Related Experiment Video

Updated: Aug 21, 2025

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis
10:41

Robotic D3 Partial Duodenal Resection with Primary Side-to-Side Anastomosis

Published on: December 15, 2023

2.0K

Shared decision-making in pediatric surgery: An overview of its application for the treatment of uncomplicated

Kelli N Patterson1, Katherine J Deans2, Peter C Minneci3

  • 1Center for Surgical Outcomes Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.

Journal of Pediatric Surgery
|November 15, 2022
PubMed

Insights

Nonoperative management (NOM) for uncomplicated appendicitis offers a safe alternative to surgery. Shared decision-making ensures patient values guide treatment choices for appendicitis, promoting patient-centered care.

Area of Science:

  • Pediatric Surgery
  • Clinical Decision-Making
  • Patient-Centered Care

Background:

  • Uncomplicated appendicitis can be managed nonoperatively (NOM) or surgically.
  • NOM presents distinct risks and benefits compared to surgery.
  • Informed decision-making is crucial for acute appendicitis treatment selection.

Purpose of the Study:

  • To explore shared decision-making (SDM) in acute appendicitis management.
  • To highlight the role of SDM in patient-centered care for pediatric surgical conditions.
  • To examine how patient/family values influence appendicitis treatment choices.

Main Methods:

  • Literature review on nonoperative management of appendicitis.
  • Analysis of shared decision-making principles in pediatric surgery.
  • Case study examples illustrating SDM in appendicitis treatment.

Main Results:

  • Nonoperative management is a viable and safe option for select appendicitis cases.
  • Shared decision-making effectively incorporates patient and family values into treatment plans.
  • Individualized circumstances significantly impact the choice between surgery and NOM.

Conclusions:

  • Shared decision-making is essential for optimal patient-centered care in appendicitis management.
  • NOM for uncomplicated appendicitis requires careful consideration of patient preferences.
  • Empowering families with information facilitates informed choices regarding appendicitis treatment.

Keywords:
AppendicitisChildDecision making, sharedGeneral surgeryPediatrics

More Related Videos

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

606

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...
125
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:
190
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...
412
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
149