Controversial aspects of appendicitis management in children
R. J. Bower, M. J. Bell and J. L. Ternberg
The areas of controversy in appendicitis management in children include
antibiotic usage, drainage of the peritoneal cavity, and closure of
contaminated incisions. Our results and bacteriologic data suggest that
gentamicin sulfate and clindamycin phosphate should be routinely used in
cases of suspected perforation, that only selective and limited use of
drains is warranted, and that delayed primary closure should be used in all
cases with perforation.
