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September 16, 2025CureusOpen Access

Evolving Surgical Approaches to Adult Perforated Appendicitis: A Systematic Narrative Review

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Authors

PPPriyank PatelMAMilind K AkhaniBBBhavin Baria

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Overview

Systematic review compares laparoscopic and open appendectomy outcomes in 139,269 adults, indicating laparoscopic surgery may reduce morbidity.

Key Points

  • Laparoscopic appendectomy led to shorter hospital stays and lower complication rates compared to open surgery, improving overall recovery.
  • Evidence from six studies showed significant differences in outcomes, including reduced postoperative complications and hospital stays with laparoscopic approaches.
  • Prophylactic drainage did not reduce abscess formation and increased complications, suggesting early drain removal may be beneficial.
  • Immediate surgery resulted in fewer organ-space infections and shorter hospital stays, supporting the need for timely intervention in perforated cases.

Cite This Study

Patel et al. (2025) studied this question.

synapsesocial.com/papers/68d42056713b0b5dfea69395https://doi.org/10.7759/cureus.92225
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Emergency surgery updates in the management of appendicitis, cholecystitis, and intestinal perforations2025
  2. 2Effect of abdominal drain on surgical site infection undergoing laparoscopic appendectomy for perforated appendicitis in adults: a propensity score matching analysis2025 · 1 citations
  3. 3Comparison of early vs. routine removal of abdominal drainage tube after laparoscopic appendectomy for perforated appendicitis: a retrospective cohort study2025 · 4 citations
  4. 4Minimally Invasive Surgical Technologies in the Treatment of Postoperative Peritonitis: Efficacy Analysis and Tactical Selection Criteria2025 · 1 citations
  5. 5Laparoscopic Versus Open Appendectomy in Complicated and Uncomplicated Appendicitis in Adults: A Two-Year Single-Center Retrospective Cohort Study2025 · 2 citations