[5th day syndrome after appendectomy. Plea against surgical treatment straight off].
Thirteen cases of post-appendicectomy "fifth day syndrome" (0.45% of 2,919 children operated upon) are reported. The diagnosis must be established on precise criteria. Treatment is primarily medical, using antibiotics and anti-inflammatory drugs, and it must produce rapid and complete results. It is only when it fails (2 cases in our series) that a second operation is justified.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001062:Appendectomy / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D006854:Hydrocortisone / Q000031:analogs & derivatives / Q000627:therapeutic use; D008297:Male; D010538:Peritonitis / Q000209:etiology* / Q000628:therapy; D012086:Reoperation; D013577:Syndrome
D000900:Anti-Bacterial Agents; C007133:hydrocortisone hemisuccinate; D006854:Hydrocortisone
"Syndrome de 5e jour" après appendicectomie. Plaidoyer contre le traitement chirurgical d'emblée.