ABSTRACT
Bowel injury after laparoscopic gynecologic surgery is a rare but serious complication. In particular, diagnosis of a patient with bowel injury is difficult because of the unusual patient presentation and remaining intraabdominal gas. We report on a case of a sigmoid colon perforation after laparoscopic gynecologic surgery. A 42-year-old woman with abdominal pain and distention underwent exploratory laparotomy. She had undergone laparoscopic gynecologic surgery 6 days ago. During the procedure, a sigmoid colon perforation was found as well as severe inflammation at the pelvic cavity. The patient underwent segmental resection of the sigmoid colon with loop ileostomy. Postoperative acute abdomen did not show classic signs on physical examination and diagnostic imaging. Thus, a more careful approach and interpretation of diagnosis was needed.
Subject(s)
Adult , Female , Humans , Abdomen, Acute , Abdominal Pain , Colon, Sigmoid , Diagnosis , Diagnostic Imaging , Gynecologic Surgical Procedures , Ileostomy , Inflammation , Laparoscopy , Laparotomy , Physical ExaminationABSTRACT
PURPOSE: To evaluate the efficacy of the postoperative oral antibiotics in acute appendicitis. METHODS: This study compared 126 patients diagnosed with appendicitis in 2004, who did not take oral antibiotics after the postoperative treatment (group 2), with 119 patients diagnosed with appendicitis in the year of 2003, who did take oral antibiotics after the parenteral postoperative antibiotics regimen (group 1). RESULTS: The clinical, operative, and bacterial outcomes were similar. Only one infectious complication was detected in each group (group1; 1/119, group2; 1/126). CONCLUSION: This study suggests that adding a course of oral antibiotics, after completing a course of parenteral antibiotics, does not decrease The rate of postoperative infectious complications in appendicitis patients.