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Although appendicitis is the leading cause of an acute surgical abdomen in children, many areas of controversy exist in diagnosis and medical and surgical management of this condition. Written in a practical, easy-to-use format, Controversies in Pediatric Appendicitis provides a thorough overview of these debated issues, careful to include perspectives on every aspect of care. The book begins with an introductory framework that examines the history of pediatric appendicitis, the epidemiology of disease, defining a complicated diagnosis, the role and efficacy of laboratories in diagnosis, and use and overuse of radiographic imaging for appendicitis. Later chapters cover antibiotic selection, surgical approaches to appendicitis, non-operative management of acute and perforated appendicitis, discussion of potential complications, as well as appendicitis in special pediatric situations like malignancy and other instances of immune suppression. Each chapter follows a similarformat, beginning with clinical vignettes and concluding with pearls and pitfalls to provide readers with necessary clinical grounding and context with which to examine each of these areas of current controversy.
A unique, first-of-its-kind book, Controversies in Pediatric Appendicitis is an ideal resource for pediatric surgeons, interventional radiologists, emergency room specialists, and all providers and surgeons that care for children with appendicitis.
List of contents
1.History and Epidemiology of Pediatric Appendicitis.-2.Defining the Disease: Uncomplicated versus Complicated Appendicitis.-3. Making the Diagnosis: The Use of Clinical Features and Scoring Systems.-4.The Role and Efficacy of Laboratories in the Diagnosis of Pediatric Appendicitis.-5.Diagnostic Imaging for Pediatric Appendicitis.-6.Selection and Timing of Antibiotics for the Management of Appendicitis.-7.Non-Operative Management of Uncomplicated Appendicitis.-8.Non-Operative Management of Complicated Appendicitis.-9.Interventional Radiology as a Therapeutic Option for Complicated Appendicitis.-10.Timing of Appendectomy for Acute Appendicitis: Can Surgery Wait? .-11.Surgical Techniques in Pediatric Appendectomy.-12.The Controversial Role of Interval Appendectomy.-13.Diagnostic and Management Strategies for Postoperative Complications in Pediatric Appendicitis.-14.Disparities in the Management of Appendicitis.-15.Appendicitis- Unusual Complications and Outcomes.-16. Management of Acute Appendicitis in Special Pediatric Situations: Malignancy, Neutropenia, and Other Etiologies of Immune Suppression.
About the author
Catherine J. Hunter, MD, FACS, FAAP
Associate Professor of Surgery and Pediatrics
Feinberg School of Medicine, Northwestern University
Ann and Robert H. Lurie Children’s Hospital of Chicago
Department of Pediatric Surgery
Chicago, IL
USA
Summary
Although appendicitis is the leading cause of an acute surgical abdomen in children, many areas of controversy exist in diagnosis and medical and surgical management of this condition. Written in a practical, easy-to-use format, Controversies in Pediatric Appendicitis provides a thorough overview of these debated issues, careful to include perspectives on every aspect of care. The book begins with an introductory framework that examines the history of pediatric appendicitis, the epidemiology of disease, defining a complicated diagnosis, the role and efficacy of laboratories in diagnosis, and use and overuse of radiographic imaging for appendicitis. Later chapters cover antibiotic selection, surgical approaches to appendicitis, non-operative management of acute and perforated appendicitis, discussion of potential complications, as well as appendicitis in special pediatric situations like malignancy and other instances of immune suppression. Each chapter follows a similarformat, beginning with clinical vignettes and concluding with pearls and pitfalls to provide readers with necessary clinical grounding and context with which to examine each of these areas of current controversy.
A unique, first-of-its-kind book, Controversies in Pediatric Appendicitis is an ideal resource for pediatric surgeons, interventional radiologists, emergency room specialists, and all providers and surgeons that care for children with appendicitis.
