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Postoperative drainage culture after laparoscopic incidental appendectomy in gynecologic diseases
( Bjh Hwang ),( Yh Lee ),( Go Chong ),( Dg Hong ),( Ys Lee ),( Is Park ),( Yl Cho ) 대한산부인과학회 2012 대한산부인과학회 학술대회 Vol.98 No.-
This study analyzed the drainage culture after laparoscopic incidental appendectomy in gynecologic diseases. We evaluated 477 patients who underwent laparoscopic surgery with appendectomy ( 242) and without (235) from February 2011 to June 2012. Postoperative one day drainage fluid was cultured in all patients . All data were compared by two sample t-test and Pearson`s comparison test . Bacteria grew in 98 (20.7%)patients among all patients, respectively 53(21.9%) patients in appendectomy group and 45 ( 19.1%) patients in the other group. 14 geni and 26species bacteria grew in drainage(Achromobacter, Acinetobacter, Chryseobacterium, Citrobacter, Enterobacter, Enterococcus, Escherichia, Hafnia, Streptococcus, Klebsiella, Proteus, Pseudomonas, Staphylococcous, Stenotrophomonas). The commensal organisms of human intestine ( Enterococcus n=35, Enterobacter n=12, Pseudomonas n=20 ) were most common. There were no difference in the incidence of bacteria cultured in two groups(p=0.45). But the postoperative change of WBC ( p<0.01), ANC( p<0.01), CRP ( p<0.01), fever( p=0.01), operation time(p=0.01), hospital stay( p<0.01) and postoperative complication ( p=0.04) in appendectomy were higher than those of the other group Surgical and laboratory results were worse in appendectomy group. But these outcome was not related the intraabdominal bacterial infection after incidental appendectomy. These results might be related with the nature and radicality of operation.
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