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Healing Factors in Perforated and Unperforated Pediatric Appendectomies: A Descriptive Study
Ayşegül Şimşek1, Işıl Ar2, Suzan Yıldız3
1Department of Midwifery, İstinye University Faculty of Health Sciences, İstanbul, Türkiye.
Insights
Factors influencing pediatric appendectomy healing include perforation status and early postoperative feeding. Optimizing these can expedite recovery and reduce hospital stays for children undergoing appendectomy.
Area of Science:
- Pediatric Surgery
- Gastroenterology
Background:
- Appendicitis is a common pediatric surgical emergency.
- Prompt intervention is crucial for favorable outcomes.
Purpose of the Study:
- To identify factors affecting healing after appendectomy in children.
- To differentiate influences in perforated versus non-perforated cases.
Main Methods:
- Descriptive study of 75 children undergoing appendectomy.
- Data collected preoperatively and postoperatively.
- Utilized data forms and pain assessment scales.
Main Results:
- Most children (96%) had open surgery; 77.3% had non-perforated appendicitis.
- Feeding resumed 15 hours post-operation; significant difference in discharge time based on perforation.
- Healing influenced by hospital stay duration, perforation status, preoperative information, feeding time, and IV fluids.
Conclusions:
- Early oral feeding, mobilization, and patient counseling are key.
- These interventions can decrease pain and accelerate recovery and discharge.
Objective:
Appendicitis is the most common surgical emergency in childhood and requires urgent intervention. The goal of this research was to identify the factors influencing healing in perforated and non-perforated appendectomy procedures.
Materials And Methods:
This descriptive research involved 75 children who underwent appendectomy. Information was collected during the preoperative and postoperative stages using a data collection form and a pain assessment scale. Both parents and children hospitalized with appendicitis contributed to this information.
Results:
The primary complaints leading children to the hospital were nausea and vomiting, which started, on average, 2.7 days prior to admission. While 96% of the children underwent open surgery, 77.3% presented with non-perforated appendicitis. Feeding was ceased 9 hours pre-operation and recommenced in the 15th postoperative hour. A significant difference was noted between perforation status and discharge time. Factors influencing healing included the length of hospital stay, perforation status, preoperative information, time of postoperative oral feeding initiation, and intravenous fluid therapy.
Conclusion:
The study suggests that early feeding, mobilization, and patient counseling can reduce pain and expedite recovery and discharge.
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