Abstract
The aim of this pediatric-focused review was to examine the current evidence exploring the association between timing of appendectomy and outcomes in children diagnosed with appendicitis. The literature review was conducted to address this topic in the context of three outcomes: (1) risk of complicated or perforated appendicitis found at operative exploration, (2) risk of adverse events during the postoperative period, and (3) resource utilization (hospital cost, length of hospital stay, and readmission). In order to focus the review on the clinical question whether “next day appendectomy is a safe and reasonable practice in children,” only studies exploring outcomes associated with appendectomy performed in children within the first 24 hours of presentation were included.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Almstrom M, Svensson JF, Patkova B, Svenningsson A, Wester T. In-hospital surgical delay does not increase the risk for perforated appendicitis in children: a single-center retrospective cohort study. Ann Surg. 2017;265(3):616–21. https://doi.org/10.1097/SLA.0000000000001694.
Bonadio W, Brazg J, Telt N, Pe M, Doss F, Dancy L, et al. Impact of in-hospital timing to appendectomy on perforation rates in children with appendicitis. J Emerg Med. 2015;49(5):597–604.
Meltzer JA, Kunkov S, Chao JH, Tay ET, George JP, Borukhov D, et al. Association of delay in appendectomy with perforation in children with appendicitis. Pediatr Emerg Care. 2016;30(10):0000000000000850.
Stevenson MD, Dayan PS, Dudley NC, Bajaj L, Macias CG, Bachur RG, et al. Time from emergency department evaluation to operation and appendiceal perforation. Pediatrics. 2017;139(6). https://doi.org/10.1542/peds.2016-0742. Epub 2017 May 24.
Gaskill CE, Simianu VV, Carnell J, Hippe DS, Bhargava P, Flum DR, et al. Use of computed tomography to determine perforation in patients with acute appendicitis. Curr Probl Diagn Radiol. 2018;47(1):6–9. https://doi.org/10.1067/j.cpradiol.2016.12.002. Epub Dec 7.
Kim MS, Park HW, Park JY, Park HJ, Lee SY, Hong HP, et al. Differentiation of early perforated from nonperforated appendicitis: MDCT findings, MDCT diagnostic performance, and clinical outcome. Abdom Imaging. 2014;39(3):459–66. https://doi.org/10.1007/s00261-014-0117-x.
Verma R, Grechushkin V, Carter D, Barish M, Pryor A, Telem D. Use and accuracy of computed tomography scan in diagnosing perforated appendicitis. Am Surg. 2015;81(4):404–7.
Anandalwar SP, Cameron DB, Graham DA, Melvin P, Dunlap JL, Kashtan M, et al. Association of intraoperative findings with outcomes and resource use in children with complicated appendicitis. JAMA Surg. 2018;25:2689032.
Boomer LA, Cooper JN, Anandalwar S, Fallon SC, Ostlie D, Leys CM, et al. Delaying appendectomy does not lead to higher rates of surgical site infections: a multi-institutional analysis of children with appendicitis. Ann Surg. 2016;264(1):164–8. https://doi.org/10.1097/SLA.0000000000001396.
Serres SK, Cameron DB, Glass CC, Graham DA, Zurakowski D, Karki M, et al. Time to appendectomy and risk of complicated appendicitis and adverse outcomes in children. JAMA Pediatr. 2017;171(8):740–6. https://doi.org/10.1001/jamapediatrics.2017.0885.
Serres SK, Graham DA, Glass CC, Cameron DB, Anandalwar SP, Rangel SJ. Influence of time to appendectomy and operative duration on hospital cost in children with uncomplicated appendicitis. J Am Coll Surg. 2018;226(6):1014–21. https://doi.org/10.1016/j.jamcollsurg.2017.11.004. Epub Nov 16.
Boomer LA, Cooper JN, Deans KJ, et al. Does delay in appendectomy affect surgical site infection in children with appendicitis? J Pediatr Surg. 2014;49(6):1026–1029; discussion 1029.
Gurien LA, Wyrick DL, Smith SD, Dassinger MS. Optimal timing of appendectomy in the pediatric population. J Surg Res. 2016;202(1):126–31.
Mandeville K, Monuteaux M, Pottker T, Bulloch B. Effects of timing to diagnosis and appendectomy in pediatric appendicitis. Pediatr Emerg Care. 2015;31(11):753–8.
Yardeni D, Hirschl RB, Drongowski RA, Teitelbaum DH, Geiger JD, Coran AG. Delayed versus immediate surgery in acute appendicitis: do we need to operate during the night? J Pediatr Surg. 2004;39(3):464–469; discussion 464–469.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Rangel, S.J. (2019). Timing of Appendectomy for Acute Appendicitis: Can Surgery Wait?. In: Hunter, C. (eds) Controversies in Pediatric Appendicitis. Springer, Cham. https://doi.org/10.1007/978-3-030-15006-8_10
Download citation
DOI: https://doi.org/10.1007/978-3-030-15006-8_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-15005-1
Online ISBN: 978-3-030-15006-8
eBook Packages: MedicineMedicine (R0)