Please use this identifier to cite or link to this item:
|Title:||Pediatric appendectomy in developing countries: How does it differ from international experience?||Authors:||Akkary, Rezkalla
|Affiliations:||Faculty of Medicine
Faculty of Medicine
|Issue Date:||2020||Publisher:||National Library of Medicine||Part of:||International Journal of Pediatrics and Adolescent Medicine||Volume:||7||Issue:||2||Start page:||70||End page:||73||Abstract:||
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.
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.
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.
In accordance with international results, in our experience, LA is superior to OA only with regards to SSI.
|URI:||https://scholarhub.balamand.edu.lb/handle/uob/5472||ISSN:||23526467||DOI:||10.1016/j.ijpam.2019.06.006||Open URL:||Link to full text||Type:||Journal Article|
|Appears in Collections:||Faculty of Medicine|
Show full item record
checked on Dec 7, 2022
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.