Pediatric Appendicitis:  A 20-Year Study of 1,640 Children at Cook County (Illinois) Hospital

Joseph S. Janik, MD; Hugh V. Firor, MD
Arch Surg. 1979;114(6):717-719. doi:10.1001/archsurg.1979.01370300071011.
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• Of 1,640 children with acute appendicitis treated at Cook County (Illinois) Hospital between Jan 1,1957, and Dec 31, 1976, 35% had appendiceal perforation. Overall morbidity was 12.8% and mortality was 0.24%. Antibiotics, transperitoneal drainage, and delayed wound closure were used routinely in children with appendiceal perforation. Antibiotics and transperitoneal drains did not appreciably alter the incidence of intra-abdominal abscess formation. Delayed wound closure in patients with appendiceal perforation reduced the incidence of wound infection by 75%.

(Arch Surg 114:717-719, 1979)


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