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Pediatric appendectomy

R H Pearl1, D A Hale, M Molloy

  • 1Department of Surgery, Hospital for Sick Children, Toronto, Ontario, Canada.

Journal of Pediatric Surgery
|February 1, 1995
PubMed
Summary
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This study analyzed pediatric appendectomies in Department of Defense hospitals, finding age and gender influence appendicitis outcomes. While no deaths occurred, perforated appendicitis led to higher complication rates.

Area of Science:

  • Pediatric Surgery
  • Surgical Outcomes Research

Background:

  • Appendectomy is a common pediatric surgical procedure.
  • Understanding patterns of care and outcomes is crucial for optimizing pediatric appendicitis management.

Purpose of the Study:

  • To define patterns of care and outcomes for pediatric appendectomy.
  • To establish a community standard for pediatric appendectomy in the 1990s.

Main Methods:

  • Retrospective review of 1,366 pediatric appendectomies across 147 Department of Defense hospitals.
  • Data abstracted from 98.6% of patient charts into a comprehensive database.
  • Analysis of diagnostic groups, patient demographics, clinical findings, treatment, and complications.

Main Results:

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  • Appendectomy performed on 1,366 pediatric patients (median age 12 years, 59% male).
  • Diagnoses included normal appendix (12%), acute nonperforated appendicitis (68%), and perforated appendicitis (20%).
  • Younger age (< or = 8 years) predicted higher perforation rates; female gender predicted normal pathology. Major complications occurred in 1.2% (acute) and 6.4% (perforated) appendicitis cases; no deaths reported.

    • Conclusions:

    • This large, multi-institutional series provides a benchmark for pediatric appendectomy practices.
    • Findings highlight demographic and clinical factors influencing appendicitis severity and outcomes.
    • The study serves as a community standard for pediatric appendectomy in the 1990s.