Acute Abdomen in the Adult - Related Resources

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 Antibiotic Regimens for Secondary Peritonitis of Gastrointestinal Origin in Adults.
Provided that surgical expertise and equipment are adequate, diagnostic laparoscopy and laparoscopic appendectomy (either in combination or separately) result in various advantages over open appendectomyLaparoscopic Vs. Open Appendicectomy.
Prophylactic antibiotics decrease the rate of wound infections and intra-abdominal abscesses in patients with surgically treated appendicitis Antibiotics for Prevention of Postoperative Infection after Appendicectomy.
Nasogastric decompression used routinely after abdominal surgery does not speed recovery Prophylactic Nasogastric Decompression after Abdominal Surgery.
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 Analgesia in Patients with Acute Abdominal Pain.

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

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