Initial Versus Delayed Operation for Treatment of Complicated Appendicitis In Children

Initial Versus Delayed Operation for Treatment of Complicated Appendicitis In Children

To determine the most cost effective way to treat children with perforated appendicitis we will randomize all children presenting with perforated appendicitis to initial operation, with in 24 hours of admission, or to initial antibiotics, with or without percutaneous drainage, and subsequent interval appendectomy after 8 weeks. Our outcomes will include cost, complications, length of stay, and quality of life measures.

Inclusion Criteria:children

• Age 2-17 with a diagnosis of perforated appendicitis

Exclusion Criteria:

• Age <2 and >18
• Pregnancy
• Immunocompromise