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- Title
Comparison of two methods for the management of appendicular mass in children.
- Authors
Erdo&gcaron;an, Derya; Karaman, İbrahim; Narcı, Adnan; Karaman, Ayše; Çavuşo&gcaron;lu, Y.; Aslan, M.; Çakmak, Özden; Erdoğan, Derya; Karaman, Ibrahim; Narci, Adnan; Karaman, Ayşe; Cavuşoğlu, Y Hakan; Aslan, M Kemal; Cakmak, Ozden
- Abstract
Appendicitis is the most common surgical emergency in pediatric surgery. In the presence of an appendicular mass, surgical management can be difficult. We evaluate the results of appendix mass management both with immediate operation and conservative treatment over a period of 5 years. Forty children who presented with appendicular mass over a period of 5 years were reviewed. Their mean age was 7.6+/-2.7 years, and the mean duration of symptoms was 7.8+/-2.7 days. We evaluated the children in two groups: The first group included 19 children who were operated on immediately, and the second group included 21 children who were managed conservatively, followed by elective appendectomy. In the first group, mean hospitalization time was 8.7+/-3.2 days. The complication rate was found to be high (26.3%). Ileal injury occurred in two patients, intraabdominal abscess developed in one patient, and wound infection developed in another. Appendectomy could not be done in one patient who required another laparotomy 8 weeks later. In the second group, mean hospitalization time was 8.9+/-2.6 days. Two patients (8.6%) failed to respond to conservative management. Elective appendectomy was performed after 2-3 months. Two patients returned with perforated appendicitis 5 months and 12 months later, respectively, because they were not brought back for subsequent appendectomy. It can be concluded that conservative treatment of appendicular mass is safe; we also advocate elective appendectomy because of the probable risk of recurrence.
- Subjects
APPENDIX surgery; APPENDICITIS; HOSPITAL care; MEDICAL emergencies; PEDIATRIC surgery; ABDOMINAL surgery; APPENDICITIS diagnosis; APPENDECTOMY; COMPARATIVE studies; RESEARCH methodology; MEDICAL cooperation; RESEARCH; EVALUATION research; RETROSPECTIVE studies
- Publication
Pediatric Surgery International, 2005, Vol 21, Issue 2, p81
- ISSN
0179-0358
- Publication type
journal article
- DOI
10.1007/s00383-004-1334-0