We read with great interest the ARCHIVES article by Krisher et al.1 The hypothesis is fraught with limitations and lacks power. The following factors must be included for the study result to be considered conclusive: length of surgery, whether there was a delay in surgical intervention (because a delay allows time for lymph node translocation), Acute Physiology and Chronic Health Evaluation score, stapled stump or endoloop for stump, duration of antibiotic use, and amount of irrigation used.
Oyogoa SO, Kamali K, Juanteguy J. Two Hypotheses Concerning Intra-abdominal Abscess in Patients Who Undergo Laparoscopic Appendectomy. Arch Surg. 2001;136(11):1327. doi: