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Cost Eff Resour Alloc 2021 Jun 10;19(1):34. Epub 2021 Jun 10.

Faculty of Health Sciences, Universidad Icesi, Calle 18 No. 122-135 Pance, 70000, Cali, Colombia.

Background: Traditionally, uncomplicated acute appendicitis (AA) has been treated with appendectomy. However, the surgical alternatives might carry out significant complications, impaired quality of life, and higher costs than nonoperative treatment. Consequently, it is necessary to evaluate the different therapeutic alternatives' cost-effectiveness in patients diagnosed with uncomplicated appendicitis. Read More

Eur J Trauma Emerg Surg 2021 Jun 3. Epub 2021 Jun 3.

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

Purpose: Stump appendicitis (SA) is a rare long-term complication after laparoscopic appendectomy (LA) that can be associated with high morbidity due to delayed diagnosis. We aimed to determine the incidence, risk factors, diagnosis, and management of SA by reviewing our large cohort of LA and performing a systematic review of the literature.

Methods: We retrospectively reviewed data of all patients who developed SA after LA between 2006 and 2020. Read More

Ann Coloproctol 2021 Jun 4. Epub 2021 Jun 4.

Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea.

Purpose: This study aimed to evaluate the safety and feasibility of single-port laparoscopic surgery (SLS) for appendiceal mucinous neoplasm (AMN) when compared with conventional laparoscopic surgery (CLS).

Methods: This retrospective study enrolled patients who underwent surgery for AMN between July 2014 and June 2020 at Seoul National University Bundang Hospital. Patient demographics, surgical data, pathology, hospital stay, postoperative morbidity, and follow-up data were extracted from electronic records for analysis. Read More

Int J Environ Res Public Health 2021 May 28;18(11). Epub 2021 May 28.

The Cambridge Centre for Sport & Exercise Sciences, Anglia Ruskin University, Cambridge CB1 1PT, UK.

Laparoscopy is a procedure that ultimately reduces hospital stay time and speeds up post-operative recovery. It is mainly performed in high-income countries but its implementation in many low- and middle-income countries (LMICs) is increasing. However, no aggregate data exist regarding the outcomes of this procedure in resource-limited settings. Read More

BMC Surg 2021 May 31;21(1):273. Epub 2021 May 31.

Department of Gastrointestinal Surgery, Shaoxing People's Hospital (Shaoxing Hospital of Zhejiang University), Shaoxing, 312000, China.

Background: Ileum obstruction due to internal hernia beneath external iliac artery after pelvic lymph node dissection (PLND) is extremely rare. We reported a case of acute strangulated internal hernia between the left external iliac artery and psoas major as late complication of laparoscopic hysterectomy with pelvic lymphadenectomy.

Case Presentation: A 46-year-old woman, who with histories of laparoscopic hysterectomy, bilateral salpingo-oophorectomy and PLND 9 years ago for the cervical malignant tumor, open appendectomy 18 years ago, visited our hospital complaining of aggravated left lower abdominal pain, bloating, nausea and vomiting from few hours ago. Read More

Int J Surg Case Rep 2021 May 24;83:105998. Epub 2021 May 24.

The Surgery Department of the "Vivian Pellas" Hospital, Managua, Nicaragua. Electronic address:

Introduction And Importance: Low-Grade Appendiceal Mucinous Neoplasms (LAMN) are noninvasive epithelial tumors of the appendix. Symptomatology is unspecific and can simulate appendicitis. The multidisciplinary approach for the correct diagnosis and management of this kind of tumor is important, as the prognosis depends on it. Read More

Int J Colorectal Dis 2021 May 27. Epub 2021 May 27.

Emergency Surgery Unit, University Hospital of Tor Vergata, viale Oxford 81, 00133, Rome, Italy.

Purpose: During the past months, the Italian Government has reduced the restrictions and access to hospitals. Since then, up to 40% of non-traumatic abdominal emergencies have had unusual delayed treatment. Given the rapidly evolving situation and the absence of evidence to support recommendations during the pandemic, it is useful to assess how the current situation is influencing the management of elderly with acute appendicitis. Read More

Cir Cir 2021 ;89(3):303-308

Department of General Surgery, Abant Izzet Baysal University Hospital, Bolu, Turkey.

