Related Experiment Video
Updated: Jun 19, 2025
03:42
Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
Published on: March 15, 2024
504
Can Physicians Delay Appendectomy for One Night in Children With Acute Appendicitis?
Amrollah Salimi1, Seyed Mojtaba Alavi2, Mojdeh Bahadorzadeh1
1Department of Surgery, School of Medicine, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran.
Middle East Journal of Digestive Diseases
|July 25, 2024
Summary
Delaying appendectomy for up to 18 hours in children with appendicitis is safe. This study found no increased risk of complications like appendix rupture or surgical site infections with delayed surgery.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Background:
- Appendicitis is a leading cause of emergency surgery in children.
- Immediate appendectomy has been standard, but its necessity is debated.
- Diagnostic challenges exist in pediatric appendicitis.
Purpose of the Study:
- To evaluate the safety of delaying appendectomy in pediatric acute appendicitis.
- To determine if a delay of up to 18 hours increases complication risks.
Main Methods:
- Retrospective analysis of 534 pediatric acute appendicitis cases.
- Comparison of immediate (within 8 hours) vs. delayed (8-18 hours) appendectomy groups.
- Assessment of demographic data, symptoms, lab results, and complications.
Main Results:
- No significant difference in surgical site infection rates (2.8% vs 4.2%).
- No significant difference in perforation risk between groups (21.9% vs 19.8%).
Conclusions:
- Delaying appendectomy for up to 18 hours is safe in pediatric patients.
- No increased risk of perforation or surgical site infection observed with delayed surgery.
More Related Videos
Related Concept Videos
01:29Appendicitis-II: Diagnostic Studies and Management
73
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...
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...
73
01:22Appendicitis-I: Introduction
102
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...
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...
102
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
66
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...
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...
66