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Acute abdominal pain is a common reason for children to go to the emergency department. Appendicitis, a common pediatric surgical emergency, affects almost 10% of these children. Medicine has issues with definitions, as diseases are sometimes defined solely based on abnormal numbers from machines, leading to overestimation of conditions. Percutaneous repair is an alternative to open surgical repair for Achilles tendon, with similar results and low rates of re-rupture and infection, but it can cause nerve injury. Acute abdominal pain is one of the most common reasons children seek care in the emergency department and appendicitis, the most common pediatric surgical emergency, is diagnosed in almost 10% of these children. Medicine has many issues due to definitions. When we define a disease solely on a slightly abnormal number obtained by a machine, chronic kidney disease, hypertension, hyperlipidemia, diabetes, without using any clinical judgment, we overestimate conditions as diseases. Percutaneous repair is an alternative to open surgical repair of the Achilles tendon with comparable functional results and low re-rupture and infection rates. However, several nerve injury is a known complication.