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[Recurrence of primary peritonitis in children]
Insights
This study observed 63 children with primary peritonitis, finding that early hospital admission enables conservative treatment for recurrent cases. Surgical intervention with vermiform process removal was performed for initial diagnoses.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Gastroenterology
Background:
- Primary peritonitis in children presents a significant surgical challenge.
- Prompt diagnosis and intervention are crucial for favorable outcomes.
Observation:
- A cohort of 63 children with primary peritonitis was observed over eight years.
- Patients underwent surgical management including vermiform process removal after 2-3 hours of preoperative preparation.
- Conservative treatment involved broad-spectrum antibiotics, supportive therapies, and physiotherapy.
Findings:
- Surgical intervention is the primary approach for initial cases of pediatric primary peritonitis.
- Conservative management, including antibiotics and supportive care, is effective for recurrent primary peritonitis.
- Early hospital admission is a key factor for successful conservative treatment of recurrent peritonitis.
Implications:
- Highlights the potential for non-surgical management in specific pediatric peritonitis scenarios.
- Emphasizes the importance of timely medical attention for recurrent abdominal conditions in children.
- Informs clinical decision-making regarding surgical versus conservative approaches in pediatric peritonitis.
Abstract:
For eight years 63 children with primary peritonitis were observed in the children surgical department. After 2-3 hours of preoperative preparation all the patients were operated under general anesthesia by the Volkovich - Djakonov suture with removal of the vermiform process. The conservative treatment included the intravenous and intramuscular injections of wide-spectrum antibiotics, desintoxication and desensibilization drugs, complex of vitamins in injections, physiotherapy. The conservative treatment in recurrences of primary peritonitis in children is possible at early admission of the patients to the hospital.