Availability of Interval Appendectomy for Pediatric Abscess Formation Type Appendicitis

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  • 小児膿瘍形成性虫垂炎に対するinterval appendectomyの経験
  • 小児腫瘍形成虫垂炎に対するinterval appendectomyの経験
  • ショウニ シュヨウ ケイセイ チュウスイエン ニ タイスル interval appendectomy ノ ケイケン

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Purpose: The purpose of this study is to evaluate the effectiveness of interval appendectomy in the treatment of pediatric abscess formation type appendicitis by comparing it with emergency appendectomy. Subjects and Methods: The subjects consisted of children who visited our hospital during April 2000 through August 2006 for pediatric abscess formation type appendicitis. Variables including total hospitalized days, operative time and postoperative complication were compared between the two treatment groups: interval appendectomy (IA, n=8) and emergencyappendectomy (EA, n=11). For statistical analysis, Mann-Whitney's U test and Fisher's exact probability test were used, with the significance level at p<0.05. Results: The total hospitalized days were 25.9 days in the IA group and 16.7 days in the EA group. Those for the IA group were significantly (p=0.0008) longer than for the EA group. The operative time was 81 minutes in the IA group and 92.7 minutes in the EA group with no significant difference. No postoperative complication was observed in the IA group and 3 wound infections were observed in the EA group, but no significant difference was found. Conclusion: Although total hospitalized days were longer, IA decreased patients' stress. We describe its usefulness.

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