Laparoscopic appendectomy after conservative management of appendix mass

Pediatric Surgery International
J GillickPrem Puri

Abstract

The purpose of this study was to demonstrate the safety and efficacy of laparoscopic appendicectomy following non-operative management of appendix mass in children. Medical records of 103 consecutive patients (61 males, 42 females) who underwent non-operative treatment of appendix mass followed by laparoscopic elective appendicectomy were examined. Their ages ranged from 2 years 5 months to 15 years (mean 8.3 years). All patients were treated conservatively by close observation, antibiotics and intravenous fluids. Once the child was fit for discharge laparoscopic elective appendicectomy was booked for 4-6 weeks later. Ninety-three children responded to the initial conservative treatment and were discharged after a mean hospital stay of 5.6 days (range 3-10 days). Ten (9.7%) did not respond to initial treatment and developed appendix abscess requiring drainage. Average hospital stay in the 97 patients who had laparoscopic elective appendicectomy was 2.5 days (range 1-5 days). Three patients developed complications after elective appendicectomy, a stitch abscess in one, paralytic ileus in one and wound infection in one. Histological examination revealed fibrosed or resolving appendicitis in 52, acute or subacute appendicitis in 2...Continue Reading

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Citations

May 27, 2011·Pediatric Surgery International·Rizwan A KhanRajendra S Chana
Feb 7, 2013·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Arshad RashidAjaz A Wani
Jun 10, 2011·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Gerard J FitzmauriceEmanuel Epanomeritakis
Jun 22, 2014·Journal of the American College of Surgeons·Peter C MinneciKatherine J Deans
Jan 1, 2013·Indian Journal of Pediatrics·S M M de CastroE Ph Steller
Apr 10, 2012·The Journal of Surgical Research·Corey W IqbalShawn D St Peter
Oct 6, 2010·Advances in Surgery·Ankush GosainMartin L Blakely
Oct 23, 2009·Journal de chirurgie·M Ait Ali Slimane, P Montupet
Aug 21, 2009·The Journal of Surgical Research·Joannele Z LugoI Michael Leitman
May 13, 2009·Journal of Pediatric Surgery·Michael S Freitas, Philip L Glick
Oct 31, 2008·Journal of Pediatric Surgery·Christine WhyteBurton H Harris
Dec 20, 2014·Current Problems in Surgery·Alpin D Malkan, John A Sandoval
Apr 2, 2021·Surgery Research and Practice·Ibrahim Falih Noori Alsubsiee, Ahmed Falih Noori Alsubsiee

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