| Sumario: | Objective: Intraabdominal abscess development is an important complication for the patients who undergo appendectomy. Although performing percutaneus or operative drainage of the abscess is a common method for the treatment of this complication, it burdens additional morbidity on the patients. A protocol was performed in our hospital in order to treat intraabdominal abscess developed following appendectomy without surgical interventions, and 38 out of 40 patients who developed intraabdominal abscess following appendectomy were treated according to this protocol. In our article, treatability of intraabdominal abscess developed following appendectomy without surgical interventions was discussed. Material and Methods: All of the patients were operated on between January 2000 and December 2007 with the prediagnosis of acute, phlegmonous or perforated appendicitis. Ampicillin and gentamicin therapy was initiated all of the patients preoperatively. All of the operations were performed with an open method. Intravenous antibiotherapy effective on aerobes and anaerobes was initiated, abscesses were monitored using ultrasonographic measurements. Results: A total of 1258 appendectomies were performed in our clinic between January 2000 and December 2007. Of them, 463 were perforated. Acute or phlegmonous appendicitis were detected in 749 out of 795 remaining patients. Appendix was found histologically normal in 46 patients. Intaabdominal abscesses developed in 40 patients who underwent appendectomy. All of the patients except two were treated using antibiotics without surgical interventions. Thirtyeight patients who were administered antibiotics responded to the treatment, reduction and contraction of the abscesses were detected. Two patients required surgical drainage. Conclusion: Intraabdominal abscess developed following appendectomy in childhood can be treated with antibiotics without invasive interventions as percutaneous or operative drainage. Intravenous antibiotherapy and ultrasonographic monitorization of the abscesses are found sufficient for many cases (95%). Follow up of the abscesses under antibiotherapy in the light of clinical findings rather than adding the morbidity of a second invasive intervention seems to be an appropriate treatment choice for the patients who develop intraabdominal abscess following appendectomy.
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