Effect of Probiotic's Consumption on Several Markers in Perforated Appendix Patients With Diffuse Peritonitis

Inclusion Criteria: * Patients diagnosed with diffuse peritonitis caused by appendicitis * Patients undergoing laparotomic appendectomy. * Patients aged 18 years or older. Exclusion Criteria: * Patients with a history of previous laparotomy. * Patients who underwent laparotomy combined with surgery on other parts of the body. * Patients with a history of cancer. * Patients with pre-existing comorbidities (uncontrolled diabetes mellitus, congestive heart failure, end-stage renal disease \[ESRD\], human immunodeficiency virus \[HIV\], and systemic lupus erythematosus \[SLE\]). * Patients with multiple organ dysfunction syndrome (MODS). * Patients with prior consumption of probiotics.