4,186 results match your criteria Appendectomy Laparoscopic


[Length of stay (LOS) in laparoscopic appendectomy].

J Healthc Qual Res 2020 Aug 7. Epub 2020 Aug 7.

Servicio de Estudios, Documentación y Estadística, Consejería de Sanidad, Junta de Castilla y León, Valladolid, España.

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http://dx.doi.org/10.1016/j.jhqr.2019.12.003DOI Listing

Predictors for prolonged length of stay after laparoscopic appendectomy for complicated acute appendicitis in adults.

Surg Endosc 2020 Aug 7. Epub 2020 Aug 7.

Department of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri-Mondor University Hospital, AP-HP, Université Paris Est - UPEC, Créteil, France.

Background: Appendicitis-related hospitalizations linked with peritonitis or postoperative complications result in longer lengths of stay and higher costs. The aim of the present study was to assess the independent association between potential predictors and prolonged hospitalization after laparoscopic appendectomy (LA) for complicated acute appendicitis (CAA).

Methods: A retrospective cohort study was conducted on adult patients diagnosed with CAA in which LA was attempted. Read More

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http://dx.doi.org/10.1007/s00464-020-07841-9DOI Listing

Reducing opioid utilization after appendectomy: A lesson in implementation of a multidisciplinary quality improvement project.

Surg Open Sci 2020 Jan 22;2(1):27-33. Epub 2019 Oct 22.

Children's Hospital of Wisconsin and Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, Milwaukee, WI.

Background: Perioperative care after appendectomy may be the first exposure to opioids for many children. A quality improvement project was implemented to assess current practice of prescribing pain medications after a laparoscopic appendectomy to decrease unnecessary opioid use via simple, targeted steps.

Methods: Three measures were implemented in patients undergoing laparoscopic appendectomy for acute appendicitis: (1) ice packs to incision in postanesthesia care unit, (2) standard pain scores within 30 minutes of admission to ward postoperatively, and (3) standardized postoperative order set minimizing opioid utilization and limited number of opioids prescribed at discharge. Read More

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http://dx.doi.org/10.1016/j.sopen.2019.08.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7391896PMC
January 2020

Implementation of an evidence-based protocol after appendectomy reduces unnecessary antibiotics.

J Pediatr Surg 2020 Jul 9. Epub 2020 Jul 9.

Children's Hospital of Philadelphia, 3401 Civic Center Blvd, Philadelphia, PA 19104. Electronic address:

Background: Children with acute appendicitis have historically received intravenous antibiotics before and after appendectomy, yet recent literature supports minimizing postoperative antibiotics. In this study, we examined the impact of a standardized protocol that eliminates postoperative antibiotics for nonperforated appendicitis and discontinues antibiotics at discharge for perforated appendicitis.

Methods: A retrospective review of all pediatric patients who underwent laparoscopic appendectomy for acute appendicitis between May 2013 and March 2017 was performed. Read More

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http://dx.doi.org/10.1016/j.jpedsurg.2020.07.001DOI Listing

[Recommendations on treatment of acute appendicitis : Recommendations of an expert group based on the current literature].

Chirurg 2020 Aug 3. Epub 2020 Aug 3.

Klinik für Allgemein‑, Viszeral‑, Gefäß- und Transplantationschirurgie, Universitätsklinikum Magdeburg, Leipziger Str. 44, 39120, Magdeburg, Deutschland.

The paradigm shift in the treatment concept for acute appendicitis is currently the subject of intensive discussions. The diagnosis and differentiation of an uncomplicated from a complicated appendicitis as well as the selection of an adequate treatment is very challenging, especially since nonoperative treatment models have been published. The laparoscopic appendectomy is still the standard for most cases. Read More

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http://dx.doi.org/10.1007/s00104-020-01237-0DOI Listing

Superior Mesenteric Venous (SMV) Thrombosis Accompanied with Appendicitis in a Patient with Primary Diagnosis of Typhoid Fever.

Infect Disord Drug Targets 2020 Jul 31. Epub 2020 Jul 31.

Department of Clinical Pharmacy, School of pharmacy, Tehran University of Medical Sciences, Tehran. Iran.

Septic thrombophlebitis of the Superior Mesenteric Venous (SMV) is rarely accompanied by appendicitis, and symptoms are atypical, so the diagnosis is commonly delayed, resulting in it is associated with high mortality. We report a case of neglected SMV septic thrombophlebitis is caused by appendicitis. The patient represented with fever, vague abdominal pain without rebound tenderness, and history of the consumption of contaminated water. Read More

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http://dx.doi.org/10.2174/1871526520666200731180042DOI Listing

Association of Nonoperative Management Using Antibiotic Therapy vs Laparoscopic Appendectomy With Treatment Success and Disability Days in Children With Uncomplicated Appendicitis.

JAMA 2020 Jul 27. Epub 2020 Jul 27.

Center for Surgical Outcomes Research, Abigail Wexner Research Institute at Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio.

Importance: Nonoperative management with antibiotics alone has the potential to treat uncomplicated pediatric appendicitis with fewer disability days than surgery.

Objective: To determine the success rate of nonoperative management and compare differences in treatment-related disability, satisfaction, health-related quality of life, and complications between nonoperative management and surgery in children with uncomplicated appendicitis.

Design, Setting, And Participants: Multi-institutional nonrandomized controlled intervention study of 1068 children aged 7 through 17 years with uncomplicated appendicitis treated at 10 tertiary children's hospitals across 7 US states between May 2015 and October 2018 with 1-year follow-up through October 2019. Read More

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http://dx.doi.org/10.1001/jama.2020.10888DOI Listing

Appendiceal torsion in Ehlers-Danlos syndrome: A case report of a rare phenomenon in a rare disease.

Int J Surg Case Rep 2020 Jun 24;73:207-209. Epub 2020 Jun 24.

Department of Surgery, Division of General, Minimally Invasive and Robotics, University of Illinois at Chicago, 840 S. Wood Street, Suite 435E, Chicago, IL 60612, United States.

Introduction: Appendiceal torsion is a rare phenomenon with only a few reported cases and never in a patient with Ehlers-Danlos syndrome (EDS). We present the first case of appendiceal torsion leading to acute appendicitis in a patient with EDS.

Presentation Of Case: A 36-year-old male with history of musculoskeletal EDS presented with one week of abdominal pain localizing to the right lower quadrant. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.084DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7388171PMC

Acute appendicitis does not quarantine: surgical outcomes of laparoscopic appendectomy in COVID-19 times.

Br J Surg 2020 Jul 25. Epub 2020 Jul 25.

Department of General Surgery, Hospital Alemán of Buenos Aires, Argentina.

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http://dx.doi.org/10.1002/bjs.11806DOI Listing

18F-Fluciclovine Uptake in Acute Appendicitis.

Clin Nucl Med 2020 Jul 17. Epub 2020 Jul 17.

From the Division of Nuclear Medicine and Clinical Molecular Imaging, Department of Radiology.

An 85-year-old man with biochemical recurrence of prostate cancer after prostatectomy was imaged with F-fluciclovine PET/CT. Images incidentally revealed F-fluciclovine uptake in a dilated appendix with associated fat stranding, suggestive of acute appendicitis. The patient was then questioned about abdominal symptoms, and he reported severe right lower quadrant pain. Read More

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http://dx.doi.org/10.1097/RLU.0000000000003210DOI Listing

The Investigation of 14 Appendiceal Mucocele Cases Encountered in 4850 Appendectomy Patients.

J Gastrointest Cancer 2020 Jul 23. Epub 2020 Jul 23.

Clinic of General surgery, Health Sciences University Mehmet Akif Inan Education And Research Hospital, Sanliurfa, Turkey.

Background: Appendiceal mucocele is a rarely seen disease which occurs when the appendix lumen is filled and obstructed by mucous. In our study, we aimed to reveal the surgical approach of our clinic, features of tumors, and clinical presentations in line with literature in cases of appendix mucocele.

Methods: Fourteen appendix mucocele patients who were admitted in our hospital between 2012 and 2019 were examined retrospectively in the electronic recording medium. Read More

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http://dx.doi.org/10.1007/s12029-020-00462-4DOI Listing

A rare case of signet ring cell carcinoma of the appendix.

J Surg Case Rep 2020 Jul 14;2020(7):rjaa139. Epub 2020 Jul 14.

Department of Surgery, Wyckoff Heights Medical Center, Brooklyn, NY, USA.

