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Peds surgery

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5 papers 0 to 25 followers
J G Bartlett
This article addresses controversial issues in the field of intra-abdominal sepsis with particular attention to major changes in management that have evolved during the past decade. In the area of diagnostics, scanning techniques have revolutionized the ability to detect loculated collections, although many of these techniques are of limited value in the early stages of inflammation. The greatest debate concerns the relative merits of scanning techniques; the author's choice is CT scans with contrast, although ultrasonography is preferred in patients who cannot be transported and is probably preferred for pelvic infections...
May 1995: Medical Clinics of North America
Toghrul Talishinskiy, Jessica Limberg, Howard Ginsburg, Keith Kuenzler, Jason Fisher, Sandra Tomita
UNLABELLED: Appendicitis remains the most common cause for emergency abdominal surgery in children. Immediate appendectomy in complicated, perforated appendicitis can be hazardous and nonoperative therapy has been gaining use as an initial therapy in children. Previous studies have reported failure rates in nonoperative therapy in such cases ranging from 10% to 41%. Factors leading to treatment failures have been studied with various and disparate results. We reviewed our institutional experience in treated complicated appendicitis, with focus on those initially managed nonoperatively...
July 2016: Journal of Pediatric Surgery
Te-Lu Yap, Yong Chen, Wilson Wei Xin Low, Caroline Choo Phaik Ong, Shireen Anne Nah, Anette S Jacobsen, Liang Shen, Yee Low
AIM: The aim of this study was to develop a new Children's Appendicitis Score (CAS) by combining 3 inflammatory markers and a set of predictors for suspected appendicitis in children. METHODS: 374 children aged 4-16years with suspicion of appendicitis were prospectively enrolled for the derivation cohort. Demographic characteristics, clinical features, laboratory, and histology data were collected. The outcome measure was the histological presence or absence of appendicitis...
December 2015: Journal of Pediatric Surgery
Rishi Rattan, Casey J Allen, Robert G Sawyer, Reza Askari, Kaysie L Banton, Jeffrey A Claridge, Christine S Cocanour, Raul Coimbra, Charles H Cook, Joseph Cuschieri, E Patchen Dellinger, Therese M Duane, Heather L Evans, Pamela A Lipsett, John E Mazuski, Preston R Miller, Patrick J O'Neill, Ori D Rotstein, Nicholas Namias
BACKGROUND: A recent prospective, multicenter, randomized controlled trial found that 4 days of antibiotics after source control of complicated intra-abdominal infections resulted in similar outcomes when compared with longer duration. We hypothesized that the subset of patients presenting with sepsis have similar outcomes when treated with the shorter course of antibiotics. STUDY DESIGN: Patients from the STOP-IT (Study to Optimize Peritoneal Infection Therapy) trial database meeting criteria for sepsis (ie, temperature <36°C or >38°C and a WBC count <4000 cells/mm(3) or >12,000 cells/mm(3)) were analyzed...
April 2016: Journal of the American College of Surgeons
William Bonadio, Katie Rebillot, Onyinyechi Ukwuoma, Christine Saracino, Arthur Iskhakov
BACKGROUND: There is controversy regarding whether children with perforated appendicitis should receive early appendectomy (EA) versus medical management (MM) with antibiotics and delayed interval appendectomy. The objective of this study was to compare outcomes of children with perforated appendicitis who receive EA versus MM. METHODS: Case review of consecutive children <18 years of age with perforated appendicitis who received either EA or MM during an 8-year period...
October 2017: Pediatric Infectious Disease Journal
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