Abstract:
PURPOSE:Management of appendicitis in children has always been an issue in pediatric surgery. Both diagnostic methods and treatment vary significantly among medical centers, and little consensus exists in many aspects of the care for patients with appendicitis. Here, we assessed the value of drain insertion after appendectomy in children. METHODS:This study is a retrospective review of pediatric patients who underwent appendectomy for perforated appendicitis at a tertiary medical center between 2003 and 2012. Patients who had a peritoneal drain inserted after appendectomy were compared with patients without drains regarding preoperative features and postoperative outcomes. Statistical analyses included a 2-tailed Student t-test and a chi-square or Fisher exact test. RESULTS:In total, 958 patients were reviewed. Of 342 patients with perforated appendicitis, 108 (31.6%) had Jackson-Pratt (JP) drains inserted. The JP group had a longer hospital stay compared with the non-JP group (6.38 ± 3.59 days vs. 3.87 ± 2.38 days, P < 0.001). The JP group also had higher complication rates (22.2% vs. 6.8%, P = 0.003), including the formation of intra-abdominal abscesses. CONCLUSION:According to our results, there seems to be little evidence to support peritoneal drain insertion after appendectomy, even in perforated appendicitis cases.
journal_name
Ann Surg Treat Resjournal_title
Annals of surgical treatment and researchauthors
Song RY,Jung Kdoi
10.4174/astr.2015.88.6.341subject
Has Abstractpub_date
2015-06-01 00:00:00pages
341-4issue
6eissn
2288-6575issn
2288-6796journal_volume
88pub_type
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journal_title:Annals of surgical treatment and research
pub_type:
doi:10.4174/astr.2016.91.5.265
更新日期:2016-11-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
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journal_title:Annals of surgical treatment and research
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
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journal_title:Annals of surgical treatment and research
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2015.88.1.15
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:The postoperative treatment after appendectomy is usually decided on the basis of the surgeons' intraoperative findings. Comparatively, the pathologic diagnosis of appendicitis is confirmed several days after the surgery; therefore, it usually does not affect the postoperative treatment strategy. The aim of thi...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
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更新日期:2017-07-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2016.91.2.59
更新日期:2016-08-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2015.88.2.92
更新日期:2015-02-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2019.97.4.168
更新日期:2019-10-01 00:00:00
abstract::We present the case of young female patient presenting with acute onset abdominal pain. Abdominopelvic CT revealed herniation through the foramen of Winslow. The patient was transferred to our hospital and underwent laparoscopic exploration. Though spontaneous reduction was detected, segmental resection of the impacte...
journal_title:Annals of surgical treatment and research
pub_type:
doi:10.4174/astr.2017.92.2.113
更新日期:2017-02-01 00:00:00
abstract:Purpose:Tenofovir disoproxil fumarate is accepted as an effective and tolerable drug for treatment of HBV, similar to entecavir. However, there are some concerns about the nephrotoxicity of tenofovir. The aim of this study is to compare the renal-function change of liver recipients who received tenofovir or entecavir f...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2020.99.3.180
更新日期:2020-09-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2019.97.5.254
更新日期:2019-11-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type:
doi:10.4174/astr.2015.89.6.334
更新日期:2015-12-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2018.94.1.8
更新日期:2018-01-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2020.99.5.305
更新日期:2020-11-01 00:00:00
abstract:Purpose:Thyroid reoperations are surgically challenging because of significant anatomical variance. Visual and functional identification of the external branch of the superior laryngeal nerve (EBSLN) were studied in 2 groups of patients who underwent primary and redo thyroid surgery. Methods:This study was conducted o...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2019.96.6.269
更新日期:2019-06-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
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更新日期:2020-12-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
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journal_title:Annals of surgical treatment and research
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doi:10.4174/astr.2015.89.5.284
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2015.89.1.17
更新日期:2015-07-01 00:00:00
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journal_title:Annals of surgical treatment and research
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doi:10.4174/astr.2016.90.1.29
更新日期:2016-01-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2014.86.4.206
更新日期:2014-04-01 00:00:00
abstract:Purpose:Clinically suspected T4 stage colon cancer from a preoperative exam is often diagnosed as T3 stage colon cancer pathologically after surgery, raising concerns about understaging. The aims of this study were to compare the survival of clinical T3 and T4 colon cancer patients who had received a pathologic T3 stag...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
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更新日期:2020-07-01 00:00:00
abstract:PURPOSE:To identify the correlation of the model for end-stage liver disease (MELD) scores with the assessment of the risk of hepatic function after hemihepatectomy in patients with hepatocellular carcinoma (HCC) related to hepatitis B virus (HBV). METHODS:A case-control study was performed based on data for 141 conse...
journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2014.86.3.122
更新日期:2014-03-01 00:00:00
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journal_title:Annals of surgical treatment and research
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doi:10.4174/astr.2016.91.6.288
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
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更新日期:2017-04-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2017.92.3.156
更新日期:2017-03-01 00:00:00
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journal_title:Annals of surgical treatment and research
pub_type: 杂志文章
doi:10.4174/astr.2014.86.6.295
更新日期:2014-06-01 00:00:00