Open Versus Laparoscopic Appendectomy in the Pediatric Population: A Literature Review and Analysis of Complications

2012 ◽  
Vol 22 (8) ◽  
pp. 834-839 ◽  
Author(s):  
Ciro Esposito ◽  
Andres Ignacio Calvo ◽  
Marco Castagnetti ◽  
Francesca Alicchio ◽  
Carlos Suarez ◽  
...  
Keyword(s):  
Literature Review ◽  
Laparoscopic Appendectomy ◽  
Pediatric Population ◽  
Open Versus

Changes in Incidence and Management of Acute Appendicitis in Children—A Population-Based Study in the Period 2000–2015

2020 ◽  
Author(s):  
Grith Laerkholm Hansen ◽  
Jakob Kleif ◽  
Christian Jakobsen ◽  
Anders Paerregaard
Keyword(s):  
Acute Appendicitis ◽  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Pediatric Population ◽  
Open Appendectomy ◽  
Postoperative Mortality ◽  
Population Based ◽  
Postoperative Hospital Stay ◽  
Population Based Study ◽  
Registration System

Abstract Introduction Recent studies suggest that the epidemiology and management of appendicitis have changed during the last decades. The purpose of this population-based study was to examine this in the pediatric population in Denmark. Materials and Methods Data were retrieved from the Danish National Patient Registry, the Danish Civil Registration System, and the Statbank Denmark. Patients aged 0 to 17 years diagnosed with appendicitis and appendectomized during the period 2000 to 2015 were included. The primary outcome was the annual incidences of appendicitis. Secondary outcomes were the annual percent of patients with appendicitis having a laparoscopic appendectomy, delay from admission to surgery, length of postoperative hospital stay, and 30-day postoperative mortality. Results A total of 24,046 pediatric cases of appendicitis were identified. The annual incidence steadily declined until 2008 (–29%, all ages) and then remained stable. The surgical approach of choice changed from being open appendectomy in 2000 (97%) to laparoscopic appendectomy in 2015 (94%). Simultaneously, the duration of postoperative hospital stay declined from 41 hours (median) to 17 hours. Delay from admission until surgery did not change during the period. Only one child died within the 30-day postoperative period. Conclusion In accordance with other recent studies from Western countries, we found significant changes in the incidence of acute appendicitis including a decline in all age groups except those below 5 years of age, a shift toward laparoscopic appendectomy, and decreasing time spent in the hospital during the years 2000 to 2015.

scholarly journals A Prospective Randomized Trial Comparing Open Versus Laparoscopic Appendectomy

1994 ◽  
Vol 219 (6) ◽  
pp. 725-731 ◽  
Author(s):  
Richard C. Frazee ◽  
John W. Roberts ◽  
Richard E. Symmonds ◽  
Samuel K. Snyder ◽  
John C. Hendricks ◽  
...  
Keyword(s):  
Randomized Trial ◽  
Laparoscopic Appendectomy ◽  
Prospective Randomized Trial ◽  
Open Versus

Intraabdominal abscess following open and laparoscopic appendectomy in the pediatric population

2003 ◽  
Vol 17 (5) ◽  
pp. 730-733 ◽  
Author(s):  
R. McKinlay ◽  
S. Neeleman ◽  
R. Klein ◽  
K. Stevens ◽  
J. Greenfeld ◽  
...  
Keyword(s):  
Laparoscopic Appendectomy ◽  
Pediatric Population ◽  
Intraabdominal Abscess

An institutional series and literature review of pial arteriovenous fistulas in the pediatric population

2013 ◽  
Vol 12 (4) ◽  
pp. 344-350 ◽  
Author(s):  
Peter J. Madsen ◽  
Shih-Shan Lang ◽  
Jared M. Pisapia ◽  
Phillip B. Storm ◽  
Robert W. Hurst ◽  
...  
Keyword(s):  
Heart Failure ◽  
Literature Review ◽  
Cerebrovascular Disease ◽  
Pediatric Patients ◽  
Pediatric Population ◽  
Rare Form ◽  
Excellent Outcome ◽  
Arteriovenous Fistulas ◽  
Presenting Symptoms ◽  
Worse Prognosis

