Variability in pediatric appendectomy: The association between disposable supply cost and procedure duration

Salvi, Pooja S.; Cowles, Robert A.; Oh, P Stephen; Solomon, Daniel

doi:10.1016/j.surg.2022.04.006

Cited by 2 publications

(1 citation statement)

References 24 publications

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“…Acute appendicitis is the most common gastrointestinal disorder affecting children requiring urgent surgical treatment in the United States (US) 1 . Approximately 80,000 children undergo appendectomy annually, and the average cost of surgical care is estimated to be $9,000 per patient 2 . Approximately 30% of acute appendicitis patients present with perforated appendicitis, ranging from 20% to 74% 3,4 .…”

Section: Introductionmentioning

confidence: 99%

Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

Hebballi,

Sutyak,

Broussard

et al. 2024

Preprint

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Objective: Surgical site infections (SSIs), especially deep/organ-space SSIs, are common and serious complications following appendectomy. This review aimed to explore the interventions that have been implemented to reduce the risk of SSIs in pediatric appendicitis patients. Methods: A literature search was performed using PubMed, Cochrane, and Embase databases of studies in English published between January 01, 1973, and April 30, 2023. Studies on pediatric patients (≤ 18 years) with appendicitis that described any interventions aimed at reducing SSIs and reported SSIs as an outcome were included. Results: A total of 56 studies were included in the final scoping review. The interventions included antibiotic stewardship, clinical practice guidelines/pathways, different surgical approaches, timing of appendectomy, irrigation or lavage, use of peritoneal drains, timing of wound closure and management, parenteral nutrition, pain management, and outpatient management. Conclusion: A wide variety of interventions have been studied in pediatric appendicitis patients to reduce the SSI rates. Very few publications have studied low-cost, widely available intraoperative interventions to reduce deep/organ-space SSIs.

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