Journal of Surgery and Trauma
نشریه جراحی و تروما
J Surg Trauma
Medical Sciences
http://jsurgery.bums.ac.ir
1
admin
2345-4873
2345-4873
en
jalali
1392
7
1
gregorian
2013
10
1
1
1
online
1
fulltext
en
Aggressive approach to complicated appendicitis in children
Aggressive approach to complicated appendicitis in children
عمومى
General
پژوهشي
Research
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<p class="MsoNormal" style="margin: 3pt 0cm 0pt text-align: justify mso-pagination: none"><b><span 8pt="" style="font-family: " traditional="">Objective(s):</span></b><span 8pt="" style="font-family: " traditional=""> Appendicitis remains the most common condition in the pediatric population requiring emergency abdominal operation. Management of acute simple appendicitis is well described but controversy remains as to the optimal treatment of complicated appendicitis. Common complications of acute appendicitis include: localized peritonitis and abscess formation, flegmon and general peritonitis. </span></p>
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<p class="MsoNormal" style="margin: 3pt 0cm 0pt text-align: justify mso-pagination: none"><b><span 8pt="" style="font-family: " traditional="">Methods:</span></b><span 8pt="" style="font-family: " traditional=""> In this prospective study we have evaluated the results of aggressive therapy in management of complicated appendicitis in children in Sarvar pediatric hospital of Mashhad, Iran.</span></p>
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<p class="MsoNormal" style="margin: 3pt 0cm 0pt text-align: justify mso-pagination: none"><b><span 8pt="" style="font-family: " traditional="">Results:</span></b><span 8pt="" style="font-family: " traditional=""> Among 60 children with acute complicated appendicitis male to female ratio was 4:1 and mean age was 7.18±2.17 years. 60% were operated via low mid line incision and 40% by Rocky Davis incision. The most common final diagnosis was appendicular abscess that was observed in 34 patients. Primary wound closure was performed in 96.7% and placement of drain in peritoneal cavity in right lower quadrant was done only in 13.3%. Safe appendectomy was performed in all 60 cases and post operative complications included two cases with wound infection and 4 cases with Chronic abdominal pain that were managed conservatively. Only one patient was re admitted and underwent re-laparotomy because of bowel obstruction.</span></p>
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<p class="MsoNormal" style="margin: 3pt 0cm 0pt text-align: justify mso-pagination: none"><b><span 8pt="" style="font-family: " traditional="">Conclusions:</span></b><span 8pt="" style="font-family: " traditional=""> according to our findings the current non operative approach to complicated appendicitis in children needs a revision. </span></p>
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Pediatric, Appendicitis, Complicated, Management
26
30
http://jsurgery.bums.ac.ir/browse.php?a_code=A-10-33-1&slc_lang=en&sid=1
Ali
Jangjoo
Ali
Jangjoo
10031947532846003202
10031947532846003202
No
Surgical Oncology Research Center, Imam Reza Hospital, Faculty of Medicine, Mashhad University of
Kamran
Aminian
Kamran
Aminian
10031947532846003203
10031947532846003203
No
Department of General Surgery, Mashhad University of Medical Sciences, Mashhad, Iran
Reza
Shojaeian
Reza
Shojaeian
drshojaeian@ymail.com
10031947532846003204
10031947532846003204
Yes
Department of pediatric Surgery, Mashhad university of Medical Sciences, Mashhad, Iran