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[Predictive factors of gangrenous post-appendectomy intra-abdominal abscess. A case-control study]

J Serradilla1, A Bueno1, C De la Torre1

  • 1Servicio de Cirugía Pediátrica. Hospital Universitario La Paz. Madrid.

Cirugia Pediatrica : Organo Oficial De La Sociedad Espanola De Cirugia Pediatrica
|February 9, 2018
PubMed

Insights

Predicting intraabdominal abscess in children with acute appendicitis is possible. Key predictors include appendix perforation, wound infection, and preoperative hyponatremia, enabling early prevention of this complication.

Area of Science:

  • Pediatric Surgery
  • Surgical Complications
  • Clinical Diagnostics

Background:

  • Acute appendicitis is the most common pediatric surgical emergency.
  • Intraabdominal abscess is a frequent and costly complication of appendicitis.
  • Predicting abscess formation is crucial for timely intervention.

Purpose of the Study:

  • To identify predictive factors for postoperative intraabdominal abscess in pediatric acute appendicitis.
  • To enable early detection and prevention of abscess complications.

Main Methods:

  • Retrospective case-control study (2011-2016).
  • Patients matched for age, sex, weight, clinical presentation, and appendicitis type.
  • Statistical analysis including univariate and multivariate models (p < 0.05).

Main Results:

  • Intraabdominal abscess associated with preoperative hyponatremia (p < 0.001), appendix perforation (p < 0.001), and wound infection (p < 0.001).
  • C-reactive protein (CRP) was not a significant predictor in multivariate analysis.
  • No association found with generalized peritonitis or surgical approach.

Conclusions:

  • Appendix perforation, surgical wound infection, and hyponatremia are significant predictors of postoperative intraabdominal abscess.
  • Early identification of these factors can improve secondary prevention and reduce morbidity.
Abstract

Keywords:
AppendicitisIntraabdominal abscess

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