Primary appendiceal carcinoma itself comprises less than 0.5% of all gastrointestinal malignant neoplasms. However, signet ring cell carcinoma of the appendix is an extremely rare subset of primary appendiceal carcinomas. Read More

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http://dx.doi.org/10.1093/jscr/rjaa139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7365044PMC

Unusual cause of appendicitis. A case report of acute appendicitis caused by needle ingestion.

Int J Surg Case Rep 2020 12;72:499-502. Epub 2020 Jun 12.

FMABC, Santo André, SP, Brazil; FMUSP, São Paulo, SP, Brazil.

Introduction: Appendicitis is an acute inflammatory process. The purpose of this report is to describe an unusual case of acute appendicitis in adult caused by accidental ingestion of a needle, and treated with appendectomy.

Presentation Of Case: A 64 year-old white woman, seamstress, was admitted with abdominal pain complaints. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.05.094DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317165PMC

SARS-Cov-2 Was Not Found in the Peritoneal Fluid of an Asymptomatic Patient Undergoing Laparoscopic Appendectomy.

Surg Laparosc Endosc Percutan Tech 2020 Jul 17. Epub 2020 Jul 17.

Department of Surgery, Montefiore Medical Center, Bronx, NY.

Background: The safety of laparoscopic surgery in SARS-CoV-2 positive patients remains unclear. The presence of the virus within peritoneal fluid and the peritoneal tissues is not known. We report an asymptomatic COVID-19 positive patient who underwent laparoscopic appendectomy with negative peritoneal sampling for SARS-CoV-2. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000837DOI Listing

Is it time to consider prophylactic appendectomy in patients with serrated polyposis syndrome undergoing surveillance?

Gut 2020 Jul 21. Epub 2020 Jul 21.

Department of Gastroenterology and Hepatology, Westmead Hospital, Westmead, New South Wales, Australia

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http://dx.doi.org/10.1136/gutjnl-2020-321445DOI Listing

Continued Prescribing of Periprocedural Codeine and Tramadol to Children after a Black Box Warning.

J Surg Res 2020 Jul 18;256:131-135. Epub 2020 Jul 18.

Wisconsin Surgical Outcomes Research Program, Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.

Background: Codeine and tramadol are commonly used analgesics in surgery. In 2013, the Food and Drug Administration (FDA) issued a contraindication to the use of codeine in tonsillectomy and adenoidectomy patients aged below 18 y. This warning was expanded in April 2017 to include tramadol and all children aged below 12 y. Read More

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http://dx.doi.org/10.1016/j.jss.2020.06.023DOI Listing

[The use of physical factors in the postoperative period with destructive appendicitis in children: the current state of the problem].

Vopr Kurortol Fizioter Lech Fiz Kult 2020 ;97(4):58-65

Research Institute of Emergency Pediatric Surgery and Traumatology, Moscow, Russia.

Acute appendicitis is the most common childhood surgical disease. With the use of laparoscopic appendectomy for destructive appendicitis in children, the number of postoperative complications significantly decreased. However, in recent years there has been no tendency towards their further decline. Read More

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http://dx.doi.org/10.17116/kurort20209704158DOI Listing
January 2020

Do Racial/Ethnic and Economic Factors Affect the Rate of Complicated Appendicitis in Children?

Surg Res Pract 2020 29;2020:3268567. Epub 2020 Jun 29.

Division of Critical Care Medicine, Nicklaus Children's Hospital, Miami, FL 33155, USA.

Introduction: Appendicitis continues to be one of the most common surgical conditions in the pediatric population. We set out to determine demographic and practice variations among children admitted with appendicitis and highlight the racial/ethnic and healthcare access role in relation to the rate of complicated appendicitis using the 2012 Kids' Inpatient Database (KID). . Read More

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http://dx.doi.org/10.1155/2020/3268567DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7341372PMC

Cost-Effective Approach to the Laparoscopic Appendectomy : Balancing Disposable Instrument Cost With Operative Time.

Am Surg 2020 Jun;86(6):715-720

7005 Section of Pediatric Surgery, Beaumont Children's Hospital, Royal Oak, MI, USA.

Background: Surgeons can help reduce health care spending by selecting affordable and efficient instruments. The laparoscopic appendectomy (LA) is commonly performed and can serve as a model for improving health care cost.

Methods: We retrospectively reviewed all adult patients who underwent LA for non-perforated appendicitis from March 2015 to November 2017. Read More

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http://dx.doi.org/10.1177/0003134820923337DOI Listing

Appendiceal Endometriosis Presenting as Possible Cecal Mass.

Am Surg 2020 Jun 29:3134820933606. Epub 2020 Jun 29.

Department of Surgery, Hackensack University Medical Center, Hackensack, NJ, USA.

Background: Endometriosis is endometrial tissue located outside of the uterus. Endometriosis is rarely found in the appendix and can present very similar to acute appendicitis and is often indistinguishable on physical exam and imaging. The diagnosis is typically made after an appendectomy on pathology. Read More

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http://dx.doi.org/10.1177/0003134820933606DOI Listing

The Provision of Acute Pediatric Surgical Care by Adult Acute Care General Surgeons : Is There a Learning Curve?

Am Surg 2020 Jun 26:3134820933251. Epub 2020 Jun 26.

12355Department of Surgery, West Virginia University/Charleston Division, Charleston, WV, USA.

Background: At our hospital, acute surgical care of children aged 6 and older is managed by adult acute care surgeons. Previously published data from a 10-year experience with this model demonstrated no differences in outcomes when compared with pediatric surgical benchmark data. This study assesses for the effects of a learning curve in the care of pediatric patients by comparing outcomes of patients treated in the first three years with those treated in the last 3 years during a 10-year experience with this model. Read More

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http://dx.doi.org/10.1177/0003134820933251DOI Listing

The effect of laparoscopic and open surgery on oxidative DNA damage and IL-37 in children with acute appendicitis.

Ir J Med Sci 2020 Jul 17. Epub 2020 Jul 17.

Department of Biochemistry, Medical Faculty, Van Yuzuncu Yıl University, Van, Turkey.

Background: Although laparoscopic appendectomy (LA) is considered to be minimally invasive compared with open appendectomy (OA), there are few studies showing this in terms of cytokines and oxidative stress markers.

Aim: LA and OA techniques have been compared in terms of different conditions such as operation time and complication rate. Here, we compared how oxidative DNA damage and some cytokines levels change in relation to LA and OA. Read More

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http://dx.doi.org/10.1007/s11845-020-02317-0DOI Listing

Preoperative Factors Associated with Appendiceal Tumors in Nonelective Appendectomy.

J Laparoendosc Adv Surg Tech A 2020 Jul 15. Epub 2020 Jul 15.

Department of Surgery, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia, USA.

The rates of incidental appendiceal neoplasms after appendectomy performed for acute appendicitis is <2%. To date, no large studies have investigated the preoperative risk factors or imaging findings associated with incidental appendiceal tumors that present as appendicitis. Our study aims to identify preoperative factors that are associated with an increased risk of appendiceal tumors in patients who present with signs and symptoms of acute appendicitis. Read More

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http://dx.doi.org/10.1089/lap.2019.0737DOI Listing

Appendiceal sarcoidosis presenting as acute appendicitis.

Proc (Bayl Univ Med Cent) 2020 Jul 31;33(3):384-385. Epub 2020 Mar 31.

Division of Gastroenterology, Carilion Clinic, Virginia Tech Carilion School of MedicineRoanokeVirginia.

Sarcoidosis is a chronic inflammatory multisystem disease. The stomach is the most commonly involved gastrointestinal organ. Symptomatic appendicular sarcoidosis is extremely rare. Read More

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http://dx.doi.org/10.1080/08998280.2020.1744794DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7340426PMC

Should single-incision laparoscopic appendectomy be the new standard for pediatric appendicitis?

Pediatr Neonatol 2020 Jul 7. Epub 2020 Jul 7.

Department of Pediatrics, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University, Chang Gung Memorial Hospital Research Centre for Medical Education, Taiwan. Electronic address:

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http://dx.doi.org/10.1016/j.pedneo.2020.07.001DOI Listing

Minimal impact of COVID-19 outbreak on the postoperative morbidity and mortality following emergency general surgery procedures: results from a 3-month observational period.

Med Glas (Zenica) 2020 Aug;17(2):275-278

Department of General Surgery, George Eliot Hospital NHS Trust, Nuneaton, Warwickshire, United Kingdom.

