HIỆU QUẢ CHO ĂN SỚM SAU PHẪU THUẬT NỘI SOI VIÊM PHÚC MẠC RUỘT THỪA Ở TRẺ EM TẠI BỆNH VIỆN NHI ĐỒNG CẦN THƠ

Abstract

Background: In children, appendicitis peritonitis is a common acute disease. Early feeding after surgery is one of the methods that helps patients recover early after surgery. But currently, the effectiveness of early feeding methods after laparoscopic appendicitis peritonitis in children has not been specifically evaluated. Objectives: (1) To describe the clinical and subclinical characteristics of children with peritonitis due to appendicitis treated at Can Tho Children's Hospital. (2) To evaluate the effectiveness of early feeding after laparoscopic surgery for appendiceal peritonitis in children at Can Tho Children's Hospital. Materials and methods: This is a non-controlled clinical intervention study involving 83 patients aged ≤15 years who underwent laparoscopic surgery for appendiceal peritonitis and were given early feeding/drinking within 24 hours post-surgery. Results: The mean age was 9.4±2.9 years. Initial abdominal pain was mainly around the navel in 34 cases (41%). Nausea/vomiting occurred in 66 cases (79.5%). Right iliac fossa tenderness was present in all 83 cases (100%). The mean surgery duration was 75±27 minutes. The average white blood cell count was 16.765±4.841 cells/mm³. Abdominal ultrasound observed the appendix in 77 cases (92.8%). Postoperative vomiting occurred in 16 cases (19.3%). The mean time to start feeding after surgery is 14.8±4.73 hours. Complications after surgery were noted in 4 cases (4.8%, p=0.02). The mean time for bowel movement recovery was 21.8±15.75 hours, p<0.001. The mean hospital stay was 8.3±2.24 days, p>0.05. Conclusions: Early feeding after laparoscopic surgery for appendiceal peritonitis is safe, shortens the time for bowel movement recovery and reduces the rate of complications. However, the length of hospital stay is not different from traditional feeding.