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June 1979

Pediatric AppendicitisA 20-Year Study of 1,640 Children at Cook County (Illinois) Hospital

Author Affiliations

From the Division of General Surgery, Cook County Hospital, Chicago (Dr Janik), and the Division of Pediatric Surgery, Texas Tech University, Lubbock (Dr Firor). Dr Janik is now with The Hospital for Sick Children, Toronto.

Arch Surg. 1979;114(6):717-719. doi:10.1001/archsurg.1979.01370300071011

• Of 1,640 children with acute appendicitis treated at Cook County (Illinois) Hospital between Jan 1,1957, and Dec 31, 1976, 35% had appendiceal perforation. Overall morbidity was 12.8% and mortality was 0.24%. Antibiotics, transperitoneal drainage, and delayed wound closure were used routinely in children with appendiceal perforation. Antibiotics and transperitoneal drains did not appreciably alter the incidence of intra-abdominal abscess formation. Delayed wound closure in patients with appendiceal perforation reduced the incidence of wound infection by 75%.

(Arch Surg 114:717-719, 1979)