Primary Article
Programmed Treatment of Ruptured Appendicitis in Children*
Abstract
In order to determine the efficacy of a strict protocol of treatment for children with ruptured appendicitis, the records of 85 children with ruptured appendicitis were reviewed: 60 children who, during the past seven years, were treated according to a strict protocol of management, and 25 patients treated in a nonstandardized manner during the preceding seven years at the same institution. The strict protocol included adequate preoperative preparation with fluid and antibiotics, removal of the appendix at operation, drainage with a large “cigarette drain,” and postoperative antibiotics consisting of penicillin, streptomycin, and sulfadiazine. Comparison of these two groups of patients showed a statistically significant decrease in the complication rate in the children treated according to the strict protocol. This study indicates that consistent attention to the details of a strict protocol should produce fewer complications in the treatment of children with ruptured appendicitis.This content is limited to qualifying members.
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