Pediatric appendectomy in developing countries: How does it differ from international experience?
| Autor: | Reva Matta, Chantal Lakis, Smart Zeidan, Nabil Diab, Rezkalla Akkary |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
050402 sociology business.industry General surgery 05 social sciences lcsh:RJ1-570 Developing country lcsh:Pediatrics Retrospective cohort study medicine.disease University hospital Single Center Article 03 medical and health sciences Exact test 0302 clinical medicine 0504 sociology 030225 pediatrics Pediatrics Perinatology and Child Health medicine Abscess business Surgical site infection Pediatric population |
| Zdroj: | International Journal of Pediatrics and Adolescent Medicine, Vol 7, Iss 2, Pp 70-73 (2020) International Journal of Pediatrics & Adolescent Medicine |
| ISSN: | 2352-6467 |
| Popis: | Introduction A review of the English literature indicates the faint superiority of laparoscopic (LA) over open appendectomy (OA) in the pediatric population; however, a developing-country’s experience in the field is not available yet. This study presents our experience in LA versus OA over the last 7 years in one university hospital in Lebanon and compares our results to the international ones. Method A single center retrospective study was done including all patients aged less than 15 years who underwent appendectomy. A description of each operative technique is presented. Patients’ characteristics, intraoperative finding, operative timing (OT), length of stay (LOS) and short term postoperative complications including surgical site infection (SSI) rate, intra-abdominal abscess formation (IAA) rate and reoperation rate were all studied. Statistical analysis was done using Chi-square or Fisher’s exact test, as for continuous, Student’s t test was used or one-way ANOVA in case of more than 2 categories. Result Appendectomy was performed in 84 patients. 52 patients underwent OA through a Rocky Davis incision, and 32 patients underwent a LA. We found an advantage of LA over OA in reducing SSI, otherwise both approaches were similar. Conclusion In accordance with international results, in our experience, LA is superior to OA only with regards to SSI. |
| Databáze: | OpenAIRE |
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