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Title: Pediatric appendectomy in developing countries: How does it differ from international experience?
Authors: Akkary, Rezkalla
Zeidan, Smart
Matta, Reva
Lakis, Chantal
Diab, Nabil
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
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.
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

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