Trial reportPediatric surgery international2003
The utility of peritoneal drains in children with uncomplicated perforated appendicitis.
Trial report in Pediatric surgery international, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 6 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 6 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Abdominal drainage to prevent intraperitoneal abscess after appendectomy for complicated appendicitis.The Cochrane database of systematic reviews · 2025Pooled it
- Drain placement in paediatric complicated appendicitis: a systematic review and meta-analysis.Pediatric surgery international · 2023Pooled it
- Abdominal drainage to prevent intra-peritoneal abscess after appendectomy for complicated appendicitis.The Cochrane database of systematic reviews · 2021Pooled it
- The Japan Society for Surgical Infection: guidelines for the prevention, detection, and management of gastroenterological surgical site infection, 2018.Surgery today · 2021Pooled it
- Abdominal drainage to prevent intra-peritoneal abscess after open appendectomy for complicated appendicitis.The Cochrane database of systematic reviews · 2018Pooled it
- Pooled it
- Appendectomy Skin Closure Technique, Randomized Controlled Trial: Changing Paradigms (ASC).World journal of surgery · 2016Trial
- Review
- Effect of peritoneal drainage on the prognosis following appendectomy in pediatric patients with appendicitis: a retrospective study based on appendicitis grade.Pediatric surgery international · 2024Article
- Controversies and Future Directions in Management of Acute Appendicitis: An Updated Comprehensive Review.Journal of clinical medicine · 2024Review
- Review
- Prophylactic abdominal drainage following appendectomy for complicated appendicitis: A meta-analysis.Frontiers in surgery · 2022Review
- Is abdominal drainage after open emergency appendectomy for complicated appendicitis beneficial or waste of money? A single centre retrospective cohort study.Annals of medicine and surgery (2012) · 2018Article
- The utility of peritoneal drains in patients with perforated appendicitis.SpringerPlus · 2015Article
- Prevention of infectious complications after laparoscopic appendectomy for complicated acute appendicitis--the role of routine abdominal drainage.Langenbeck's archives of surgery · 2011Article
- Diagnosis and treatment of acute appendicitis in children: a survey among Dutch surgeons and comparison with evidence-based practice.World journal of surgery · 2006Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Peritoneal drainage in children with uncomplicated perforated appendicitis (UPA) is still controversial. Many pediatric surgeons prefer not to drain the peritoneal cavity in such cases. However, there is no randomized controlled study performed in children. We aimed to study the effects of peritoneal drainage in children with UPA in a randomized prospective trial. One hundred and forty consecutive patients with UPA were divided randomly into 2 groups. Group I (70 patients) consisted of cases with peritoneal drainage, and group II (70 patients) without drainage. UPA is defined as perforated appendicitis with no more discoloration of peritoneal fluid after peritoneal wash out. Cases with localized abscess in the peritoneum were excluded from the study. In all patients, the ages, duration of symptoms, nasogastric drainage and hospitalization, and complications after surgery were recorded. The duration of hospitalization and nasogastric draining time were significantly lower in patients without peritoneal drainage. There was no difference in postoperative complications between the two groups. The onset of oral intake after surgery was significantly earlier in group II patients. Placing drains in the peritoneum does not improve outcome in UPA. Therefore, we do not recommend routine drainage of children with UPA.
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