Object Pial arteriovenous fistulas (PAVFs) are a rare form of cerebrovascular disease that tend to be overrepresented in the pediatric population. There have been limited studies of the clinical features and outcomes in this group of patients. Here, the authors attempt to better delineate this clinical entity with institutional cases and a review of the literature. Methods A retrospective review of cases at our institution was performed to identify all pediatric patients treated for a PAVF between 2000 and 2012. Results Five patients treated for a PAVF were identified. Patients had a mean age of 1.9 years at diagnosis, and the most common presenting symptoms were seizure and macrocephaly. Patients were treated primarily with embolization, and 3 patients required both N-butyl cyanoacrylate (NBCA) glue and coiling. Four of the patients had complete obliteration of the PAVF and had a pediatric overall performance category score of either 1 (n = 3) or 2 (n = 1) at follow-up. There was 1 death due to heart failure. Analysis of the literature review suggested that a younger age or presence of intracerebral hemorrhage (ICH) or congestive heart failure (CHF) at presentation likely predicts a worse prognosis. Older patients presented more often with ICH, whereas younger patients presented significantly more often in CHF. The majority of pediatric patients reported on in the literature were treated with endovascular embolization, most commonly with NBCA glue alone. Most patients (65.4%) in the literature had an excellent outcome without neurological deficit. Conclusions Pial AVFs represent a serious yet rare form of cerebrovascular disease. Pediatric patients with ICH or CHF at presentation or those who are very young are likely to have a worse prognosis. Endovascular management of these patients has greatly changed the natural history of this disease, but the complication and mortality rates suggest the need for continued insights and advances in treatment.

Intracranial aneurysms in the pediatric population: case series and literature review

2005 ◽  
Vol 63 (5) ◽  
pp. 424-432 ◽  
Author(s):  
Judy Huang ◽  
Matthew J. McGirt ◽  
Philippe Gailloud ◽  
Rafael J. Tamargo
Keyword(s):  
Literature Review ◽  
Intracranial Aneurysms ◽  
Pediatric Population ◽  
Case Series

scholarly journals Narcolepsy With or Without Cataplexy In The Pediatric Population: A Systematic Review

2018 ◽  
pp. 1-13
Author(s):  
Racha Nazir ◽  
David S Bennett ◽  
Karim Sedky
Keyword(s):  
Systematic Review ◽  
Literature Review ◽  
Symptom Onset ◽  
English Language ◽  
Pediatric Population ◽  
Lag Time ◽  
Initial Symptom ◽  
Symptom Presentation ◽  
Laboratory Findings ◽  
Improved Outcome

Study Objectives: Narcolepsy diagnosis has been associated with a long lag time between the onset of the disorder and the diagnosis itself among patients with the disorder. This article reviews the childhood epidemiology of idiopathic narcolepsy, including its prevalence, subtypes, and disease progression. Methods: A literature review was conducted to include both published and unpublished data on pediatric narcolepsy. All English language articles were included through April, 2015. Results: Time from symptom onset to diagnosis for children is approximately three years. The prevalence of cataplexy appears to be lower in children compared to adults, suggesting a later onset of cataplexy. The presence of cataplexy, however, was unrelated to demographic factors and laboratory findings. Conclusion: There is a substantial lag-time between initial symptom presentation and diagnosis in children with narcolepsy. A less quintessential presentation of narcolepsy might occur in children relative to adults, making diagnosis more challenging. Continued improvements in narcolepsy education for both pediatricians and parents might facilitate earlier identification and diagnosis of the disease, thus leading to improved outcome.

scholarly journals SYMPTOMATIC CHOLELITHIASIS AS THE PRESENTATION OF PEDIATRIC PRIMARY SCLEROSING CHOLANGITIS - CASE SERIES AND LITERATURE REVIEW

