Publications by authors named "M Gutermacher"
Article Synopsis
- Conservative antibiotic treatment (CAT) for uncomplicated acute appendicitis (AUA) in kids is safe and effective, but there are high rates of recurrent cases and subsequent surgeries.
- A study involving 646 children revealed that 28% experienced recurrent appendicitis, with 21% undergoing appendectomy, highlighting the prognostic importance of factors like age and appendiceal size.
- The researchers developed a decision tree model to help assess the likelihood of needing surgery, aiming to better inform patients and families considering CAT.
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.
Aim: Based on our experience with acute idiopathic scrotal oedema (AISO) and observations of the incidence of intestinal worm infestation (IWI), we decided to test the hypothesis that IWI occurs more frequently among children with AISO than it does in the general population.
Methods: A retrospective questionnaire-based study was conducted comparing the frequency of IWI between children who had AISO and a matched control group who had inguinal hernia surgery in our Pediatric Surgery Department during 2003-2009. This second group was chosen to represent the incidence of IWI in the paediatric community in our region.