SOC
Surgery on Children

Surgery on Children Journal aims to publish issues related to Pediatric Surgery, Pediatric Neurosurgery, Pediatric Plastic Surgery, Pediatric Cardiovascular Surgery, Pediatric Orthopedic Surgery, Pediatric Vascular Surgery, Pediatric Gynecology and Obstetrics, Pediatric Ear Nose Throat, Ophthalmology, Pediatric Anesthesiology and Reanimation, Pediatric Urology, Pediatric Surgical Intensive Care Clinic, and other clinical surgery fields on children of the highest scientific and clinical value at an international level and accepts articles on these topics.

eISSN: 3023-7289
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Original Article
Evaluation of our post-appendectomy management protocol
Abstract
Aims: Many post-appendectomy treatment protocols have been created and modified, but none were aspiring to be the best in pediatric surgery. In 2008 Shawn et al, standardized the definition of perforated appendix to be only when you see a hole in the appendix or a fecolith in the peritoneal cavity1; We continued the definition and set a new treatment protocol accordingly.
Methods: It is a Retrospective study for the age group 0 to 14 years old. The Treatment protocol was created and applied in 2012. We have created two groups (100 patients in each group). First group from 2010 - 2011 and second group from 2013 - 2014. The treatment in the first group is clinical and empirical. In the second group the treatment depended on a designed criteria matching our protocol.
Results: There was no statistical significance regarding the post-operative collection (5 patients in the 1st group & 4 patients in the 2nd group), mean length of hospital stays (4.57 in the 1st group & 5.30 in the 2nd group), emergency visits (5 visits in each group), and finally hospital re-admission (1 in the 1st group & none in the 2nd group).
Conclusion: There was a clinical significance but no statistical significance between the two groups. Only 4 patients in the 2nd group & 5 patients in the 1st group developed post-appendectomy collection. The re-admissions in the 2nd group were not related to surgery. The antibiotic cost is almost the same, although the number of perforated appendices is higher in the second group. Furthermore, we recommend our protocol for safe patient discharge, especially after complicated appendicitis operations.

Keywords : Appendicitis, collection, antibiotics

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Article available in :
Volume 2, Issue 3, 2025
Page : 82-86
https://doi.org/10.51271/SOC-0041
Article Information
Received : 31 Ara 2024
Accepted : 18 Mar 2025
Published : 01 Tem 2025
Corresponding Author :

Ashraf Abdelhamid Abdelhamid Ibrahim: Hamad Medical Corporation

[email protected]
Citation : İbrahim AA, Rayes TE, Abbas TO, Al Romaihi SA, Ali MA. Evaluation of our post-appendectomy management protocol. Surg Child. 2025;2(3):82-86.

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