Aim The outbreak of the COVID-19 pandemic has had a major impact on the delivery of elective, as well as emergency surgery on a world-wide scale. Up to date few studies have actually assessed the impact of COVID-19 on the postoperative morbidity and mortality following emergency gastrointestinal surgery. Herein, we present our relevant experience over a 3-month period of uninterrupted provision of emergency general surgery services in George Eliot Hospital NHS Trust, the United Kingdom. Read More

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http://dx.doi.org/10.17392/1229-20DOI Listing

Comparison of postoperative complications between open and laparoscopic appendectomy: An umbrella review of systematic reviews and meta-analyses.

J Trauma Acute Care Surg 2020 Jul 8. Epub 2020 Jul 8.

Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand and Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand. Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand. School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia. School of Medicine and Public Health, The University of Newcastle, Newcastle, NSW, Australia. Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand. Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Thailand.

Background: Laparoscopic appendectomy (LA) has been popular for decades because of shorter hospitalisation and return to routine activity. However, complications (e.g. Read More

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http://dx.doi.org/10.1097/TA.0000000000002878DOI Listing

Acute care surgery, trauma and disaster relief: a clinical exchange between the University of British Columbia and the Mexican Red Cross.

Can J Surg 2020 Jul 9;63(4):E338-E345. Epub 2020 Jul 9.

From the Department of Surgery, University of British Columbia, Vancouver, B.C. (Margolick, Yin, Joharifard, Joos); the HCCR Polanco Cruz Roja, Mexico City, Mexico (Afya, Velez, Meza); the Canadian Red Cross, Ottawa, Ont. (Sohani); Trauma Services, Vancouver General Hospital, Vancouver, B.C. (Laane, Joos); the Branch for International Surgical Care, University of British Columbia, Vancouver, B.C. (Ball-Banting, Joos).

Background: Our objective was to establish a sustainable educational partnership and clinical exchange between the trauma services at Vancouver General Hospital (VGH) and the Mexican Red Cross hospital in Mexico City (Hospital Central de la Cruz Roja [HCCR] Polanco).

Methods: In 2017, a general surgery resident in postgraduate year 4 travelled from VGH to HCCR Polanco for the initial exchange, followed by a trauma fellow. The surgical case volumes in a month at VGH and a month at HCCR Polanco were compared. Read More

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http://dx.doi.org/10.1503/cjs.004719DOI Listing

Pediatric appendectomy in developing countries: How does it differ from international experience?

Int J Pediatr Adolesc Med 2020 Jun 2;7(2):70-73. Epub 2019 Jul 2.

Faculty of Medicine, University of Balamand, Lebanon.

Introduction: A review of the English literature indicates the faint superiority of laparoscopic (LA) over open appendectomy (OA) in the pediatric population; however, a developing-country's experience in the field is not available yet. This study presents our experience in LA versus OA over the last 7 years in one university hospital in Lebanon and compares our results to the international ones.

Method: A single center retrospective study was done including all patients aged less than 15 years who underwent appendectomy. Read More

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http://dx.doi.org/10.1016/j.ijpam.2019.06.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7335814PMC

Obesity and appendicitis: Laparoscopy versus open technique.

Turk J Surg 2020 Mar 18;36(1):105-109. Epub 2020 Mar 18.

Department of General Surgery, Istinye University Hospital, Liv Hospital Ankara, Ankara, Turkey.

Objectives: The clinical results of obese patients who have undergone open or laparoscopic appendectomy, whether one technique is superior to the other is still not clearly known.In our study, we compared the clinical results of obese patients operated with laparoscopic or open technique for acute appendicitis.

Material And Methods: We performed retrospective analyses of patients operated for acute appendicitis between the dates of July 2016 and July 2019 at Istinye University Faculty of Medicine Bahcesehir Liv Training and Research Hospital and Liv Hospital Ankara. Read More

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http://dx.doi.org/10.5578/turkjsurg.4714DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7315451PMC

Intramural ectopic pancreatic tissue of the stomach: A case report of an uncommon origin of a non-cancerous gastric tumour.

Int J Surg Case Rep 2020 Jun 23;73:48-51. Epub 2020 Jun 23.

Department of General Surgery, Hospital Riviera - Chablais (HRC), Site of Montreux, Avenue de Belmont 25, 1820 Montreux, Switzerland. Electronic address:

Introduction: Ectopic pancreatic tissue is often incidentally encountered during abdominal surgery. We report a case of an incidental finding during a laparoscopic appendectomy, the approach to diagnosis and management of this. The work has been reported in line with the SCARE criteria. Read More

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http://dx.doi.org/10.1016/j.ijscr.2020.06.081DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7338994PMC

Preoperative appendix diameter obtained by computerized tomography scanning predicts conversion from laparoscopic to open appendectomy.

Niger J Clin Pract 2020 Jul;23(7):975-979

Department of General Surgery, Haseki Training and Research Hospital, Istanbul, Turkey.

Background: Open appendectomy (OA) has been the gold standard for a long time. Laparoscopic appendectomy (LA) has gained wide acceptance and popularity, outdoing open approach. Yet, conversion may be required when laparoscopic approach fails. Read More

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http://dx.doi.org/10.4103/njcp.njcp_360_19DOI Listing

Acute Appendicitis in a Child With Acute Leukemia and Chemotherapy-Induced Neutropenia: A Case Report and Literature Review.

Cureus 2020 Jun 27;12(6):e8858. Epub 2020 Jun 27.

Nephrology, Salmaniya Medical Complex, Manama, BHR.

Acute appendicitis is a rare but important complication in children with leukemia. It can be difficult to diagnose, and it has a complicated disease course, especially in patients receiving chemotherapy. Awareness of these complications is critical, particularly in cases where surgical intervention is required. Read More

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http://dx.doi.org/10.7759/cureus.8858DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7325351PMC

Standardized Discharge Antibiotics May Reduce Readmissions in Pediatric Perforated Appendicitis.

J Surg Res 2020 Jun 29;255:388-395. Epub 2020 Jun 29.

Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Center for Surgical Trials and Evidence-Based Practice (C-STEP), McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas. Electronic address:

Background: Based on limited evidence, the American Pediatric Surgical Association recommends 5-7 d of postoperative antibiotics in perforated appendicitis for preventing intra-abdominal abscess (IAA). In 2015, our institutional clinical practice guideline was modified to standardize prescription for 7 additional days of oral antibiotics after discharge. We hypothesized that prescribing oral antibiotics after discharge would be associated with fewer complications in perforated appendicitis. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.086DOI Listing

Evaluation of enhanced recovery after surgery program components implemented in laparoscopic appendectomy: prospective randomized clinical study.

Sci Rep 2020 Jul 1;10(1):10749. Epub 2020 Jul 1.

Pirogov Russian National Research Medical University, State Clinical Hospital Named After V.M. Buyanov, Moscow, Russia.

Background: Laparoscopic appendectomy (LA) is a widely used surgical procedure. Patients often suffer from considerable postoperative pain and indigestion, which prolongs their in-hospital stay. Almost 10% of patients develop postoperative complications. Read More

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http://dx.doi.org/10.1038/s41598-020-67591-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7329822PMC

Current management of pediatric appendicitis: A Central European survey.

Adv Clin Exp Med 2020 06;29(6):745-750

Department of Pediatric Surgery and Urology, Wroclaw Medical University, Poland.

Background: Appendicitis is one of the most common diagnoses in pediatric populations. Although new recommendations for the treatment of pediatric appendicitis were published, management varies among different institutions.

Objectives: To determine current practices in 4 (n = 4) representative pediatric surgical departments in Central Europe. Read More

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http://dx.doi.org/10.17219/acem/122176DOI Listing

Use of a Secure Web-Based Data Management Platform to Track Resident Operative Performance and Program Educational Quality Over Time.

J Surg Educ 2020 Jun 26. Epub 2020 Jun 26.

University of Massachusetts Medical School-Baystate, Department of Surgery, Springfield, Massachusetts. Electronic address:

Objective: In surgery residency programs, Accreditation Council for Graduate Medical Education mandated performance assessment can include assessment in the operating room to demonstrate that necessary quality and autonomy goals are achieved by the conclusion of training. For the past 3 years, our institution has used The Ottawa Surgical Competency Operating Room Evaluation (O-SCORE) instrument to assess and track operative skills. Evaluation is accomplished in near real-time using a secure web-based platform for data management and analytics (Firefly). Read More

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http://dx.doi.org/10.1016/j.jsurg.2020.05.022DOI Listing

Usefulness of intraoperative culture swabs in laparoscopic appendectomy for complicated appendicitis.

Langenbecks Arch Surg 2020 Jun 26. Epub 2020 Jun 26.

Department of Surgery, Hospital Alemán of Buenos Aires, Av. Pueyrredón 1640, C1118AAT, Buenos Aires, Argentina.

Purpose: Intraabdominal abscess (IAA) is a feared complication after laparoscopic appendectomy (LA) for complicated appendicitis. Benefits of obtaining intraoperative culture swabs (ICS) still remain controversial. We aimed to determine whether ICS modify the rate and management of IAA after LA for complicated appendicitis. Read More

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http://dx.doi.org/10.1007/s00423-020-01913-zDOI Listing

A Nationwide Cohort Study of Outcome after Pediatric Appendicitis.

Eur J Pediatr Surg 2020 Jun 26. Epub 2020 Jun 26.

Pediatric Unit, Department of Clinical Sciences Lund, Lund University, Lund, Sweden.

Introduction:  Children with appendicitis often present with complicated disease. The aim of this study was to describe the clinical management of pediatric appendicitis, and to report how disease severity and operative modality are associated with short- and long-term risks of adverse outcome.

Materials And Methods:  A nationwide retrospective cohort study of all Swedish children (<18 years) diagnosed with appendicitis, 2001 to 2014 ( = 38,939). Read More

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http://dx.doi.org/10.1055/s-0040-1712508DOI Listing

Fallopian tube herniation from trocar-site after laparoscopic appendectomy.

Ulus Travma Acil Cerrahi Derg 2020 Jun;26(4):639-641

Department of General Surgery, University of Health Sciences, İstanbul Fatih Sultan Mehmet Training and Research Hospital, İstanbul-Turkey.

Trocar site hernias are a type of incisional hernias and may occur within a variable time shift after surgery. A mean incidence of 1.85% was reported, and the first trocar site hernia was narrated by Maio et al. Read More

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http://dx.doi.org/10.14744/tjtes.2019.72461DOI Listing

Appendiceal neoplasms and histological involvement of the mesoappendix: A case series.

Ann Med Surg (Lond) 2020 Aug 12;56:64-67. Epub 2020 Jun 12.

Darent Valley Hospital, Dartford and Gravesham NHS Trust, Dartford, DA2 8DA, United Kingdom.

Introduction: Acute appendicitis is a common presentation to surgical departments, typically resulting in appendicectomy. Appendiceal tumours may not be visible intraoperatively, and are present in roughly 0.5-1% of specimens. Read More

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http://dx.doi.org/10.1016/j.amsu.2020.05.037DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305355PMC

Reduced-port laparoscopic appendectomy for acute appendicitis in pregnancy.

J Surg Case Rep 2020 Jun 15;2020(6):rjaa097. Epub 2020 Jun 15.

Department of Surgery, Kinan Hospital, Tanabe, Wakayama, Japan.

Current guidelines indicate that laparoscopic appendectomies are safe for pregnant patients with acute appendicitis. Recently, single- and reduced-port laparoscopic surgeries have gained popularity for nonpregnant patients, because they minimize abdominal wall trauma. Here, we describe a reduced-port laparoscopic appendectomy (RPLA) in a 31-year-old pregnant female performed at 27 weeks gestational age. Read More

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http://dx.doi.org/10.1093/jscr/rjaa097DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7297555PMC

Laparoscopic treatment of De Garengeot hernia with Progrip.

Ann Ital Chir 2020 Jun 16;9. Epub 2020 Jun 16.

Background: Many eponyms have been used to classify some rare conditions of incarceration of a hernia at the level of the groin and femoral canal. The incarceration of the appendix at the level of the groin canal was first described by Claudius Amyand, while the incarceration of the appendix inside the femoral canal is a condition known as De Garengeot hernia. The incidence of such an event is very low and surgical treatment is usually performed via inguinal approach. Read More

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Abdominal Surgery in Patients with COVID-19: Detection of SARS-CoV-2 in Abdominal and Adipose Tissues.

Ann Surg 2020 Jun 16. Epub 2020 Jun 16.

Digestive Disease and Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.

: Multiple tissue samples were obtained during emergent abdominal surgery in four patients with coronavirus disease 2019 (COVID-19) to examine for tissue involvement by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). The first patient underwent a laparoscopic cholecystectomy for gallbladder empyema and died from severe respiratory failure. The second patient with Crohn's disease underwent emergent laparotomy for a perforation in the terminal ileum and recovered. Read More

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http://dx.doi.org/10.1097/SLA.0000000000004165DOI Listing

Preoperative Opioids Associated With Increased Postoperative Opioid Use in Pediatric Appendicitis.

J Surg Res 2020 Jun 16;255:144-151. Epub 2020 Jun 16.

McGovern Department of Pediatric Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Center for Surgical Trials and Evidence-based Practice (C-STEP), McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas; Children's Memorial Hermann Hospital, Houston, Texas. Electronic address:

Background: In light of current opioid-minimization efforts, we aimed to identify factors that predict postoperative opioid requirement in pediatric appendicitis patients.

Methods: A single-center retrospective cohort study was conducted of children (<18 y) who underwent laparoscopic appendectomy for acute appendicitis between January 1, 2018 and April 30, 2019. Patients who underwent open or interval appendectomies were excluded. Read More

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http://dx.doi.org/10.1016/j.jss.2020.05.022DOI Listing

Discordant outcomes of laparoscopic versus open appendectomy for suspected appendicitis during pregnancy in published meta-analyses: an overview of systematic reviews.

Surg Endosc 2020 Jun 16. Epub 2020 Jun 16.

Center for Evidence-Based Medicine and Health Care, Catholic University of Croatia, Zagreb, Croatia.

Objectives: Our study aimed to explore the discrepancy of results between overlapping systematic reviews (SRs) of laparoscopic appendectomy (LA) versus open appendectomy (OA) for suspected appendicitis during pregnancy.

Methods: MEDLINE, Embase, and Cochrane Database of Systematic Reviews (CDSR) were searched for SRs published from January 1, 2017 to September 10, 2019. SRs and meta-analyses (MA) that compared outcomes of LA versus OA during pregnancy were used. Read More

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http://dx.doi.org/10.1007/s00464-020-07674-6DOI Listing
June 2020
3.256 Impact Factor

Single-incision laparoscopic appendectomy is a safe procedure for beginners to perform: experience from 1948 cases.

Surg Endosc 2020 Jun 16. Epub 2020 Jun 16.

Department of Surgery, Incheon St. Mary's Hospital, College of Medicine, The Catholic University of Korea, #665, Bupyung-6-dong, Bupyunggu, 403-720, Incheon, Korea.

Background: Single-incision laparoscopic appendectomy (SIL-A) has recently become an option for treating appendicitis. The aim of this study was to evaluate the safety, feasibility, and surgical outcomes of SIL-A by residents and surgeons during the learning period.

Methods: A total of 1948 consecutive patients who underwent SIL-A from May 2008 to November 2014 were studied retrospectively. Read More

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http://dx.doi.org/10.1007/s00464-020-07744-9DOI Listing

Complications of Appendectomy and Cholecystectomy in Acute Care Surgery: A Systematic Review and Meta-Analysis.

J Trauma Acute Care Surg 2020 Jun 10. Epub 2020 Jun 10.

Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

Introduction: Acute care surgery (ACS) was initiated two decades ago to address timeliness and quality in emergency general surgery. We hypothesized that ACS has improved the management of acute appendicitis and biliary disease.

Methods: A comprehensive systematic review and meta-analysis of outcome studies for emergent appendectomy and cholecystectomy from 1966 to 2017, comparing studies prior to and following ACS implementation. Read More

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http://dx.doi.org/10.1097/TA.0000000000002825DOI Listing

Minimally Invasive Surgery Is Feasible in Patients with Liver and Kidney Transplantation.

Ann Transplant 2020 Jun 16;25:e922602. Epub 2020 Jun 16.

Department of Surgery, Dalin Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Chiayi, Taiwan.

BACKGROUND Minimally invasive surgery (MIS) has rapidly advanced, but its use in transplant patients has lagged. We share our experience of MIS for patients after kidney and liver transplantation and compare our results with similar studies in the literature. MATERIAL AND METHODS This study included 14 MIS (12 laparoscopic, 2 transvaginal) procedures for 13 transplant cases (6 liver and 7 kidney) done from May 2006 to May 2018. Read More

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http://dx.doi.org/10.12659/AOT.922602DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7318835PMC