Outcome of appendicectomy in children performed in paediatric surgery units compared with general surgery units. BJS 2014; 101: 707-714.
Published: 2nd April 2014
Authors: S. Tiboni, A. Bhangu, N. J. Hall, I. G. Panagiotopoulou, N. Chatzizacharias, M. Rana et al.
Appendicectomy for acute appendicitis in children may be performed in specialist centres by paediatric surgeons or in general surgery units. Service provision and outcome of appendicectomy in children may differ between such units.
This multicentre observational study included all children (aged less than 16 years) who had an appendicectomy at either a paediatric surgery unit or general surgery unit. The primary outcome was normal appendicectomy rate (
Appendicectomies performed in 19 paediatric surgery units (242 children) and 54 general surgery units (461 children) were included. Children treated in paediatric surgery units were younger and more likely to have a preoperative ultrasound examination, a laparoscopic procedure, a consultant present at the procedure, and histologically advanced appendicitis than children treated in general surgery units. The unadjusted
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