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Management of peritonitis in perforated appendicitis in children
1Department of Surgery, University of Benin Teaching Hospital, Nigeria.
Insights
This study shows that a structured approach to severe appendicitis, including preoperative care, careful surgery, antibiotics, and early patient movement, leads to low complication rates and short hospital stays.
Area of Science:
- Surgical Gastroenterology
- Infectious Diseases
Background:
- Severe acute appendicitis with gangrene and perforation presents significant management challenges.
- Standard treatment protocols are crucial for improving patient outcomes.
Purpose of the Study:
- To evaluate a structured management protocol for severe acute appendicitis with gangrene and perforation.
- To assess the efficacy of the protocol in reducing complications and hospital stay.
Main Methods:
- Prospective study implementing a standardized treatment protocol.
- Protocol included preoperative optimization, meticulous surgical technique, combination antibiotic therapy, and early ambulation.
- Data collected on hospital stay, wound infection, morbidity, and long-term complications.
Main Results:
- Average hospital stay was seven days.
- Wound infection rate was less than 1% and mild in degree.
- Overall morbidity was low, with no serious complications reported during follow-up.
Conclusions:
- The implemented schematized treatment protocol is effective for managing severe acute appendicitis.
- This approach significantly reduces complications and shortens hospital stays.
- Early ambulation and comprehensive perioperative care are key components for successful outcomes.
Abstract:
A prospective study on the management of severe acute appendicitis with gangrene and perforation was carried out using protocols that included schematized treatment. The schemes emphasized adequate preoperative treatment, meticulous operative technique of peritoneal toileting, generous use of appropriate antibiotics in combinations, and early graded patient's ambulation in the postoperative period. The average hospital stay was seven days, wound infection was of mild degree and less than 1%, and there was a low morbidity. Follow-up has shown no serious complications.