International Journal of Medicine Research

Authors
Dr Mahadevaswamy K M, Dr Santosh K, Dr Jagadish B, Dr Gopinath Pai

Abstract
Background: Acute appendicitis is one of the most common acute surgery events and its main treatment is surgery. But medical management before and after surgery has important role in the treatment. Antibiotics are being administered both preoperatively and postoperatively even in simple non-perforated acute appendicitis. Aim: To evaluate the efficacy of single shot preoperative antibiotic versus both preoperative and postoperative antibiotics in laparoscopic appendicectomy for simple non-perforated acute appendicitis. Methods: This is a prospective study done in department of general surgery at KVG medical college and hospital, sullia. Study done on 50 patients undergoing laparoscopic appendicectomy for simple non-perforated acute appendicitis. Study period between June 2017-june 2019. First group received one dose of intravenous antibiotic preoperatively (ceftriaxone 1gram and metronidazole 500miligram), 1 hour prior to surgery and other group received antibiotics both preoperatively and Postoperatively. Results: There were no significant statistical difference in rate of surgical site infection in both the groups. Conclusion: A single preoperative antibiotic dose is sufficient in patients with simple non-perforated acute appendicitis patients undergoing laparoscopic appendicectomy.