کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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5718097 | 1411241 | 2017 | 4 صفحه PDF | دانلود رایگان |
BackgroundTo determine if non-operative treatment is safe in children with acute appendicitis, we evaluated the incidence of unexpected findings after an appendectomy in children, and the influence they have on subsequent treatment.MethodsA historical cohort study (January 2004-December 2014) was performed including children, aged 0-17 years, who underwent an appendectomy for the suspicion of acute appendicitis. Patients were divided based upon histopathological examination. Unexpected findings were reviewed, as well as the subsequent treatment plan.ResultsIn total 484 patients were included in this study. In the overall group, unexpected findings were noted in 10 (2.1%) patients of which two patients intra-operatively with a non-inflamed appendix (Ileitis terminalis NÂ =Â 1 and ovarian torsion NÂ =Â 1) and in 8 patients on histopathological examination. The latter group consisted of 4 patients with concomitant simple appendicitis (parasitic infection NÂ =Â 3 and Walthard cell rest NÂ =Â 1), two with concomitant complex appendicitis (carcinoid NÂ =Â 1 and parasitic infection NÂ =Â 1) and two patients with a non-inflamed appendix (endometriosis NÂ =Â 1 and parasitic infection NÂ =Â 1). Treatment was changed in 4 patients (<Â 1%).ConclusionsResults from this study corroborate the safety of non-operative strategy for acute simple appendicitis, as the occurrence of unexpected findings was low, with extremely few necessary changes of the treatment plan because of serious findings.Type of studyPrognosis study.Level of evidenceLevel 2 (retrospective cohort study).
Journal: Journal of Pediatric Surgery - Volume 52, Issue 8, August 2017, Pages 1269-1272