Managements after non-operative treatment of periappendiceal abscess in children
Proper treatment for acute appendicitis complicated with periappendiceal abscess in children has been controversial.Emergency surgery is usually a first choice for cases of gross peritonitis or systemic poisoning.And initial non-operative treatment is widely applied for periappendiceal abscess with a success rate of 80％-97％.Non-operative treatment is both safe and efficacious with a low recurrence rate of 2％-34％.This review focused upon initial successful non-operative treatment and subsequent managements for acute appendicitis complicated with periappendiceal abscess in children.It is recommended that active follow-up observations should be prioritized after conservative treatments.And there is no necessity for routine elective appendectomy.Children with risk factors for recurrence should be closely watched or elective appendectomy performed as needed.
万方数据
维普
