Appendicitis and non-specific abdominal pain

Shabnam Parkar
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Abstract

Acute appendicitis is the most common surgical emergency in children and remains a core competency for all paediatric surgeons and junior trainees in surgical practice. Despite this, it can pose a diagnostic challenge in certain circumstances as well as challenges in management. It is essential to understand the basic pathophysiology of appendicitis and its differing presentations in different age groups as well as being aware of the appropriate clinical, laboratory-based and radiological investigations needed to formulate a coherent list of differential diagnoses and appropriate management plans. Acute appendicitis is best treated with appendicectomy, be it open or laparoscopic, and is different to the management of appendiceal mass. Although newer studies are also looking at the feasibility of conservative management in simple appendicitis as is increasingly being used in adult practice. This chapter aims to provide a practical and evidence-based guide tailored for surgeons caring for children with appendicitis.
阑尾炎和非特异性腹痛
急性阑尾炎是儿童最常见的外科急诊,也是所有儿科外科医生和初级培训生在外科实践中的核心能力。尽管如此,在某些情况下,它会给诊断带来挑战,也会给管理带来挑战。了解阑尾炎的基本病理生理学及其在不同年龄组的不同表现,以及了解适当的临床、实验室和放射学调查,以制定连贯的鉴别诊断清单和适当的管理计划是至关重要的。急性阑尾炎的最佳治疗方法是阑尾切除术,无论是开腹手术还是腹腔镜手术,它与阑尾肿块的治疗不同。尽管较新的研究也在寻找单纯性阑尾炎保守治疗的可行性,因为它越来越多地用于成人实践。本章旨在为阑尾炎患儿的外科医生提供实用的循证指南。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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