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Appendicitis – What are Children Appendicitis Treatments? | Treatments For Appendicitis In Children

Appendicitis is one of the most common causes of acute abdominal pain in all age groups. The key to a successful outcome is early diagnosis followed by appendectomy before gangrene or perforation develops. Although appendicitis occurs less frequently in young children, this group can be particularly difficult to diagnose because the presentation may be nonspecific. In addition, the evaluation can be challenging because the child is often apprehensive and uncomfortable.

Several significant changes have occurred in the management of appendicitis leading to the expectation of survival in 100 percent of patients with minimal short and long term morbidity.Appendicitis is treated by removing the inflamed appendix through an appendectomy. Surgeons usually either make a traditional incision in the abdomen or use a small surgical device that creates a smaller opening. An appendectomy usually requires a 2 to 3 day hospital stay.

Before and after surgery, intravenous fluids and antibiotics will help prevent complications and decrease the risk for wound infections after surgery. If needed, your child will also receive pain medication.An infected appendix that bursts must still be removed surgically but might necessitate a longer hospital stay to allow antibiotics to kill any bacteria that have spread into the body.Abdominal pain is a common feature of HSP, often leading to surgical consultation for evaluation of possible intussusception. Appendicitis is a rare complication of HSP, and in each of the 3 reported cases, appendectomy preceded the appearance of the purpuric rash.

More often, unnecessary laparotomies are performed on patients in whom appendicitis is suspected, but who subsequently develop the characteristic purpura. This is the first reported case of appendicitis developing in a patient with the established HSP rash. This case is also the first report of perforated appendicitis in HSP. Clinical vigilance and serial physical and ultrasonographic examinations are needed to detect conditions necessitating surgery in patients with HSP.

Most patients with acute appendicitis have had a period of poor oral intake with increased fluid losses related to fever and vomiting prior to diagnosis. Evaluation of their fluid and electrolyte status is therefore important preparation for surgery. Analgesia should also be provided. In addition, a preoperative evaluation, including screening and assessment for associated acute conditions, drug allergy, current medications, bleeding diathesis, chronic conditions, and family history of anesthetic complications should be obtained.