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Quality of life assessment between laparoscopic appendectomy at presentation and interval appendectomy for perforated

Jennifer V Schurman1, Christopher C Cushing, Carissa L Garey

  • 1Section of Developmental and Behavioral Sciences, The Children's Mercy Hospital, Kansas City, MO 64108, USA.

Journal of Pediatric Surgery
|June 21, 2011
PubMed

Insights

Immediate surgery for appendicitis with abscess improves child quality of life and reduces parenting stress compared to delayed appendectomy. Delayed treatment negatively impacts psychosocial well-being for both children and families.

Area of Science:

  • Pediatric Surgery
  • Child Psychology
  • Family Medicine

Background:

  • Appendicitis with abscess requires careful management to optimize outcomes.
  • Psychosocial well-being is a critical aspect of pediatric healthcare.

Purpose of the Study:

  • To compare the psychosocial impact of immediate laparoscopic surgery versus delayed appendectomy for pediatric appendicitis with abscess.
  • To assess effects on child quality of life and parental stress.

Main Methods:

  • Randomized controlled trial involving 40 pediatric patients with perforated appendicitis and abscess.
  • Parental surveys measuring child quality of life and parenting stress at multiple time points.

Main Results:

  • Children undergoing interval appendectomy showed trends toward poorer quality of life.
  • Significant impairment in parenting stress frequency and difficulty was observed in the interval group at 12 weeks.
  • No immediate differences in parenting stress were noted at 2 weeks postoperation.

Conclusions:

  • Delayed surgical management for appendicitis with abscess negatively affects child quality of life.
  • Families experience increased parenting distress due to delayed resolution of the child's medical condition.
  • Parents' own stress levels are negatively impacted by the delay in appendectomy.
Abstract

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