Nasir Ali, Asghar Javaid.
Role of tube Cecostomy in preventing post appendectomy abscess and fistula formation.
Pak J Med Sci Jan ;21(3):285-8.

Objective: To evaluate tube cecostomy as a surgical procedure in preventing post appendectomy abscess and fistula formation in selected individuals having severe periappendicitis, involving the base of the appendex and adjoining caecal wall. Design: It is a prospective study carried out on 50 patients during 4 years times. Tube cecostomy, instead of primary closure of the appendicial stump, was carried out in patients meeting the selection criteria. Setting: This procedure was carried out in patients meeting the selection criteria admitted at Field Hospital, Forward Kahutta, Azad Kashmir and Combined Military Hospital Multan. Subjects: Fifty patients having acute appendicitis with oedema and inflammation of the base of the appendex and adjoining caecal wall were selected for the study. Main outcome measures: Assessment of tube cecostomy as an operative procedure in selected patients to prevent serious complications such as post appendectomy intra abdominal abscess and fistula formation. Results: All 50 individuals showed excellent recovery with least procedure related morbidity. Average stay was 5-6 days, compared to an unpredictable prolonged stay if a patient develops serious complications like intra abdominal abscess/fistulae formation. Conclusions: Tube cecostomy is a relatively simple and effective procedure in preventing serious complication like post appendectomy abscess and faecal fistula formation in selected individual having severe periappendicitis involving base of the appendex and caecal wall.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com