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Turk J Anaesthesiol Reanim 2022 Aug;50(4):306-308

Department of Anaesthesia, Hospital Garcia de Orta, Almada, Portugal.

A 42 years old patient who underwent laparoscopic appendectomy developed negative pressure pulmonary oedema (NPPO) with an atypical presentation. Point of care ultrasound (POCUS) played a decisive role in the diagnostic approach. POCUS, as a goal-orientated tool, can provide key elements for a prompt diagnosis of respiratory and airway complications in the surgical patient. Read More

Cureus 2022 Jul 14;14(7):e26867. Epub 2022 Jul 14.

Emergency Medicine, University of Central Florida College of Medicine, Orlando, USA.

The authors present the case of a 29-year-old female diagnosed with acute appendicitis who underwent an uneventful laparoscopic appendectomy. Three weeks later, she returned to the emergency department with fevers, abdominal pain, chills, and nausea. Laboratory analysis revealed elevated liver enzymes and leukocytosis, and a computed tomography scan of the abdomen revealed a liver abscess. Read More

Ann Coloproctol 2022 Jun 27;38(3):276-277. Epub 2022 Jun 27.

Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.

J Surg Res 2022 Aug 10;280:55-62. Epub 2022 Aug 10.

Department of Surgery, University of Cincinnati, Cincinnati Research on Education in Surgical Training (CREST), Cincinnati, Ohio. Electronic address:

Introduction: Intraoperative hand-offs are poorly coordinated and associated with risk of surgical miscount. We evaluated hand-off patterns for nursing staff during two common operations hypothesizing that hand-off patterns would be associated with increased surgical miscounts and vary during operations performed standard versus nonstandard operating hours.

Methods: We retrospectively analyzed laparoscopic cholecystectomy (N = 3888) and appendectomy (N = 1768) from 2012 to 2021 at a single institution using electronic medical records. Read More

J Clin Med 2022 Aug 2;11(15). Epub 2022 Aug 2.

Department of Surgery, Brandenburg Medical School, University Hospital Brandenburg/Havel, 14770 Brandenburg, Germany.

Background: Acute appendicitis is one of the most common emergencies in general surgery. The gold standard treatment is surgery. Complications may occur during or after an appendectomy. Read More

World J Clin Cases 2022 Jun;10(18):6314-6318

Department of Gastroenterology, Affiliated Jinhua Hospital, Zhejiang University School of Medicine, Jinhua 321000, Zhejiang Province, China.

Background: Acute lower gastrointestinal bleeding is common in clinical practice, and the colon is responsible for the majority of cases. However, appendiceal bleeding is an extremely rare cause. Appendiceal bleeding due to vascular diseases, such as angiodysplasia and Dieulafoy's lesion, may result in massive lower gastrointestinal bleeding. Read More

Cureus 2022 Jul 9;14(7):e26681. Epub 2022 Jul 9.

General Surgery, Hazard Appalachian Regional Healthcare (ARH) Regional Medical Center, Hazard, USA.

Diverticulosis of the appendix (DA) is rare and frequently found incidentally. Some cases are discovered after presenting with similar symptomatology to acute appendicitis, whereas other cases may be completely silent. Fibrous obliteration (FO) is a histologic finding indicative of cellular proliferation secondary to relapses of subclinical inflammatory processes. Read More

J Surg Case Rep 2022 Aug 4;2022(8):rjac357. Epub 2022 Aug 4.

Division of Abdominal Surgery, Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy.

Malakoplakia is a rare entity on inflammatory base that mostly occurs in immunocompromised individuals which is thought to be secondary to a bactericidal defect in macrophages. The genitourinary tract is typically affected. The appendix is a very rare localization. Read More

Int J Colorectal Dis 2022 Aug 8. Epub 2022 Aug 8.

Department of Colorectal and Anal Surgery, The Affiliated Qingdao Central Hospital of Qingdao University, The Second Affiliated Hospital of Medical College of Qingdao University, 266042, Qingdao, Shandong, China.

Objective: A meta-analysis of the relevant literature evaluated the feasibility, safety, and potential benefits of single-incision laparoscopic appendectomy (SILA) relative to those of conventional laparoscopic appendectomy (CLA).

Methods: The major biomedical databases, including ClinicalTrials.gov, were searched up to January 2022 for relevant randomized controlled trials (RCTs). Read More

Am J Surg 2022 Jul 19. Epub 2022 Jul 19.

Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. Electronic address:

Background: Appendectomy is a benchmark operation for trainee progression, but this should be weighed against patient safety and perioperative outcomes.

Methods: Systematic literature review and meta-analysis comparing outcomes of appendectomy performed by trainees versus trained surgeons.

Results: Of 2086 articles screened, 29 studies reporting on 135,358 participants were analyzed. Read More

J Surg Res 2022 Aug 1;279:586-591. Epub 2022 Aug 1.

Surgical Outcomes and Quality Improvement Center, Department of Surgery, Northwestern University, Chicago, Illinois; Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital, Chicago, Illinois.

Introduction: While complication rates have been well described using the National Surgical Quality Improvement Program (NSQIP) and National Surgical Quality Improvement Program-Pediatric registries, there have been no direct comparisons of outcomes between adults and children. Our objective was to describe differences in postoperative outcomes between children and adults undergoing common surgical procedures.

Methods: Using data from 2013 to 2017, we identified patients undergoing laparoscopic appendectomy, laparoscopic cholecystectomy, thyroidectomy, and colectomy. Read More

Chirurgie (Heidelb) 2022 May 25. Epub 2022 May 25.

Klinik und Poliklinik für Chirurgie, Klinikum rechts der Isar der Technischen Universität München, Ismaninger Str. 22, 81675, München, Deutschland.

Background: Patients with complicated appendicitis frequently develop postoperative septic complications. There are no uniform standards for the choice of perioperative antibiotic prophylaxis and the duration of postoperative antibiotic treatment. The purpose of this study was to investigate associations between microbiological samples and postoperative complications. Read More

Pediatr Surg Int 2022 Aug 3. Epub 2022 Aug 3.

University of Miami Miller School of Medicine, Miami, FL, USA.

Background: The utility of incidental appendectomy, appendectomy during another index surgery in the absence of appendicitis, has not been evaluated in the pediatric population during cholecystectomy. This study sought to compare nationwide outcomes after cholecystectomy with incidental appendectomy in children.

Methods: Patients ≤ 18 years old who underwent cholecystectomy from 2010-2014 were identified from the Nationwide Readmissions Database. Read More

J Minim Access Surg 2022 Jul 20. Epub 2022 Jul 20.

Department of Surgery, School of Medicine, Dongsan Hospital, Keimyung University, Daegu, Republic of Korea.

Single-port laparoscopic appendectomy (SPLA) was firstly introduced in 1998 and has been suggested potential advantages including better cosmetic outcome, less post-operative pain and avoidance of possible haemorrhagic complications from injuring epigastric vessels. However, single-port laparoscopic approach using conventional straight instruments may lead to internal and external conflicts and ergonomic discomfort, and new laparoscopic articulating instruments were developed to overcome these limitations of straight instruments. The ArtiSential (LIVSMED Inc. Read More

J Minim Access Surg 2022 Jul 8. Epub 2022 Jul 8.

Department of Abdominal Surgery, University Medical Centre; Department of Surgery, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

Bone metaplasia or heterotopic ossification of the appendix is an extremely rare condition, which is usually associated with mucinous appendiceal neoplasms. This case describes a young male patient, who presented to the surgical emergency department with clinical and computed tomography signs of acute appendicitis. Laparoscopic appendectomy was performed. Read More

Cureus 2022 Jun 23;14(6):e26265. Epub 2022 Jun 23.

Medicine, Liaquat University of Medical & Health Sciences, Jamshoro, PAK.

Introduction Acute appendicitis can lead to perforation which can be lethal. The present study assessed the outcomes of laparoscopic appendectomy versus open appendectomy in patients with perforated appendicitis. Methodology A comparative study was conducted at the Department of Surgery, Liaquat University of Medical & Health Sciences (LUMHS), between March 2, 2019 and July 7, 2020. Read More

Clin J Gastroenterol 2022 Jul 28. Epub 2022 Jul 28.

Department of Surgery, Uji-Tokushukai Medical Center, 145 Makishima-cho Ishibashi, Uji, Kyoto, 611-0042, Japan.

An 85 year-old woman was transferred with a chief complaint of right thigh pain persisting for 5 days. Abdominal contrast-enhanced computed tomography clearly depicted a swollen appendix incarcerated in the right obturator cavity. She underwent an emergent laparoscopic appendectomy and the simultaneous repair of the obturator hernia. Read More

J Surg Educ 2022 Jul 25. Epub 2022 Jul 25.

Division of Education, American College of Surgeons, Chicago IL.

Objective: The objective assessment of technical skills of junior residents is essential in implementing competency-based training and providing specific feedback regarding areas for improvement. An innovative assessment that can be easily implemented by training programs nationwide has been developed by expert surgeon educators under the aegis of the American College of Surgeons (ACS) Division of Education. This assessment, ACS Objective Assessment of Skills in Surgery (ACS OASIS) uses eight stations to address technical skills important for junior residents within the domains of laparoscopic appendectomy, excision of lipoma, central line placement, laparoscopic cholecystectomy, trocar placement, exploratory laparotomy, repair of enterotomy, and tube thoracostomy. Read More

J Laparoendosc Adv Surg Tech A 2022 Jul 27. Epub 2022 Jul 27.

Department of Surgery, Queen Sirikit National Institute of Child Health, Bangkok, Thailand.

Single-incision laparoscopic surgery (SILs) has reported the evidence in basic and advanced pediatric laparoscopy. The objective was to review the feasibility and outcomes between basic and advanced procedures of the conventional laparoscopic surgery (CLs) and the SILs at our institute, and to compare the results with the published studies in a systematic review and meta-analysis. A retrospective study was conducted from January 2017 to March 2020. Read More

Front Surg 2022 11;9:916792. Epub 2022 Jul 11.

Department of Gynecology, The First Affiliated Hospital of USTC, Division of Life Sciences and Medicine, University of Science and Technology of China, Hefei, China.

Purpose: This paper aims to explore the safety and feasibility of a single-hole laparoscopic myomectomy through an abdominal scar approach.

Method: The clinical data of seven patients who underwent the single-hole laparoscopic myomectomy the abdominal scar approach from January to November 2021 in the Department of Gynecology, the Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, were studied retrospectively. Read More

Orv Hetil 2022 Jun 19;163(25):1001-1004. Epub 2022 Jun 19.

2 Pécsi Tudományegyetem, Általános Orvostudományi Kar, Gyermekgyógyászati Klinika, Manuális Tanszék Pécs Magyarország.

Introduction: The advantages of laparoscopic against open appendectomy were observed both in adults and children.

Objective: The aim of the authors was to study the learning period when they switched from open to laparoscopic appendectomy.

Methods: Retrospective, observational study was performed. Read More

World J Surg 2022 Jul 24. Epub 2022 Jul 24.

Department of Surgery, Hospital Alemán of Buenos Aires, 1640 Pueyrredon Ave, Buenos Aires, Argentina.

Background: Laparoscopic appendectomy (LA) has become the standard of care for the management of acute appendicitis in adult patients. Despite the increasing experience in laparoscopy, conversion to open surgery might still occur. We aimed to identify preoperative and intraoperative risk factors for conversion and determine surgical outcomes in this population. Read More

BMC Surg 2022 Jul 23;22(1):282. Epub 2022 Jul 23.

General Surgery Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Background: Although obesity is a popular reason for choosing laparoscopic appendectomy (LA) versus open appendectomy (OA), however, the question of whether there is a difference remains. Our goal is to investigate if there is a difference between OA and LA in obese patients.

Methods: Fifty-eight obese patients diagnosed with acute appendicitis according to ALVARDO score at department of surgery at Suez Canal university hospitals from March 2020 till August 2021 were included. Read More

Medicine (Baltimore) 2022 Jul 22;101(29):e28574. Epub 2022 Jul 22.

Tunis El Manar University, Tunisia.

Acute appendicitis is the most common surgical pathology during pregnancy. It occurs in about 1 in 500 to 1 in 635 pregnancies per year,[1] and appendectomy is the gold standard in the treatment approach.[2] However, its diagnosis represents a challenge to both surgeons and obstetrician-gynecologists. Read More

BMJ Open 2022 07 21;12(7):e051838. Epub 2022 Jul 21.

Department of Critical Care and Anaesthesia, Mongolian National University of Medical Sciences, Ulaanbaatar, Mongolia.

Objectives: To inform national planning, six indicators posed by the Commission on Global Surgery were collected for the Mongolian surgical system. This situational analysis shows one lower middle-income country's ability to collect the indicators aided by a well-developed health information system.

Design: An 11-year retrospective analysis of the Mongolian surgical system using data from the Health Development Center, National Statistics Office and Household Socio-Economic Survey. Read More

Ann Med Surg (Lond) 2022 Jul 14;79:104002. Epub 2022 Jun 14.

Department of Anesthesiology and Reanimation, University of Health Science, Bakırköy Dr. Sadi Konuk Education and Research Hospital, Istanbul, Turkey.

Background: Laparoscopic appendectomy is the most performed emergency surgical technique worldwide. Transversus abdominis plane (TAP) blocks, which are easier to achieve with ultrasound, are frequently used in multimodal analgesia techniques for this surgery. Quadratus lumborum (QL) block has become a standard block, first used in gynecological and other abdominal surgeries. Read More

Ann Med Surg (Lond) 2022 Jul 23;79:104043. Epub 2022 Jun 23.

Department of Medicine,Moonlight Polyclinic Private Limited, Siddhipur, Nepal.

Introduction: Tapia's syndrome is a rare condition that manifest due to unilateral extracranial nerve extension of cranial nerve 10 and 12 which occurred as a rare complication of Orotracheal Intubation in patient undergoing Laparoscopic appendectomy.

Case Presentation: A 30 year old male, a known case of normal variant Right bundle branch block and Gilbert syndrome underwent orotracheal intubation prior to general anesthesia for emergency laparoscopic appendectomy. Postoperatively while assessing the patient there was deviation of tongue on left side. Read More

Front Pediatr 2022 4;10:944405. Epub 2022 Jul 4.

Department of General Surgery, Anhui Provincial Children's Hospital, Hefei, China.

Background: To compare the readmission rate, rate of urgent/unplanned visits to emergency, complication rate along with cost of health care among children and adolescents who were discharged the same day following a laparoscopic appendectomy and those who were not discharged on the same day.

Methods: A systematic search was performed in the PubMed, Embase, and Scopus databases. Randomized controlled trials and studies, observational in design, were considered for inclusion. Read More

Pediatr Surg Int 2022 Sep 20;38(9):1187-1196. Epub 2022 Jul 20.

Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, UK.

Appendicectomy is a common pediatric surgical procedure performed by trainees and surgeons with varying reported outcomes. It is a benchmark procedure for trainee progression and training benefits should be weighed against patient safety and perioperative outcomes. This systematic review and meta-analysis investigated any differential perioperative outcomes dependent on the grade of the operating surgeon. Read More

J Laparoendosc Adv Surg Tech A 2022 Jul 19. Epub 2022 Jul 19.

Department of Pediatric Surgery, Faculty of Medicine, Harran University, Şanlıurfa, Turkey.

Laparoscopic appendectomy has long been in the process of replacing open appendectomy owing to a better wound healing, better cosmetic appearance, less pain, and less postoperative adhesion. Although there are many methods for ligating the appendix stump, studies on energy-based coagulation methods have attracted great interest in recent years. In our study, we aimed to compare the use of LigaSure™ appendiceal sealing and ligation of appendiceal stump by endoloop with regard to duration of surgery, length of hospital stay, and complications in laparoscopic appendectomies. Read More