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Related Experiment Videos

Perforated appendicitis: past and future controversies

C J Blewett1, T M Krummel

  • 1Department of Surgery, Pennsylvania State University College of Medicine, Hershey Medical Center, Hershey 17033, USA.

Seminars in Pediatric Surgery
|November 1, 1995
PubMed
Summary
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Pediatric perforated appendicitis remains common despite surgical advances. This review covers current management controversies and future treatment options like laparoscopy and outpatient antibiotics.

Area of Science:

  • Pediatric Surgery
  • Gastrointestinal Surgery
  • Public Health

Background:

  • Pediatric appendicitis mortality is near zero due to surgical and antibiotic advancements.
  • The incidence of perforated appendicitis in children remains high.
  • Current management strategies for perforated appendicitis require review.

Purpose of the Study:

  • To review recent literature on perforated pediatric appendicitis.
  • To discuss controversies in managing ruptured appendix in children.
  • To consider future evaluation and treatment trends.

Main Methods:

  • Literature review of perforated pediatric appendicitis.
  • Discussion of surgical and medical management controversies.
  • Analysis of emerging treatment modalities and referral pattern changes.

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Main Results:

  • Mortality rates for pediatric appendicitis are very low.
  • Perforated appendicitis incidence in children remains a significant concern.
  • Laparoscopy and outpatient antibiotic therapy are potential future options.

Conclusions:

  • Despite low mortality, perforated appendicitis in children warrants continued research.
  • Future management may involve less invasive techniques and altered care pathways.
  • Managed care enrollment may impact referral patterns for pediatric appendicitis.