old) and adults. Cases were excluded if they were converted to open surgery or performed during another procedure.

resultsOf the patients included in the audit, 454 (94.5%) underwent laparoscopic appendicectomy, while 24 (5%) patients had open surgeries. A total of 216 (47%) patients had intraoperatively complicated appendicitis. Among these, histology confirmed acute appendicitis in 204 (94.4%) patients, whereas 8 (3.7%) patients had a normal appendix and 2 (0.9%) patients had adenocarcinoma. About 84 (39%) patients had a pelvic drain placed, while 132 (61%) patients did not have a drain. The average hospital stay for patients with drains was 5.2 days (SD ±3.8), compared with 2.7 days (SD ±2.2) for those without drains. Around 13% of patients with drains were readmitted, and 6 (7%) patients developed postoperative collections. In comparison, 52% of patients without drains were readmitted, and 27 (20%) of these had postoperative collections.

conclusionThe use of pelvic drains can be a cause of significant morbidity for patients; however, case-by-case patient selection is needed to ensure improved outcomes.

Indexed as

audit cyclecomplicated acute appendicitisopen and laparoscopic surgerypatient outcome researchpelvic drainsurgery general

Identifiers

PMID41089092
PMCPMC12516170

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.