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Risk Factors for Postoperative Intra-Abdominal Abscess in Pediatric Perforated Appendicitis Following Laparoscopic
Joonhyuk Son1, Ji-Won Han2, Chaeyoun Oh3
1Department of Pediatric Surgery, Hanyang University College of Medicine, Seoul 04763, Republic of Korea.
In pediatric perforated appendicitis, higher appendicitis severity (Grade IV) and free appendicoliths during surgery increase the risk of postoperative intra-abdominal abscess (IAA). Early identification aids management.
Area of Science:
- Pediatric Surgery
- Surgical Complications
- Gastrointestinal Surgery
Background:
- Perforated appendicitis is common in children, with laparoscopic appendectomy as the standard treatment.
- Laparoscopic appendectomy for perforated appendicitis carries a risk of postoperative intra-abdominal abscess (IAA).
Purpose of the Study:
- To identify risk factors associated with the development of IAA after laparoscopic surgery for pediatric perforated appendicitis.
Main Methods:
- Retrospective cohort study of 137 children undergoing laparoscopic appendectomy for perforated appendicitis.
- Data collected included demographics, clinical characteristics, and surgical details.
- Logistic regression analysis identified independent risk factors for IAA.
Main Results:
- The incidence of postoperative IAA was 10.9%.
- Risk factors for IAA included higher appendicitis severity (≥Grade IV) and the presence of a free appendicolith.
- Patients with IAA had prolonged fevers and longer hospital stays; 60% improved with conservative treatment.
Conclusions:
- Appendicitis severity (≥Grade IV) and free appendicoliths are significant predictors of postoperative IAA in pediatric perforated appendicitis.
- Identifying these predictors can optimize clinical management and postoperative care to reduce IAA incidence.
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