Related Experiment Video

Updated: Nov 25, 2025

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
03:42

Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis

Published on: March 15, 2024

884

Study of management of appendicular abscess in children

Nandkishor Shinde1, Ravindra Devani1, Mohammed Abdul Baseer1

  • 1Department of Surgery, Pediatric Surgery Unit, Khaja Banda Nawaz Institute of Medical Sciences, Gulbarga, Karnataka, India.

African Journal of Paediatric Surgery : AJPS
|December 21, 2020
PubMed

Insights

Ultrasound-guided percutaneous drainage is a safe and effective treatment for appendicular abscess in children, leading to faster recovery and fewer complications than emergency surgery.

Area of Science:

  • Pediatric Surgery
  • Interventional Radiology
  • Abdominal Imaging

Background:

  • Appendicular abscesses in children present a surgical challenge.
  • Traditional management often involves emergency surgery and appendectomy.
  • Minimally invasive techniques are being explored for improved outcomes.

Purpose of the Study:

  • To compare the clinical outcomes of emergency surgery versus percutaneous drainage for appendicular abscess in pediatric patients.
  • To evaluate the safety and efficacy of ultrasound-guided percutaneous drainage as a primary treatment modality.

Main Methods:

  • A prospective study involving 45 children diagnosed with appendicular abscess via ultrasonogram (USG).
  • Patients were divided into two groups: Group 1 (emergency surgery and appendectomy, n=20) and Group 2 (ultrasound-guided percutaneous drainage followed by interval appendectomy, n=25).
  • Data collected included patient demographics, symptom duration, clinical signs, white blood cell count, and abscess characteristics on USG.

Main Results:

  • Group 2 (percutaneous drainage) showed a mean functional recovery period of 2 days, compared to 3.2 days for Group 1 (surgery).
  • No major complications were reported in Group 2, whereas 60% of patients in Group 1 experienced complications (wound infection, wound dehiscence).
  • Average abscess size was comparable between groups (7.2 ± 2.5 cm in Group 1 vs. 6.8 ± 2.4 cm in Group 2).

Conclusions:

  • Ultrasound-guided percutaneous drainage is a safe and effective management strategy for pediatric appendicular abscess.
  • This minimally invasive approach offers advantages in terms of reduced complications and faster patient recovery.
  • Percutaneous drainage followed by interval appendectomy presents a favorable alternative to immediate surgical intervention.
Abstract

Keywords:
Appendectomyappendicular abscessemergency surgerypercutaneous drainage

More Related Videos

Posterior Approach for Debridement of the Psoas Abscess06:02

Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

11.6K
Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA12:18

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus MRSA

Published on: February 9, 2011

23.3K

Related Concept Videos

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...
273
Acute Pyelonephritis II: Diagnostic Studies and Management01:28

Acute Pyelonephritis II: Diagnostic Studies and Management

Introduction:For diagnosing acute pyelonephritis, a comprehensive patient history is collected to identify symptoms such as dysuria, frequent or urgent urination, flank pain, or costovertebral angle (CVA) tenderness that may suggest a kidney infection.Physical ExaminationDuring the physical examination, CVA tenderness is assessed. This involves gentle percussion over the costovertebral angle, where tenderness often indicates a kidney infection.Diagnostic TestsUrinalysis: Used to identify white...
147
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
1.3K
Tonsillitis II: Management01:26

Tonsillitis II: Management

This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
265
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
380
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:
305