Controversial aspects in the

management of perforated appendicitis in children Sir, Acute appendicitis remains the most common condition requiring emergency abdominal operation in the pediatric age group. There is now a general consensus regarding the management of simple acute appendicitis. This, however, is not the case for perforated appendicitis where controversies concerning duration of antibiotics therapy, skin closure, and the use of drains still continues.1,2,3 In this report, we analyze our results in the management of 60 consecutive children with perforated appendicitis and address 2 of the controversial issues in the management of perforated appendicitis in children. The medical records of 60 consecutive children with perforated appendicitis, treated over a 3-yea