Pediatric patients transferred for operative management of appendicitis: are they at a disadvantage?

Purpose: Many pediatric patients are initially diagnosed with appendicitis at referring hospitals and are subsequently transferred to pediatric facilities. We aimed to compare outcomes of patients transferred to a pediatric referral center to those who present primarily for operative management of appendicitis.

Methods: A retrospective review of 326 patients with operative appendicitis from July 2012 to July 2013 was performed.

Operative Findings Are a Better Predictor of Resource Utilization in Pediatric Appendicitis.

Purpose: Post-operative management following appendectomy is dependent upon intraoperative assessment. We determined concordance between surgical and histopathologic diagnosis to better predict resource utilization in pediatric patients undergoing appendectomy.

Methods: A retrospective analysis of 326 patients with operative appendicitis from July 2012 to July 2013 was performed.

Same-day discharge after appendectomy results in cost savings and improved efficiency.

Appendectomy incurs significant costs for the healthcare system. There is evidence that patients can be safely discharged the same day after appendectomy. The purpose of this study was to develop an evidence-based protocol for same-day discharge after appendectomy.

Successful reconstruction of traumatic carinal tissue loss using the esophagus in an infant.

We present a case report of an infant who underwent successful reconstruction of a traumatic tracheal and carinal chemically induced corrosive injury using an esophageal flap to reconstruct the trachea and subsequently re-establishing gastrointestinal continuity with a colon interposition.