2021 ◽  
Author(s):  
Lucas Rocha ALVARENGA ◽  
Natascha Silva SANDY ◽  
Gabriela Souza GOMEZ ◽  
Gabriel HESSEL ◽  
Adriana Maria Alves DE TOMMASO ◽  
...  
Keyword(s):  
Literature Review ◽  
Primary Sclerosing Cholangitis ◽  
Sclerosing Cholangitis ◽  
Clinical Course ◽  
Pediatric Population ◽  
Case Series ◽  
Retrospective Chart Review ◽  
Symptomatic Cholelithiasis ◽  
Inflammatory Bowel ◽  
Time Of Presentation

ABSTRACT BACKGROUND: Primary sclerosing cholangitis (PSC) is a rare hepatobiliary disorder, whose etiology remains not fully elucidated. Given how rare PSC is in childhood, until the recent publication of a multicenter international collaboration, even data on its characteristics and natural history were scarce. Symptomatic cholelithiasis has not been previously reported as the presentation of PSC. OBJECTIVE: The aim of this study was the diagnosis of PSC following the initial unusual presentation with symptomatic cholelithiasis, that followed an atypical clinical course that could not be explained by cholelithiasis alone. A literature review was also conducted. METHODS: We conducted a retrospective chart review of three patients, who were diagnosed and/or followed at the Clinics Hospital, University of Campinas - Sao Paulo/ Brazil, between 2014 and 2020. Data analyzed included gender, age of presentation, past medical history, imaging findings, laboratory results, endoscopic evaluation, response to medical therapy and follow-up. RESULTS: Age at time of presentation with cholelithiasis varied from 10 to 12 years. In two of the cases reported, a more subacute onset of symptoms preceded the episode of cholelithiasis. Two patients were managed with cholecystectomy, not followed by any surgical complications, one patient was managed conservatively. Percutaneous liver biopsy was performed in all three cases, showing histological findings compatible with PSC. Associated inflammatory bowel disease (IBD) was not seen in any of the patients. The patients have been followed for a mean time of 3.4 years. CONCLUSION: PSC and cholelithiasis are both rare in the pediatric population. This study reports on symptomatic cholelithiasis as a presentation of PSC and raises the importance of suspecting an underlying hepatobiliary disorder in children with cholelithiasis without any known predisposing factors and/or that follow an atypical clinical course for cholelithiasis alone.

scholarly journals Sonographic Diagnosis of Perihepatic Abscess From Dropped Appendicolith

2016 ◽  
Vol 33 (1) ◽  
pp. 54-57 ◽  
Author(s):  
Keegan K. Hovis ◽  
R. Brooke Jeffrey
Keyword(s):  
Literature Review ◽  
Laparoscopic Appendectomy ◽  
Operative Approach ◽  
Fluoroscopic Guidance ◽  
Sonographic Diagnosis ◽  
Laparoscopic Intervention

Appendicitis is a common pathology most often caused by an appendicolith. Laparoscopic appendectomy has become the standard operative approach, but it has a higher risk of retained appendicoliths than open laparotomies. This report describes a case of a perihepatic abscess due to a retained appendicolith following laparoscopic intervention. The abscess was successfully drained and the appendicolith retrieved percutaneously under fluoroscopic guidance. A literature review and discussion about retained appendicoliths are provided as points for diagnostic consideration.

scholarly journals RARE-48. PAPILLARY TUMOR OF THE PINEAL REGION IN PEDIATRIC POPULATION ASSOCIATED WITH TRISOMY 21: FIRST CASE REPORT AND LITERATURE REVIEW

2016 ◽  
Vol 18 (suppl_6) ◽  
pp. vi169-vi169
Author(s):  
Mansour Mathkour ◽  
Juanita Garces ◽  
Joshua Hanna ◽  
Ian Cormier ◽  
Olawale A.R. Sulaiman ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Trisomy 21 ◽  
Pediatric Population ◽  
Pineal Region ◽  
Papillary Tumor ◽  
First Case
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