title: [Conservative management of postappendectomy intraperitoneal abscess. Preliminary results].
abstract: OBJECTIVE
  For decades, prestigious authors of surgical texts have established that intraperitoneal abscess should be managed by laparotomy, drainage of pus, and antibiotics. However, availability of new and more powerful antimicrobials have allowed for other therapeutic modalities.
  
  
  METHODS
  Thirty children in whom clinical or sonographic presence of purulent collection in peritoneal cavity as consequence of appendectomy were studied. With Ethical Committee and parental consent, we filled out the corresponding protocol. We decided to carry out pre-and post-test sonogram and administration of gentamycin 5-7 mg/kg/day or cefotaxime 100 mg/kg/day IV for 10-14 days.
  
  
  RESULTS
  There was improvement in all cases within the first 72 h and curing during the second week. No patient required laparotomy. Employment of antimicrobials was curative.
authors.affiliation: Departamento de Cirugía General, Hospital Pediátrico Moctezuma, Mexico, D.F.
authors.forename: Carlos
authors.initials: C
authors.lastname: Baeza-Herrera
authors.forename: Gregorio
authors.initials: G
authors.lastname: Jaimes
authors.forename: Donaciano
authors.initials: D
authors.lastname: Villalobos-Ayala
authors.forename: Luis
authors.initials: L
authors.lastname: Velasco-Soria
authors.forename: Jovita Eva
authors.initials: JE
authors.lastname: Velasco-Ruiz
mesh_terms: D000038:Abscess / Q000188:drug therapy* / Q000209:etiology*; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D001062:Appendectomy / Q000009:adverse effects*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D010532:Peritoneal Diseases / Q000188:drug therapy* / Q000209:etiology*; D011446:Prospective Studies
chemical_list: D000900:Anti-Bacterial Agents