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Study of Management of Appendicular Abscess in Children

AIM: To compare the outcomes in children who underwent emergency surgery and those who underwent percutaneous drainage for appendicular abscess. MATERIALS AND METHODS: In this prospective study, 45 children of appendicular abscess detected on ultrasonogram (USG) were included in the study. The follo...

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Autores principales: Shinde, Nandkishor, Devani, Ravindra, Baseer, Mohammed Abdul, Desai, Kiran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8051622/
https://www.ncbi.nlm.nih.gov/pubmed/33342836
http://dx.doi.org/10.4103/ajps.AJPS_18_18
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author Shinde, Nandkishor
Devani, Ravindra
Baseer, Mohammed Abdul
Desai, Kiran
author_facet Shinde, Nandkishor
Devani, Ravindra
Baseer, Mohammed Abdul
Desai, Kiran
author_sort Shinde, Nandkishor
collection PubMed
description AIM: To compare the outcomes in children who underwent emergency surgery and those who underwent percutaneous drainage for appendicular abscess. MATERIALS AND METHODS: In this prospective study, 45 children of appendicular abscess detected on ultrasonogram (USG) were included in the study. The following characteristics were registered: age, gender, the time from onset of symptoms to seeking care, pain, vomiting, fever and general peritonitis; white blood cell count. The size, location of the abscess was noted on USG. After the diagnosis, we divided the patients into two groups based on the type of management. Patients who underwent emergency surgery and appendectomy (Group 1) which composed of twenty patients (14 males and six females) with their ages ranged from 3 to 18 years, and patients treated with ultrasound-guided percutaneous drainage and interval appendectomy (Group 2) which composed of 25 patients, (15 males and ten females) with their ages ranged from 2 to 18 years. RESULTS: Group 1 included twenty patients and Group 2 included 25 patients. In Group 1, on USG the average size of the abscess was 7.2 ± 2.5 cm. After the surgery regained their functional recovery during a mean period of 3.2 ± 1 days. In Group 2, on USG average abscess size was 6.8 ± 2.4 cm. After the procedure regained their functional recovery on the second day. No major complications were noted in Group 2. On the contrary, 12 patients (60%) of Group 1 show complications in the form of wound infection in eight children and wound dehiscence in four children. CONCLUSIONS: USG-guided percutaneous drainage was safe and effective way of management of appendicular abscess.
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spelling pubmed-80516222021-04-23 Study of Management of Appendicular Abscess in Children Shinde, Nandkishor Devani, Ravindra Baseer, Mohammed Abdul Desai, Kiran Afr J Paediatr Surg Original Article AIM: To compare the outcomes in children who underwent emergency surgery and those who underwent percutaneous drainage for appendicular abscess. MATERIALS AND METHODS: In this prospective study, 45 children of appendicular abscess detected on ultrasonogram (USG) were included in the study. The following characteristics were registered: age, gender, the time from onset of symptoms to seeking care, pain, vomiting, fever and general peritonitis; white blood cell count. The size, location of the abscess was noted on USG. After the diagnosis, we divided the patients into two groups based on the type of management. Patients who underwent emergency surgery and appendectomy (Group 1) which composed of twenty patients (14 males and six females) with their ages ranged from 3 to 18 years, and patients treated with ultrasound-guided percutaneous drainage and interval appendectomy (Group 2) which composed of 25 patients, (15 males and ten females) with their ages ranged from 2 to 18 years. RESULTS: Group 1 included twenty patients and Group 2 included 25 patients. In Group 1, on USG the average size of the abscess was 7.2 ± 2.5 cm. After the surgery regained their functional recovery during a mean period of 3.2 ± 1 days. In Group 2, on USG average abscess size was 6.8 ± 2.4 cm. After the procedure regained their functional recovery on the second day. No major complications were noted in Group 2. On the contrary, 12 patients (60%) of Group 1 show complications in the form of wound infection in eight children and wound dehiscence in four children. CONCLUSIONS: USG-guided percutaneous drainage was safe and effective way of management of appendicular abscess. Wolters Kluwer - Medknow 2020 2020-12-19 /pmc/articles/PMC8051622/ /pubmed/33342836 http://dx.doi.org/10.4103/ajps.AJPS_18_18 Text en Copyright: © 2020 African Journal of Paediatric Surgery https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Shinde, Nandkishor
Devani, Ravindra
Baseer, Mohammed Abdul
Desai, Kiran
Study of Management of Appendicular Abscess in Children
title Study of Management of Appendicular Abscess in Children
title_full Study of Management of Appendicular Abscess in Children
title_fullStr Study of Management of Appendicular Abscess in Children
title_full_unstemmed Study of Management of Appendicular Abscess in Children
title_short Study of Management of Appendicular Abscess in Children
title_sort study of management of appendicular abscess in children
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8051622/
https://www.ncbi.nlm.nih.gov/pubmed/33342836
http://dx.doi.org/10.4103/ajps.AJPS_18_18
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