ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/1550 |
Resumo: | Acute appendicitis is one of the most common surgical emergencies in childhood, requiring rapid assessment and intervention. The clinical and radiological characteristics of this condition may vary in children, presenting significant diagnostic challenges. Surgical management is essential to avoid serious complications, such as perforation and peritonitis. Considering the importance of an early and precise approach, the evaluation and surgical management of appendicitis in pediatrics have been the subject of studies and systematic reviews to optimize clinical practice. Objective: To analyze and synthesize recent studies on the evaluation and surgical management of appendicitis in children, aiming to identify the best diagnostic and therapeutic practices. Methodology: The review was carried out in accordance with PRISMA guidelines. The PubMed, Scielo and Web of Science databases were searched for articles published in the last 10 years. The descriptors used included "pediatric appendicitis", "diagnosis", "surgery", "management" and "evaluation". The inclusion criteria were original studies focusing on clinical evaluation, imaging diagnosis and surgical management in pediatric patients with acute appendicitis. Exclusion criteria were studies in languages other than English, Portuguese or Spanish, case reports and narrative reviews. Results: The results highlighted the importance of careful clinical evaluation, together with the use of imaging tests, such as ultrasound and computed tomography, in the diagnostic approach to appendicitis in children. In addition, several surgical strategies were discussed, including laparoscopy, and the role of pre- and postoperative antibiotic therapy. Factors such as age, clinical presentation and time elapsed since the onset of symptoms were considered when making surgical decisions. Conclusion: The systematic review highlights the importance of a multidisciplinary and individualized approach in the evaluation and surgical management of appendicitis in pediatrics. The evidence gathered provides support to improve clinical practices, aiming for an effective and safe approach in this specific context. |
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ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICSASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICSAcute appendicitis is one of the most common surgical emergencies in childhood, requiring rapid assessment and intervention. The clinical and radiological characteristics of this condition may vary in children, presenting significant diagnostic challenges. Surgical management is essential to avoid serious complications, such as perforation and peritonitis. Considering the importance of an early and precise approach, the evaluation and surgical management of appendicitis in pediatrics have been the subject of studies and systematic reviews to optimize clinical practice. Objective: To analyze and synthesize recent studies on the evaluation and surgical management of appendicitis in children, aiming to identify the best diagnostic and therapeutic practices. Methodology: The review was carried out in accordance with PRISMA guidelines. The PubMed, Scielo and Web of Science databases were searched for articles published in the last 10 years. The descriptors used included "pediatric appendicitis", "diagnosis", "surgery", "management" and "evaluation". The inclusion criteria were original studies focusing on clinical evaluation, imaging diagnosis and surgical management in pediatric patients with acute appendicitis. Exclusion criteria were studies in languages other than English, Portuguese or Spanish, case reports and narrative reviews. Results: The results highlighted the importance of careful clinical evaluation, together with the use of imaging tests, such as ultrasound and computed tomography, in the diagnostic approach to appendicitis in children. In addition, several surgical strategies were discussed, including laparoscopy, and the role of pre- and postoperative antibiotic therapy. Factors such as age, clinical presentation and time elapsed since the onset of symptoms were considered when making surgical decisions. Conclusion: The systematic review highlights the importance of a multidisciplinary and individualized approach in the evaluation and surgical management of appendicitis in pediatrics. The evidence gathered provides support to improve clinical practices, aiming for an effective and safe approach in this specific context.Acute appendicitis is one of the most common surgical emergencies in childhood, requiring rapid assessment and intervention. The clinical and radiological characteristics of this condition may vary in children, presenting significant diagnostic challenges. Surgical management is essential to avoid serious complications, such as perforation and peritonitis. Considering the importance of an early and precise approach, the evaluation and surgical management of appendicitis in pediatrics have been the subject of studies and systematic reviews to optimize clinical practice. Objective: To analyze and synthesize recent studies on the evaluation and surgical management of appendicitis in children, aiming to identify the best diagnostic and therapeutic practices. Methodology: The review was carried out in accordance with PRISMA guidelines. The PubMed, Scielo and Web of Science databases were searched for articles published in the last 10 years. The descriptors used included "pediatric appendicitis", "diagnosis", "surgery", "management" and "evaluation". The inclusion criteria were original studies focusing on clinical evaluation, imaging diagnosis and surgical management in pediatric patients with acute appendicitis. Exclusion criteria were studies in languages other than English, Portuguese or Spanish, case reports and narrative reviews. Results: The results highlighted the importance of careful clinical evaluation, together with the use of imaging tests, such as ultrasound and computed tomography, in the diagnostic approach to appendicitis in children. In addition, several surgical strategies were discussed, including laparoscopy, and the role of pre- and postoperative antibiotic therapy. Factors such as age, clinical presentation and time elapsed since the onset of symptoms were considered when making surgical decisions. Conclusion: The systematic review highlights the importance of a multidisciplinary and individualized approach in the evaluation