[Skip to Content]
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
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)

Vital Statistics of the United States, 1950-1976. Rockville, Md, National Center for Health Statistics. Dept of Health, Education, and Welfare, Public Health Service.
Pledger HG, Buchan R:  Deaths in children with acute appendicitis . Br Med J 4:466-470, 1969.Article
Haller JA, Shaker IJ, Donahoo JS, et al:  Peritoneal drainage versus nondrainage for generalized peritonitis from ruptured appendicitis in children. A prospective study . Ann Surg 177:595-600, 1973.
Otherson HB, Truluck TB, Loadholt CB:  Ruptured appendicitis in children: Continuing controversy over antibiotic combinations . J Pediatr Surg 11:405-409, 1976.Article
Shandling B, Ein SH, Simpson JS, et al:  Perforating appendicitis and antibiotics . J Pediatr Surg 9:79-83, 1974.Article
Stone HH, Sanders SL, Martin JD:  Perforated appendicitis in children . Surgery 69:673-679, 1971.
Davison C:  The surgical treatment of appendicitis at Cook County Hospital . Surg Gynecol Obstet 4:227-230, 1907.
Miller EM, Fell EH, Brock C, et al:  Acute appendicitis in children: A clinical study of more than 1,000 cases . JAMA 115:1239-1242, 1941.Article
Boles ET Jr, Ireton RJ, Clatworthy HW Jr:  Acute appendicitis in children . Arch Surg 79:447-454, 1959.Article
Hudson HW, Chamberlain JW:  Acute appendicitis in childhood . J Pediatr 15:408-425, 1939.Article
Lansden FT:  Acute appendicitis in children . Am J Surg 106:938-942, 1963.Article
Longino LA, Holder TM, Gross RE:  Appendicitis in childhood . Pediatrics 22:238-246, 1958.
Martin LW:  Appendicitis , in Mustard WT, Ravitch MM, Snyder WH (eds): Pediatric Surgery , ed 2. Chicago, Year Book Medical Publisher Inc, 1972, pp 948-959.
Scott HW, Ware PF:  Acute appendicitis in childhood . Arch Surg 50:258-268, 1945.Article
Stone HH:  Bacterial flora of appendicitis in children . J Pediatr Surg 11:37-42, 1976.Article
Murphy JB:  Appendicitis with original report, histories, and analysis of 141 laparotomies for that disease under personal observation . JAMA 22:302-308, 347-352, 387-389, 423-427, 1894.Article