Why the study?
Is conservative management followed by elective appendicectomy a safe and effective treatment for appendix mass in children?
Population
427 children presenting with an appendix mass, mean age 7.3 years (range 2 months to 18 years)
Design
Cohort
Follow-up
4-6 weeks (until elective appendicectomy)
Authors
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May support conservative management of appendix mass in children; leaves open need for randomized confirmation before practice change.
Is conservative management followed by elective appendicectomy a safe and effective treatment for appendix mass in children?
Conservative management of appendix mass in children with antibiotics and observation, followed by delayed elective appendicectomy, is a safe and effective strategy with a high success rate and low complication rate.
Gillick et al. (2001) studied this question.
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