Evidence-based Practice in Pediatric Appendicitis

Authors

  • Patomphon Ekkarat Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand
  • Surasak Sangkhathat Department of Surgery, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla, Thailand

Keywords:

pediatric appendicitis, appendectomy

Abstract

Management of acute appendicitis is one of the most challenging topics in pediatric surgery. Recent researches have focused on systematic approaches in diagnosis and minimally invasive surgical techniques. In order to avoid morbidity caused by delayed management, clinical scoring systems and imaging modalities have been undergoing continuing modifications with an attempt to find the optimal diagnostic algorithm. Although an appendectomy is the mainstay treatment, some recent studies have reported successes with initial non-operative management in selected cases of uncomplicated appendicitis. In cases with an appendiceal mass, evidences have suggested that conservative management is preferable in the pediatric age group. Interval appendectomy for a subsided appendiceal mass is no longer mandatory. As minimally invasive surgery has gained its popularity among pediatric surgeons, laparoscopic appendectomy is an attractive procedure with proven advantage in enhancing recovery and reducing post-operative
wound complications, especially in complicated appendicitis.

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Published

2015-03-30

How to Cite

1.
Ekkarat P, Sangkhathat S. Evidence-based Practice in Pediatric Appendicitis. Thai J Surg [Internet]. 2015 Mar. 30 [cited 2023 Feb. 1];36(1). Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/226265

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Review Articles