• Surg. Clin. North Am. · Feb 2017

    Review

    Pediatric Appendicitis.

    • Rebecca M Rentea and Shawn D St Peter.
    • Department of Surgery, Children's Mercy Hospital, 2401 Gillham Road, Kansas City, MO 64108, USA.
    • Surg. Clin. North Am. 2017 Feb 1; 97 (1): 93-112.

    AbstractAppendicitis is one of the most common surgical pathologies in children. It can present with right lower quadrant pain. Scoring systems in combination with selective imaging and surgical examination will diagnose most children with appendicitis. Clinical pathways should be used. Most surgical interventions for appendicitis are now almost exclusively laparoscopic, with trials demonstrating better outcomes for children who undergo index hospitalization appendectomies when perforated. Nonoperative management has a role in the treatment of both uncomplicated and complicated appendicitis. This article discusses the workup and management, modes of treatment, and continued areas of controversy in pediatric appendicitis.Copyright © 2016 Elsevier Inc. All rights reserved.

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