Operative management of appendicitis

Semin Pediatr Surg. 2016 Aug;25(4):208-11. doi: 10.1053/j.sempedsurg.2016.05.003. Epub 2016 May 10.

Abstract

Appendectomy has been the standard of care for appendicitis since the late 1800s, and remains one of the most common operations performed in children. The advent of data-driven medicine has led to questions about every aspect of the operation-whether appendectomy is even necessary, when it should be performed (timing), how the procedure is done (laparoscopic variants versus open and irrigation versus no irrigation), length of hospital stay, and antibiotic duration. The goal of this analysis is to review the current status of, and available data regarding, the surgical management of appendicitis in children.

Keywords: Appendectomy; Appendicitis; Children; Interval appendectomy; Intra-abdominal abscess; Laparoscopy; Pediatric.

Publication types

  • Review

MeSH terms

  • Acute Disease
  • Anti-Bacterial Agents / therapeutic use
  • Appendectomy / methods*
  • Appendicitis / complications
  • Appendicitis / surgery*
  • Child
  • Combined Modality Therapy
  • Humans
  • Laparoscopy
  • Therapeutic Irrigation

Substances

  • Anti-Bacterial Agents