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Current management of pediatric appendicitis: A Central European survey

Vojtech Dotlacil1, Barbora Frybova1, Natalie Polívka1

  • 1Department of Pediatric Surgery, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

Advances in Clinical and Experimental Medicine : Official Organ Wroclaw Medical University
|July 1, 2020
PubMed

Insights

Laparoscopic appendectomy is the standard for pediatric appendicitis in Central Europe, but antibiotic treatment protocols lack consensus among institutions. Outcomes are comparable to existing literature despite varied approaches.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Infectious Disease Management

Background:

  • Appendicitis is a frequent diagnosis in pediatric patients.
  • Existing guidelines for pediatric appendicitis management show institutional variation.

Purpose of the Study:

  • To investigate current pediatric appendicitis treatment practices in Central European surgical departments.
  • To assess variations in antibiotic (ATB) therapy and laparoscopic approaches.

Main Methods:

  • A survey of 4 pediatric surgical departments across 4 Central European countries.
  • Online questionnaire focused on 2018 preoperative, operative, and postoperative practices.

Main Results:

  • Laparoscopic appendectomy (LA) was performed in 79.6% of 519 cases, with a 5.1% conversion rate.
  • Antibiotic prophylaxis varied; therapeutic antibiotics were used for complex appendicitis, but choices were not standardized.
  • Complication rates were 6.6% overall, higher in complex cases and after laparoscopic procedures.

Conclusions:

  • Pediatric appendicitis treatment outcomes in Central Europe align with published data.
  • Laparoscopic appendectomy is the dominant surgical technique.
  • Significant variation exists in antibiotic treatment protocols for appendicitis across surveyed departments.
Abstract

Keywords:
antibioticsappendectomylaparoscopypediatric surgerypostoperative complications

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