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Acute abdomen in the adult – Related resources

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Acute abdomen in the adult – Related resources

26.02.2016 • Sonuncu dəyişiklik 02.11.2010
This article is created and updated by the EBMG Editorial Team

Cochrane reviews

  • Antibiotics are effective in preventing post-operative complications following infection of the peritoneum (peritonitis), but there is no evidence to support that one regimen is superior to another .
  • Provided that surgical expertise and equipment are adequate, diagnostic laparoscopy and laparoscopic appendectomy (either in combination or separately) result in various advantages over open appendectomy.
  • Prophylactic antibiotics decrease the rate of wound infections and intra-abdominal abscesses in patients with surgically treated appendicitis .
  • Nasogastric decompression used routinely after abdominal surgery does not speed recovery .
  • The use of opioid analgesics in patients with acute abdominal pain is effective in reducing pain and increasing patient comfort, and appears not to increase the risk of diagnostic error .

Other evidence summaries

  • Carbapenem (imipenem/cilastatin or meropenem) is as effective as combinations of other antibiotics in the treatment of intra-abdominal infections .