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. 2020 Sep 26:59:161-164.
doi: 10.1016/j.amsu.2020.09.028. eCollection 2020 Nov.

Early versus interval appendicectomy for localised perforated appendicitis in children: A best evidence review

Pushpa Veeralakshmanan  1 , James Ackah  1 , Pedram Panahi  1 , Rashid Ibrahim  1 , Mark Coleman  1
Affiliations

Early versus interval appendicectomy for localised perforated appendicitis in children: A best evidence review

Pushpa Veeralakshmanan et al. Ann Med Surg (Lond). .

Abstract

A best evidence topic in general surgery was written according to a structured protocol. The question addressed was whether early or interval appendicectomy provides a superior clinical outcome for children presenting with localised perforated appendix. Altogether 204 papers were found using the search strategy reported below; of which 5 were identified to provide the best evidence to answer the question. The author, journal, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses were tabulated. We concluded that for children presenting with localised perforated appendix without abscess formation, early appendicectomy provides better clinical outcome in terms of lower complication and re-admission rate and shorter length of hospital stay.

Keywords: Early appendicectomy; Evidence-based medicine; Interval appendicectomy; Perforated appendicitis.

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