Nationwide management of perforated pediatric appendicitis: Interval versus same-admission appendectomy

Huerta, Carlos Theodore; Courel, Steve C.; Thorson, Chad M.; Saberi, Rebecca A.; Gilna, Gareth P.; Ribieras, Antoine J.; Parreco, Joshua; Thorson, Chad M.; Sola, Juan E.; Pérez, Eduardo A.

doi:10.1016/j.jpedsurg.2022.12.009

Cited by 7 publications

(6 citation statements)

References 21 publications

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“…From a total of 2098 linked investigations that were inspected, 19 articles published between 1981 and 2022 fit the inclusion criteria and were selected and involved in the study. [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] Table 2 offers the verdicts from these studies. A total of 66 674 subjects with paediatric CAA post-surgery wounds were in the picked studies' baseline; 64 643 of them were using IS, and 2031 were using CT.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…In the studies nominated for the meta-analysis, 66 674 subjects with paediatric CAA post-surgery wounds were in the picked studies' baseline; 64 643 of them were using IS, and 2031 were using CT. [12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] The IS had a significantly higher wound infection compared with the CT in paediatric CAA post-surgery wounds. However, no significant difference was found between IS and CT in TAD in paediatric CAA post-surgery wounds.…”

Section: Discussionmentioning

confidence: 99%

“…In the studies nominated for the meta‐analysis, 66 674 subjects with paediatric CAA post‐surgery wounds were in the picked studies' baseline; 64 643 of them were using IS, and 2031 were using CT 12‐30 . The IS had a significantly higher wound infection compared with the CT in paediatric CAA post‐surgery wounds.…”

Section: Discussionmentioning

confidence: 99%

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Effect of instant surgery compared with traditional management on paediatric complicated acute appendicitis post‐surgery wound: A meta‐analysis

Cao

Geng

Zhang

et al. 2023

International Wound Journal

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A meta‐analysis study to assess the influence of instant surgery (IS) compared with conservative therapy (CT) on paediatric complicated acute appendicitis (CAA) post‐surgery wounds. A comprehensive literature examination until January 2023 was implemented, and 2098 linked studies were appraised. The picked studies contained 66 674 subjects with paediatric CAA post‐surgery wounds in the picked studies' baseline; 64 643 of them were using IS, and 2031 were using CT. The odds ratio (OR) in addition to 95% confidence intervals (CIs) were used to calculate the consequence of the IS compared with the CT on paediatric CAA post‐surgery wounds using the dichotomous and continuous styles and a fixed or random model. The IS had a significantly higher wound infection (OR, 4.97; 95% CI, 2.35–10.54, P < .001) with moderate heterogeneity (I2 = 57%) compared with the CT in a paediatric CAA post‐surgery wound. However, no significant difference was found between IS and CT in total antibiotic duration (MD, −5.34; 95% CI,−12.67 to −1.98, P = .15) with high heterogeneity (I2 = 95%) in paediatric CAA post‐surgery wounds. The IS had a significantly higher wound infection; however, no significant difference was found in total antibiotic duration compared with the CT in paediatric CAA post‐surgery wounds. Although precautions should be taken when commerce with the consequences because most of the studies picked for this meta‐analysis had low sample sizes.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Effect of instant surgery compared with traditional management on paediatric complicated acute appendicitis post‐surgery wound: A meta‐analysis

Cao

Geng

Zhang

et al. 2023

International Wound Journal

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“…Advocates for early appendectomy report shorter hospital stays, fewer postadmission complications, and repeat hospitalizations versus the interval group. 8,9 In contrast, other studies have reported fewer postoperative complications if the appendectomy is delayed by 6 to 9 weeks. 10 However, in the presence of intra-abdominal infection, antibiotics alone are often insufficient in treating and developing intra-abdominal abscesses, with up to 86% eventually requiring percutaneous drainage.…”

Section: Discussionmentioning

confidence: 95%

Image-Guided Transrectal Drainage of Pelvic Abscesses in Children

Santiago,

Surnedi,

Padua

et al. 2024

Eur J Pediatr Surg

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Objective To describe our technique and share our experience with image-guided transrectal drainage (TRD) of pelvic abscesses in children. Materials and Methods Retrospective review and analysis of indications for image-guided TRD and examination of procedural outcomes in pediatric patients with pelvic abscesses over 8 years. Results A total of 69 patients (33 males and 36 females) with symptomatic pelvic abscesses underwent image-guided TRD. The median age and weight of the patients were 11.5 years (range, 3–18) and 46.8 kg (range, 15.1–118.0), respectively. The etiologies of the pelvic abscesses were perforated appendicitis (72.5%) and post-operative collections (27.5%). All patients presented with abdominal pain. Fever, emesis, and diarrhea were also common symptoms. The size of the pelvic abscesses ranged from 24.0 to 937.1 mL (median, 132.7). Technical success was achieved in 68 of 69 TRD procedures (98.6%). Clinical improvement was observed in all patients with technically successful TRD. The TRD catheter dwell time ranged from 0 to 10 days (median, 4.0). Most patients who underwent TRD for perforated appendicitis subsequently underwent elective appendectomy after the resolution of the pelvic abscess (84.0%). The median time from TRD to elective appendectomy was 2.8 months (range, 0.3–6.1). There were no procedure-related complications. Conclusion Image-guided TRD is a safe and effective procedure with high technical and clinical success rates for the treatment of pelvic abscesses in children.

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Case report: a safe laparoscopic technique for complicated appendicitis

Glasser

2024

Discov Med

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Nationwide management of perforated pediatric appendicitis: Interval versus same-admission appendectomy

Cited by 7 publications

References 21 publications

Effect of instant surgery compared with traditional management on paediatric complicated acute appendicitis post‐surgery wound: A meta‐analysis

Effect of instant surgery compared with traditional management on paediatric complicated acute appendicitis post‐surgery wound: A meta‐analysis

Image-Guided Transrectal Drainage of Pelvic Abscesses in Children

Case report: a safe laparoscopic technique for complicated appendicitis

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