Produção Nacional
Revisado por pares
Early Discharge after Appendicectomy in Children
1999; Oxford University Press; Volume: 165; Issue: 5 Linguagem: Inglês
10.1080/110241599750006712
ISSN1741-9271
AutoresCarlos Eduardo Prieto Velhote, Tais Franco de Oliveira Velhote, Manoel Carlos Prieto Velhote, Dalvo Crivelenti Moura,
Tópico(s)Intraperitoneal and Appendiceal Malignancies
ResumoTo confirm that "day-care" appendicectomy is safe in children.Prospective study.Paediatric hospitals, Brazil.144 children who required removal of the appendix.Standard muscle splitting appendicectomy.Hospital stay, use of antibiotics, and complications.124 patients (86%) were discharged within 24 hours of operation. In all patients the appendicitis was confirmed and grouped according to histopathological findings (72 inflamed, 26 gangrenous and 26 perforated). 86 patients (60%) were given metronidazole one hour before operation as prophylaxis against postoperative abscess formation. 78 (54%) were given no antibiotics in the postoperative period. 2 patients were readmitted for drainage of intraperitoneal abscesses and 10 had subcutaneous abscesses drained as outpatients during the early postoperative period. The overall infective complication rate was 8% (n = 12), which is comparable with large series of appendicectomy in children."Day-care" appendicectomy is safe and feasible in children, as it avoids a long hospital stay and increased costs with no additional risk.
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