I’m not a pediatric surgeon but in adult population CT almost entirely eliminated unnecessary appendectomies. Which run as high as 20% in pre-CT era
Not all trainees on call can do lap appendix, certainly not in smaller hospitals. In UK plenty are done open, including by consultants. Normal.
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Trainees are on call in UK unsupervised? Guess trainee means something else in US. Standard of care in US is laparoscopic appendectomy. Conversion rate is extremely low. Otherwise it’s not normal
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Supervised unscrubbed is common, approach is determined though by on call consultant
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