Related Experiment Video

Updated: Oct 10, 2026

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review
05:06

Robot-Assisted Laparoscopic Splenectomy In Children: A Case Report with Literature Review

Published on: March 27, 2026

[Surgical management of community-acquired peritonitis in children. Analysis of a survey]

F Becmeur1, J Bientz

  • 1Hôpitaux Universitaires de Strasbourg - Strasbourg. François.Becmeur@chru-strasbourg.fr

Journal De Chirurgie
|December 19, 2000
PubMed

Insights

Pediatric surgeons rarely order bacteriological samples for appendicular peritonitis but widely use laparoscopy and postoperative pain management. This study surveyed current French pediatric surgical practices for community peritonitis.

Area of Science:

  • Pediatric Surgery
  • Surgical Practice Management
  • Infectious Disease Management

Background:

  • Community peritonitis in children requires standardized management protocols.
  • Understanding current surgical practices is crucial for improving patient outcomes.
  • Existing guidelines may not fully reflect real-world pediatric surgical approaches.

Purpose of the Study:

  • To investigate the current practices of French pediatric surgeons in managing community peritonitis, excluding antibiotic therapy and resuscitation.
  • To identify trends in surgical techniques and perioperative care for appendicular peritonitis.

Main Methods:

  • A questionnaire was distributed to 63 pediatric surgeons in France.
  • Data from 46 responses regarding appendicular peritonitis were analyzed.
  • Surgical indications, diagnostic sampling, and postoperative care were examined.

Main Results:

  • Laparoscopy was considered a suitable option by 40 surgeons.
  • Bacteriological samples were never ordered for analysis.
  • Detailed protocols for surgical site irrigation and drainage were reported.
  • All surgeons utilized treatments to prevent postoperative pain.

Conclusions:

  • Current pediatric surgical management of appendicular peritonitis in France favors laparoscopy and comprehensive pain management.
  • The consistent avoidance of bacteriological sampling warrants further investigation.
  • Standardized approaches to irrigation and drainage are prevalent.

More Related Videos

Laparoscopic Pyeloplasty via Transmesenteric Approach for Pediatric Ureteropelvic Junction Obstruction06:08

Laparoscopic Pyeloplasty via Transmesenteric Approach for Pediatric Ureteropelvic Junction Obstruction

Published on: July 7, 2026

Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...