and surgical management of appendicitis in pediatrics. The evidence gathered provides support to improve clinical practices, aiming for an effective and safe approach in this specific context.Specialized Dentistry Group2024-02-26info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/155010.36557/2674-8169.2024v6n2p2167-2179Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 2167-2179Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 2167-2179Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 2167-21792674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/1550/1732Copyright (c) 2024 Danillo Gondim da Silva Filho , Daiana Bettanin de Melo Alexandrino , Júlia Ferreira Junqueira , Joaquim Adriano Antunes de Almeida , Guilherme Augusto Santana Silva, Ana Paula Mendes Macedo Trigueiro , Caroline da Silva Moreira, Gabriela de Freitas Ribeiro , Thiago Arruda Prado Cavalcante , Guilherme Guimarães de Paula Poleto , Renata de Paula Ribeiro Dechichi , Ana Beatriz Ianovali Pera, Fernanda de Queiroz Albuquerquehttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessFilho , Danillo Gondim da Silva Alexandrino , Daiana Bettanin de MeloJunqueira , Júlia FerreiraAlmeida , Joaquim Adriano Antunes deSilva, Guilherme Augusto SantanaTrigueiro , Ana Paula Mendes MacedoMoreira, Caroline da Silva Ribeiro , Gabriela de FreitasCavalcante , Thiago Arruda PradoPoleto , Guilherme Guimarães de PaulaDechichi , Renata de Paula RibeiroPera, Ana Beatriz IanovaliAlbuquerque, Fernanda de Queiroz2024-02-26T21:48:02Zoai:ojs.bjihs.emnuvens.com.br:article/1550Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2024-02-26T21:48:02Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS |
title |
ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS |
spellingShingle |
ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS Filho , Danillo Gondim da Silva |
title_short |
ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS |
title_full |
ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS |
title_fullStr |
ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS |
title_full_unstemmed |
ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS |
title_sort |
ASSESSMENT AND SURGICAL MANAGEMENT OF APPENDICITIS IN PEDIATRICS |
author |
Filho , Danillo Gondim da Silva |
author_facet |
Filho , Danillo Gondim da Silva Alexandrino , Daiana Bettanin de Melo Junqueira , Júlia Ferreira Almeida , Joaquim Adriano Antunes de Silva, Guilherme Augusto Santana Trigueiro , Ana Paula Mendes Macedo Moreira, Caroline da Silva Ribeiro , Gabriela de Freitas Cavalcante , Thiago Arruda Prado Poleto , Guilherme Guimarães de Paula Dechichi , Renata de Paula Ribeiro Pera, Ana Beatriz Ianovali Albuquerque, Fernanda de Queiroz |
author_role |
author |
author2 |
Alexandrino , Daiana Bettanin de Melo Junqueira , Júlia Ferreira Almeida , Joaquim Adriano Antunes de Silva, Guilherme Augusto Santana Trigueiro , Ana Paula Mendes Macedo Moreira, Caroline da Silva Ribeiro , Gabriela de Freitas Cavalcante , Thiago Arruda Prado Poleto , Guilherme Guimarães de Paula Dechichi , Renata de Paula Ribeiro Pera, Ana Beatriz Ianovali Albuquerque, Fernanda de Queiroz |
author2_role |
author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Filho , Danillo Gondim da Silva Alexandrino , Daiana Bettanin de Melo Junqueira , Júlia Ferreira Almeida , Joaquim Adriano Antunes de Silva, Guilherme Augusto Santana Trigueiro , Ana Paula Mendes Macedo Moreira, Caroline da Silva Ribeiro , Gabriela de Freitas Cavalcante , Thiago Arruda Prado Poleto , Guilherme Guimarães de Paula Dechichi , Renata de Paula Ribeiro Pera, Ana Beatriz Ianovali Albuquerque, Fernanda de Queiroz |
description |
Acute appendicitis is one of the most common surgical emergencies in childhood, requiring rapid assessment and intervention. The clinical and radiological characteristics of this condition may vary in children, presenting significant diagnostic challenges. Surgical management is essential to avoid serious complications, such as perforation and peritonitis. Considering the importance of an early and precise approach, the evaluation and surgical management of appendicitis in pediatrics have been the subject of studies and systematic reviews to optimize clinical practice. Objective: To analyze and synthesize recent studies on the evaluation and surgical management of appendicitis in children, aiming to identify the best diagnostic and therapeutic practices. Methodology: The review was carried out in accordance with PRISMA guidelines. The PubMed, Scielo and Web of Science databases were searched for articles published in the last 10 years. The descriptors used included "pediatric appendicitis", "diagnosis", "surgery", "management" and "evaluation". The inclusion criteria were original studies focusing on clinical evaluation, imaging diagnosis and surgical management in pediatric patients with acute appendicitis. Exclusion criteria were studies in languages other than English, Portuguese or Spanish, case reports and narrative reviews. Results: The results highlighted the importance of careful clinical evaluation, together with the use of imaging tests, such as ultrasound and computed tomography, in the diagnostic approach to appendicitis in children. In addition, several surgical strategies were discussed, including laparoscopy, and the role of pre- and postoperative antibiotic therapy. Factors such as age, clinical presentation and time elapsed since the onset of symptoms were considered when making surgical decisions. Conclusion: The systematic review highlights the importance of a multidisciplinary and individualized approach in the evaluation and surgical management of appendicitis in pediatrics. The evidence gathered provides support to improve clinical practices, aiming for an effective and safe approach in this specific context. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-02-26 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1550 10.36557/2674-8169.2024v6n2p2167-2179 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/1550 |
identifier_str_mv |
10.36557/2674-8169.2024v6n2p2167-2179 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/1550/1732 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 6 No. 2 (2024): BJIHS QUALIS B3; 2167-2179 Brazilian Journal of Implantology and Health Sciences ; Vol. 6 Núm. 2 (2024): BJIHS QUALIS B3; 2167-2179 Brazilian Journal of Implantology and Health Sciences ; v. 6 n. 2 (2024): BJIHS QUALIS B3; 2167-2179 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798445207420928 |