Publications by authors named "G Buklan"
Article Synopsis
- The study investigates whether conservative antibiotic treatment (CAT) is a viable alternative to appendectomy for children with uncomplicated acute appendicitis.
- Data was collected from 362 children treated with CAT, showing that most (86.8%) did not require surgery, but some still needed appendectomies later due to recurrences.
- The findings indicate that CAT can be a safe and effective treatment strategy, provided strict diagnostic criteria are followed, though it doesn’t replace surgery for all cases.
Article Synopsis
- - A study evaluated conservative treatment for 197 children with uncomplicated appendicitis, finding an 87% success rate using intravenous antibiotics followed by oral antibiotics, which resulted in shorter hospital stays compared to those needing surgery.
- - Prognostic markers for treatment failure included symptoms of vomiting/nausea and the presence of intraluminal fluid on sonography, with intraluminal fluid being a significant risk factor after multi-regression analysis.
- - The research concludes that conservative treatment can be effective for uncomplicated appendicitis, and those who require surgery typically have a straightforward recovery with no serious complications, emphasizing the need to monitor intraluminal fluid as a contraindication for conservative treatment.
Purpose: To evaluate whether antibiotics without surgery is sufficient treatment for children with clinically and ultrasonographically suspected acute appendicitis (AA).
Method: Children with clinical, laboratory and radiological findings suspicious for AA were evaluated prospectively. Patients with mild clinical signs, without peritonitis were considered for IV followed by oral antibiotics without surgery.
Objective: Aim of the study was to evaluate the relative value of the tools used to diagnose suspected acute appendicitis (AA) in children.
Methods: A retrospective review of data from 1 848 children admitted to the Pediatric Surgery Department between 2004 and 2008 in our university-affiliated medical center was conducted. A total of 780 children underwent appendectomy at first presentation.
Purpose: Early ultrasound (US) evaluation of children with abdominal pain and suspected acute appendicitis (AA) is an important diagnostic tool. Since 2007, US has become part of routine emergency room (ER) work-up performed for suspected pediatric AA in our hospital.
Methods: We retrospectively compared hospital admissions from 2007 to 2008 with those from 2005 to 2006, when most ultrasounds were done after admission to Pediatric Surgery for observation.