Abstract:Objective:To investigate the value of Shuertai in laparoscopic appendectomy for acute suppurative appendicitis.
Methods:A total of 196 patients with acute suppurative appendicitis were assigned into two groups randomly: The observation group (106 cases with Shuertai treatment) and the control group (90 cases without use of Shuertai). After appendectomy, the abdominal cavity of all patients was lavaged with large amount of warm saline until the returning fluid was quite clear, then the residual liquid was aspirated. The patients in observation group were then additionally lavaged with Shuiertai and a small amount of Shuieratai was retained. The umbilical incision was closed and treated with iodophor in all the patients. The postoperative complications, including rate of incisional wound infection, abdominal distention at 72 h after operation, reoperation because of adhesive ileus, postoperative pain, nausea and vomiting, between the two groups were compared.
Results:The rate of incisional wound infection, abdominal distention at 72 h after operation and other postoperative complications such as pain, nausea, vomiting and intra-abdominal abscess was 0% (0/106), 3.7% (4/106), 9.4% (10/106), 5.6% (6/106) and 0% (0/106) respectively in the observation group, and was 3.3% (3/90), 17.8% (16/90), 51.1% (46/90), 31.1% (28/90), and 8.8% (8/90) in the control group, respectively.
Conclusions:The application of Shuertai in laparoscopic appendectomy can prevent incisional wound infection and intra-abdominal abscess, reduce postoperative pain, nausea and vomiting, and shorten the postoperative hospital stay.