دورية أكاديمية

Appendicitis and Peritonitis in Children with a Ventriculo-Peritoneal Shunt.

التفاصيل البيبلوغرافية
العنوان: Appendicitis and Peritonitis in Children with a Ventriculo-Peritoneal Shunt.
المؤلفون: Fröschle, Glenn M. C., Hagens, Johanna, Mannweiler, Philip, Groth, Friederike Sophie, Kammler, Gertrud, Reinshagen, Konrad, Tomuschat, Christian
المصدر: Children; Mar2023, Vol. 10 Issue 3, p571, 9p
مصطلحات موضوعية: LENGTH of stay in hospitals, PERITONITIS, APPENDICITIS, POSTOPERATIVE care, TERTIARY care, RETROSPECTIVE studies, ACQUISITION of data, DISEASES, CEREBROSPINAL fluid shunts, T-test (Statistics), MEDICAL records, DESCRIPTIVE statistics, DATA analysis software, COMPUTED tomography, CHILDREN
مستخلص: The purpose of this study was to outline the management of patients with appendicitis and ventriculoperitoneal shunt (VPS) in the largest pediatric surgery department in Germany. Patients with VPS presenting with an acute abdomen between 2012 and 2022 at a tertiary-care pediatric facility were the subject of a retrospective descriptive analysis. Patients were divided into two groups based on their diagnoses: group A (appendicitis) and group B (primary peritonitis). Medical records were analyzed to look at the diagnostics, operative approach, complications, peritoneal and liquor culture, and antibiotic treatment. A total of seventeen patients were examined: seven patients in group A and ten individuals in group B. In the present study patients in group A typically presented younger, sicker, and with more neurological symptoms than those in group B. All patients with appendicitis had their VPS exteriorized, and a new shunt system into the peritoneum was reimplanted 20 days later. Surgery should be aggressively administered to patients who present with an acute abdomen and a VPS. Change of the whole shunt system is suggested. Shunt infection and dysfunction should be ruled out in patients with abdominal symptoms, and surgical care should be started with a low threshold. [ABSTRACT FROM AUTHOR]
Copyright of Children is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:22279067
DOI:10.3390/children10030571