Conventional laparoscopy (three-trocar technique) | Gridiron incision at McBurney | At least 48 hours of intravenous antibiotics (type of antibiotics according to local protocol) |
Only suction and no peritoneal lavage in case of purulent fluid | Abdominal wall protection after obtaining access to the abdominal cavity | Clinical evaluation of vital parameters every 8 hours |
Treatment of the mesoappendix with coagulation or clips | Appendiceal stump closure by ligation | The decision to perform percutaneous/surgical drainage of an appendiceal abscess is made by the treating surgeon |
Appendiceal stump closure: Two endoloops. In case of involvement of the appendiceal base, the use of endostapler is recommended. | Closure of wounds as appropriate | Prior to removal of the drainage tube, imaging studies will be obtained to confirm the resolution of the abscess |
Withdrawal of appendix through trocar or with an endobag | | |
Drains, nasogastric tubes and urinary catheters are not routinely placed, only on indication | | |