儿童年龄组急性阑尾炎伴包块形成的术前阑尾切除术与间歇阑尾切除术:主要结果差异不大

Hussam Widatella, Ahmed Abdulmanan, Ibraheem Abdelraheem, Fadi Atwan, S. Paran
{"title":"儿童年龄组急性阑尾炎伴包块形成的术前阑尾切除术与间歇阑尾切除术:主要结果差异不大","authors":"Hussam Widatella, Ahmed Abdulmanan, Ibraheem Abdelraheem, Fadi Atwan, S. Paran","doi":"10.15406/jpnc.2023.13.00505","DOIUrl":null,"url":null,"abstract":"Aim: The aim of this study is to compare Conservative treatment followed by Interval Appendicectomy, versus Emergency Appendicectomy for the management of appendicular masses in children. Methods: Retrospective review of all appendicectomy performed in Tallaght university hospital, in Paediatric Surgery Department between January 2013 and June 2016. We included 397 procedures of Appendicectomy, among those, 16% (n=64) were diagnosed as appendicular masses. Cases were classified into two groups. Group I included those who were managed conservatively and then underwent Interval Appendicectomy after 6 to 8 weeks, (n=20) 31.3%. Group II included those who were managed with Emergency Appendicectomy, (n=44) 68.8%. The outcomes in the two groups were compared based on three parameters; the duration of hospital stay, the duration of Intravenous Antibiotics and post-operative morbidities. Results: We found that the median duration of hospitalization in group I was significantly longer than in group II (10 days vs 5 days, P<0.0001). The mean duration of antibiotic therapy in group I was also significantly longer than in group II (10.4±3.17 days) vs (5.19±2.53 days), P<0.0001). Nevertheless, the overall complication rate in Group I was similar to that of group II (38.1% vs 25.6%, P=0.304). Conclusion: No major difference in outcomes between the conservative and emergency operative approaches in managing appendicular mass in children. However, operative management is more cost-effective with less duration of hospital stay, as compared to the conservative approach.","PeriodicalId":388959,"journal":{"name":"Journal of Pediatrics &amp; Neonatal Care","volume":"152 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2023-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Upfront appendectomy vs interval appendectomy in acute appendicitis with mass formation in pediatric age group: Little difference in major outcome\",\"authors\":\"Hussam Widatella, Ahmed Abdulmanan, Ibraheem Abdelraheem, Fadi Atwan, S. Paran\",\"doi\":\"10.15406/jpnc.2023.13.00505\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Aim: The aim of this study is to compare Conservative treatment followed by Interval Appendicectomy, versus Emergency Appendicectomy for the management of appendicular masses in children. Methods: Retrospective review of all appendicectomy performed in Tallaght university hospital, in Paediatric Surgery Department between January 2013 and June 2016. We included 397 procedures of Appendicectomy, among those, 16% (n=64) were diagnosed as appendicular masses. Cases were classified into two groups. Group I included those who were managed conservatively and then underwent Interval Appendicectomy after 6 to 8 weeks, (n=20) 31.3%. Group II included those who were managed with Emergency Appendicectomy, (n=44) 68.8%. The outcomes in the two groups were compared based on three parameters; the duration of hospital stay, the duration of Intravenous Antibiotics and post-operative morbidities. Results: We found that the median duration of hospitalization in group I was significantly longer than in group II (10 days vs 5 days, P<0.0001). The mean duration of antibiotic therapy in group I was also significantly longer than in group II (10.4±3.17 days) vs (5.19±2.53 days), P<0.0001). Nevertheless, the overall complication rate in Group I was similar to that of group II (38.1% vs 25.6%, P=0.304). Conclusion: No major difference in outcomes between the conservative and emergency operative approaches in managing appendicular mass in children. However, operative management is more cost-effective with less duration of hospital stay, as compared to the conservative approach.\",\"PeriodicalId\":388959,\"journal\":{\"name\":\"Journal of Pediatrics &amp; Neonatal Care\",\"volume\":\"152 1\",\"pages\":\"0\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-07-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatrics &amp; Neonatal Care\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.15406/jpnc.2023.13.00505\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatrics &amp; Neonatal Care","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.15406/jpnc.2023.13.00505","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0

摘要

目的:本研究的目的是比较保守治疗后间隔阑尾切除术与紧急阑尾切除术对儿童阑尾肿块的治疗效果。方法:回顾性分析2013年1月至2016年6月在Tallaght大学医院儿科外科进行的所有阑尾切除术。我们纳入了397例阑尾切除术,其中16% (n=64)被诊断为阑尾肿块。病例分为两组。第一组包括保守治疗,6 ~ 8周后行间歇阑尾切除术的患者,占31.3% (n=20)。II组包括急诊阑尾切除术患者,(n=44) 68.8%。根据三个参数比较两组的结果;住院时间、静脉注射抗生素时间和术后发病率。结果:我们发现I组的中位住院时间明显长于II组(10天vs 5天,P<0.0001)。I组的平均抗生素治疗时间(10.4±3.17天)也明显长于II组(5.19±2.53天),P<0.0001)。然而,I组的总并发症发生率与II组相似(38.1% vs 25.6%, P=0.304)。结论:保守手术与急诊手术治疗小儿阑尾肿块的疗效无显著差异。然而,与保守方法相比,手术治疗更具成本效益,住院时间更短。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Upfront appendectomy vs interval appendectomy in acute appendicitis with mass formation in pediatric age group: Little difference in major outcome
Aim: The aim of this study is to compare Conservative treatment followed by Interval Appendicectomy, versus Emergency Appendicectomy for the management of appendicular masses in children. Methods: Retrospective review of all appendicectomy performed in Tallaght university hospital, in Paediatric Surgery Department between January 2013 and June 2016. We included 397 procedures of Appendicectomy, among those, 16% (n=64) were diagnosed as appendicular masses. Cases were classified into two groups. Group I included those who were managed conservatively and then underwent Interval Appendicectomy after 6 to 8 weeks, (n=20) 31.3%. Group II included those who were managed with Emergency Appendicectomy, (n=44) 68.8%. The outcomes in the two groups were compared based on three parameters; the duration of hospital stay, the duration of Intravenous Antibiotics and post-operative morbidities. Results: We found that the median duration of hospitalization in group I was significantly longer than in group II (10 days vs 5 days, P<0.0001). The mean duration of antibiotic therapy in group I was also significantly longer than in group II (10.4±3.17 days) vs (5.19±2.53 days), P<0.0001). Nevertheless, the overall complication rate in Group I was similar to that of group II (38.1% vs 25.6%, P=0.304). Conclusion: No major difference in outcomes between the conservative and emergency operative approaches in managing appendicular mass in children. However, operative management is more cost-effective with less duration of hospital stay, as compared to the conservative approach.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信