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Leonard L. Go, MD

Arch Surg. 2007;142(3):241.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

At first glance, the conclusions of this report would imply that there are few "definites" when it comes to the management of perforated appendicitis in children. Henry et al have bravely chosen to wade into waters that have long been muddied by clinical perceptions. Most surgeons view their own treatment algorithm of appendicitis as a core competency, one resistant to challenge or change. Noble, perhaps, but potentially outdated. In this looming "pay for performance" era, payers can and will look past history and dogma to determine how health care resources are allocated for treating common ailments such as appendicitis. This report brings to light misconceptions regarding the treatment of this disease. Many may be surprised to find that their own beliefs were not confirmed, most notably that neither type nor timing of antibiotics, choice of surgery (open vs laparoscopic), nor duration of antibiotic therapy were associated . . . [Full Text of this Article]

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