caa a22 4500 475781554 CHVBK 20180406123645.0 cr unu---uuuuu 170329e20000201xx s 000 0 eng 10.1007/s004649900096 doi (NATIONALLICENCE)springer-10.1007/s004649900096 Perforating appendicitis [Elektronische Daten] An indication for laparoscopy? [K. Paya, U. Rauhofer, W. Rebhandl, St. Deluggi, E. Horcher] Background: This pilot study was performed to reassess the widespread postulate that laparoscopic surgery is contraindicated in cases of perforating appendicitis. Methods: A total of 75 children (appendiceal perforation: n= 67; perityphlic abscesses and peritonitis: n= 8) were analyzed in a prospective nonrandomized trial. Ten of them were treated by laparoscopic appendectomy. Results: In the laparoscopy group, both pain and hospitalization were less time-consuming (i.e., by 50% and 19%, respectively). Antibiotics use was down from 2.6 over 6 days to 2.2. over 5.5 days, while the duration of surgery was up by 52%. Wound healing disturbances occurred in 10% (n= 1) and postoperative fever in 50% (n= 5) of patients, compared to 14% (n= 9) and 15% (n= 10) in the group treated by open surgery. All severe complications requiring reintervention (10%; massive subcutaneous abscess, n= 3; retrocolic abscess, n= 2; adhesion-related ileus, n= 3; appendicular stump, n= 1) were associated with open surgery. Conclusions: There was not a single major complication in the laparoscopy group. These unexpected results are in contrast to previous reports and have prompted us to initiate a prospective randomized trial. Springer-Verlag New York Inc., 2000 Key words: Perforating appendicitis — Pediatric surgery — Laparoscopy nationallicence Paya K. Department of Pediatric Surgery, University of Vienna, Medical School, Waehringerguertel 18-20, A-1090 Vienna, Austria, Austria aut Rauhofer U. Department of Pediatric Surgery, University of Vienna, Medical School, Waehringerguertel 18-20, A-1090 Vienna, Austria, Austria aut Rebhandl W. Department of Pediatric Surgery, University of Vienna, Medical School, Waehringerguertel 18-20, A-1090 Vienna, Austria, Austria aut Deluggi St Pediatric Surgery AKH-Linz, Austria, Austria aut Horcher E. Department of Pediatric Surgery, University of Vienna, Medical School, Waehringerguertel 18-20, A-1090 Vienna, Austria, Austria aut Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 182-184 0930-2794 14:2<182 2000 14 464 https://doi.org/10.1007/s004649900096 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900096 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Paya K. Department of Pediatric Surgery, University of Vienna, Medical School, Waehringerguertel 18-20, A-1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Rauhofer U. Department of Pediatric Surgery, University of Vienna, Medical School, Waehringerguertel 18-20, A-1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Rebhandl W. Department of Pediatric Surgery, University of Vienna, Medical School, Waehringerguertel 18-20, A-1090 Vienna, Austria, Austria aut NATIONALLICENCE 700 1- Deluggi St Pediatric Surgery AKH-Linz, Austria, Austria aut NATIONALLICENCE 700 1- Horcher E. Department of Pediatric Surgery, University of Vienna, Medical School, Waehringerguertel 18-20, A-1090 Vienna, Austria, Austria aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 182-184 0930-2794 14:2<182 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer