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A 20-Year Study of 1,640 Children at Cook County (Illinois) Hospital

Joseph S. Janik, MD; Hugh V. Firor, MD

Arch Surg. 1979;114(6):717-719.

Abstract
• Of 1,640 children with acute appendicitis treated at Cook County (Illinois) Hospital between Jan 1,1957, and Dec 31, 1976, 35% had appendiceal perforation. Overall morbidity was 12.8% and mortality was 0.24%. Antibiotics, transperitoneal drainage, and delayed wound closure were used routinely in children with appendiceal perforation. Antibiotics and transperitoneal drains did not appreciably alter the incidence of intra-abdominal abscess formation. Delayed wound closure in patients with appendiceal perforation reduced the incidence of wound infection by 75%.

(Arch Surg 114:717-719, 1979)

Author Affiliations
From the Division of General Surgery, Cook County Hospital, Chicago (Dr Janik), and the Division of Pediatric Surgery, Texas Tech University, Lubbock (Dr Firor). Dr Janik is now with The Hospital for Sick Children, Toronto.

Footnotes
Accepted for publication Oct 17, 1978.

Read in part before the annual meeting of the American Pediatric Surgical Association, Hot Springs, Va, May 4, 1978.

Reprint requests to Department of Surgery, Cook County Hospital, 1825 W Harrison St, Chicago, IL 60612 (Olga Jonasson, MD).

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