Interval Appendectomy for Perforated Appendicitis in Children

Bufo, Anthony J.; Shah, Rasik; Li, Mary H.; Cyr, Nancy; Hollabaugh, Robert S.; Hixson, S. Douglas; Schropp, Kurt P.; Lasater, Olga E.; Joyner, Royce; Lobe, Thom E.

doi:10.1089/lap.1998.8.209

Cited by 80 publications

(61 citation statements)

References 3 publications

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“…There are current data with much larger populations of patients promote operating on these children with shorter hospitalizations and equivalent complications to the conservative group. However, there are also several studies reporting of conservative treatment (with or without interval appendectomy) as an option to appendectomy, with similar results [14][15][16][17][18].…”

Section: Discussionmentioning

confidence: 79%

Evaluation of Different Treatments for Appendiceal Abscess in Children

Wersäll

Stenström²,

Arnbjörnsson³

et al. 2015

MOJS

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Section: Discussionmentioning

confidence: 79%

Evaluation of Different Treatments for Appendiceal Abscess in Children

Wersäll

Stenström²,

Arnbjörnsson³

et al. 2015

MOJS

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“…7,8 Accurate preoperative diagnosis of acute non-perforated appendicitis using clinical examination and various radiological and biochemical tests is the main prerequisite for safe delayed appendicectomy.…”

Section: Discussionmentioning

confidence: 99%

Delayed appendicectomy in patients with non-perforated acute appendicitis

et al. 2017

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Background: Appendicitis remains one of the most common diseases encountered by the surgeon in practice. Appendicectomy is the most common urgent or emergency general surgical operation performed. Emergency appendicectomy is believed to be the standard treatment protocol for patients with acute appendicitis. This study was conducted to verify whether acute non-perforated appendicitis requires immediate surgery or can be delayed to be taken up on elective basis.Methods: This is a retrospective study of all the cases undergoing appendicectomy for acute appendicitis over the period of January 2016 to December 2016 in K. R. hospital, Mysuru, Karnataka, India. The cases were divided into two comparison groups: emergency group (operated within 12 hours of admission) and delayed group (operated between 12-72 hours). Parameters like age, sex, duration of symptoms, total leucocytes count, temperature, haemoglobin, radiological investigations, operative procedure, operative time, length of hospital stay, length of post-operative stay were collected and the end points for comparison were: Operative time, perforation rate, post-operative complication, length of hospital stay, readmission rate. Cases of perforated appendicitis in preoperative diagnosis, interval appendicectomy and appendicectomy done in association with other abdominal conditions were excluded from the study.Results: During this one-year period 283 patients have undergone appendicectomy. Out of this 189 (66.8%) patients have undergone surgery within 12 hours of admission and 94 (33.2%) have undergone surgery between 12 to 72 hours of admission. There was no significant difference between the two groups in operative time, per operative perforation rate, post-operative complication rate, readmission rate. Length of the hospital stay was greater in delayed group as compared to emergency group. But there was no significant difference between the post-operative length of hospital stay.Conclusions: Acute appendicitis can be treated surgically in a delayed elective basis without increasing morbidity.

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“…30 Svensson et al recently reviewed the non-operative treatment of acute appendicitis in adults and children. 31 Ten retrospective studies [32][33][34][35][36][37][38][39][40][41] showed that an estimated 80% of patients with perforated appendicitis could be treated non-operatively. Such an approach must be viewed with caution given that Fitz urged early surgery for perforated disease.…”

Section: Mortality Through the 20th Centurymentioning

confidence: 99%

A history of the treatment of appendicitis in children: lessons learned

Hamill

Hill

2016

ANZ Journal of Surgery

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During the latter half of the 19th century, surgeons increasingly reported performing appendicectomies. Fitz from Harvard, Groves from Canada and Tait from Britain all recorded successful removal of the appendix. McBurney described the point of maximal tenderness in classic appendicitis and also the muscle-splitting incision centred on this point. Priority is given to McArthur in describing the lateral muscle-splitting incision. The direction of the cutaneous incision was later modified by Elliott and Lanz. Incisions that healed well were essential to recovery. Appendicectomy became a 'fashionable' operation after the London surgeon, Treves, removed the appendix of King Edward VII. Through the 20th century, the mortality from appendicitis fell notably with the advent of sulphonamide and penicillin, improvements in fluid therapy and safer anaesthesia. By 1990, diagnostic delay was the main cause of death. Semm performed the first laparoscopic appendicectomy in 1990, roundly criticized at the time for what is now a routine procedure. We view contemporary debates on the indications for appendicectomy, the best approach and how to optimize recovery in the light of the history of this intriguing disease.

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Interval Appendectomy for Perforated Appendicitis in Children

Cited by 80 publications

References 3 publications

Evaluation of Different Treatments for Appendiceal Abscess in Children

Evaluation of Different Treatments for Appendiceal Abscess in Children

Delayed appendicectomy in patients with non-perforated acute appendicitis

A history of the treatment of appendicitis in children: lessons learned

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