ArticleFrontiers in pediatrics2026
Impact of preoperative delay on perforation in pediatric appendicitis.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objective: To investigate the impact of preoperative delay (<8 h vs. <24 h) on appendiceal perforation in children with uncomplicated acute appendicitis (UAA) undergoing laparoscopic appendectomy, and to assess the risk associated with appendiceal fecalith. Methods: A retrospective study included children with UAA who underwent laparoscopic appendectomy from January 2025 to December 2025. Based on preoperative waiting time, children were divided into control group (<8 h, Results: Baseline data were comparable between groups ( Conclusion: Delaying laparoscopic appendectomy to within 24 h for children with UAA does not significantly increase the risk of intraoperative perforation compared to surgery within 8 h. Such surgeries can be safely scheduled for the next morning to optimize night shift resource allocation. However, children with preoperative evidence of appendiceal fecalith are at higher risk of perforation and should receive timely surgical intervention.
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