Most common acute surgical condition in pediatric age group incident is nearly nine percent in male children and seven percent in female children
What do you see – Presentation
Pain Abdomen followed by vomiting
Decreased appetite, Indigestion; Mild fever
When I see such patients, I find…..
Tender Abdomen in right lower portion below the belly button
Blood test (raised total counts and raised polymorphs)
USG Abdomen – Probe tenderness in Right iliac fossa, some time thickened ,turgid appx can be seen in USG, it rules out other causes
X ray abdomen of delayed appendicular perforation shows features of intestinal obstruction.
Ureteral or renal calculus ovarian cyst
Because if you don’t operate complications like appendicular perforation (hole in the intestine), pelvic abscess (pus in the tummy) and intestinal obstruction can occur.
What is new in treatment?
Now a days we operate all appendicitis whether early or late by LAPARASCOPIC METHOD. This has advantage of inspecting the entire abdomen
Follow Up care
The hospital stay is for three days, the child can take normal food after 24 hrs of surgery, stitches dissolvable follow up visit after 10 days, can go to school after ten days.
My Experience I have done more than three thousand open appendicectomies and five hundred laparascopic appendicectomies, the problems almost nil in both.