Early Surgical Management of Appendicular Mass in Pediatric Patients

Israr, Shumaila; Akhtar, Jamshed; Taqvi, Syed Muhammad Raees Hussain; Zamir, Naima

doi:10.29271/jcpsp.2021.03.302

Cited by 3 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In our study, difficulty in localizing appendix was faced in 13 (14.94%) patients and difficulty in removal of adhesions was faced in 8 (9.2%) patients. Comparable frequency of intra-operative difficulties was found in a study conducted by in a local study conducted at Department of Pediatric Surgery, National Institute of Child Health, Jinnah Sindh Medical University, Karachi, Pakistan by Israr S et al 16 The duration of hospital stay in our study ranged from 4 to 11 days with mean and standard deviation of 5.57±1.04 days. Pandey C et al compared the length of hospital stay in conservatively and surgically managed patients.…”

Section: Discussionsupporting

confidence: 69%

Early surgery for appendicular lump in pediatric patients is still safe.

Napar¹,

N²,

Baloch³

et al. 2022

TPMJ

View full text Add to dashboard Cite

Objective: To analyze the outcomes of early surgical management of appendicular lump in pediatric patients. Study Design: Prospective Observational study. Setting: Department of Pediatric Surgery, Ghulam Muhammad Mahar Medical College Sukkur. Period: January 2019 to December 2020. Material & Methods: Eighty seven patients of either gender with age up to 12 years, with diagnosis of appendicular lump were selected for this study. Variables that were analyzed include age, gender, presence of various symptoms, operative finding and difficulties, duration of surgery and duration of hospital stay. Results: Mean age of the patients was 8.22±2.35 years. Out of 87 patients, 66 (75.9%) were male and 21(24.10%) were female with male to female ratio of 3.14:1. Duration of surgery ranged from 47 to 142 minutes, with mean and standard deviation of 73.15±21.55 minutes. Intra-operatively, perforated appendix was the most common finding as was seen in 39 (44.83%) patients, followed by pus collection, which was found in 31 (35.62%) patients, appendicular abscess was seen in 26 (29.88%) patients whereas gangrenous appendix was found in 17 (19.54%) patients. Difficulty in localizing appendix was faced in 13 (14.94%) patients and difficulty in removal of adhesions was faced in 8 (9.2%) patients. Post-operative complications were seen in 22 (22.99%) patients. The duration of hospital stay ranged from 4 to 11 days with mean and standard deviation of 5.57±1.04 days. Conclusion: It is concluded in our study that early surgery in children with of appendicular lump can safely be carried out with good outcome and shorter hospital stay.

show abstract

Section: Discussionsupporting

confidence: 69%

Early surgery for appendicular lump in pediatric patients is still safe.

Napar¹,

N²,

Baloch³

et al. 2022

TPMJ

View full text Add to dashboard Cite

show abstract

“…The mean blood loss was also reduced in patients who undergo laparoscopic appendectomy for complicated appendicitis. [35][36][37][38][39] The drawback observed in these studies was that they were retrospective in nature and sample size were small. [40][41][42] A systemic review and meta-analysis on the feasibility of laparoscopic appendectomy for complicated appendicitis.…”

Section: Early Appendectomymentioning

confidence: 99%

Complicated Appendicitis-Shifting towards Early Appendectomy-A Comprehensive Review

Hari Rajah,

Menon

2024

imjm

View full text Add to dashboard Cite

The management of complicated appendicitis has undergone a transformative shift in recent years, moving away from the traditional conservative approach followed by interval appendectomy towards early appendectomy. This review article explores the current landscape of complicated appendicitis management, investigating the roles of conservative treatment, interval appendectomy, and early appendectomy. With no definitive consensus in place, the choice of treatment largely depends on the individual surgeon. The emergence of laparoscopic appendectomy has played a pivotal role in this paradigm shift, further highlighting the need to reevaluate and understand the various management options available. A total of 43 articles, 24 from Asia, 12 from Europe, 5 from the USA and 1 from Africa were retrieved from PubMed, Google scholar and the Cochrane database of clinical reviews. This review synthesizes existing literature, shedding light on the advantages and considerations associated with each approach.

show abstract