Objetivo: La apendicitis aguda es uno de los procedimientos quirúrgicos más aplicados en todo el mundo. Una de las complicaciones de la apendicectomía es la apendicitis del muñón. El diagnóstico de apendicitis del muñón suele retrasarse. Read More

Urol Case Rep 2021 Sep 3;38:101701. Epub 2021 May 3.

Department of Urology, University of Maryland School of Medicine, 655 W. Baltimore Street, Baltimore MD 21201, USA.

We present a very rare Case of a 53-year-old female with autosomal dominant polycystic kidney disease (ADPKD) who was incidentally found to have a reno-appendiceal fistula while undergoing open bilateral nephrectomy. The mid-portion of the appendix was fistulized to a cyst in the lower pole of the right kidney. The etiology was likely due to chronic inflammation. Read More

Surg Endosc 2021 May 13. Epub 2021 May 13.

Department of Gastroenterology, Jianyang People's Hospital, 180 Yiyuan Road, Jianyang, Sichuan, 641400, China.

Background: This study investigated the feasibility of endoscopic retrograde appendicitis therapy (ERAT) for the treatment of acute appendicitis.

Methods: There were 210 patients included who were admitted to our hospital from January 2017 to October 2019 with a diagnosis of acute appendicitis. According to the method of treatment, patients were stratified into the ERAT group, laparoscopic appendectomy (LA) group, or open appendectomy (OA) group for comparison of perioperative information extracted from the medical records of the patients. Read More

BMC Surg 2021 May 12;21(1):242. Epub 2021 May 12.

Royal Devon & Exeter Hospital, Exeter, EX2 5DW, Devon, UK.

Background: The COVID-19 pandemic dramatically influenced the delivery of healthcare. In line with the UK Royal Colleges' advice the management of acute appendicitis (AA) changed with greater consideration for non-operative management (NOM) or open appendicectomy when operative management (OM) was sought. We describe our experience of the presentation, management and outcomes for these patients to inform care for future viral pandemics. Read More

J Surg Case Rep 2021 Apr 30;2021(4):rjab153. Epub 2021 Apr 30.

Cambridge Oesophago-gastric Centre, Addenbrookes Hospital, Cambridge University Hospital NHS Foundation Trust, Cambridge CB2 2QQ, UK.

Amyand's hernia, presence of the appendix within an inguinal hernial sac, is a rare condition. We report a case of a 68-year-old woman who presented during the COVID-19 pandemic with an acute right groin pain due to a tender incarcerated inguinal hernia. Cross-sectional imaging confirmed an Amyand's hernia. Read More

Pol Przegl Chir 2021 Mar;93(2):33-39

Department of Surgery, University Hospital North Midlands, Stoke-on-Trent, United Kingdom.

Background - In December 2019 following an outbreak of Novel coronavirus infection (COVID-19) in Wuhan, China, it spread rapidly overwhelming the healthcare systems globally. With little knowledge of COVID-19 virus, very few published reports on surgical outcomes; hospitals stopped elective surgery, whilst emergency surgery was offered only after exhausting all conservative treatment modalities. This study presents our experience of outcomes of emergency appendectomies performed during the pandemic. Read More

Surg Laparosc Endosc Percutan Tech 2021 May 3. Epub 2021 May 3.

Department of Liver & Laparoscopic Surgery, Center of Digestive & Vascular Surgey Center of Health Management, 1st Affiliated Hospital of Xinjiang Medical University, Xinshi District, Urumqi, China.

Objectives: The clinical safety, efficacy and feasibility of laparoscopic appendectomy (LA) compared with open appendectomy (OA) in pregnancy are still controversial. Herein, we are aiming to compare the clinical outcomes of LA and OA in patients with acute appendicitis during their pregnancy.

Materials And Methods: This was a systematic review and meta-analysis of studies comparing laparoscopic and OA in pregnancy identifying using PubMed, Web of science, Embase, The Cochrane Library, Ovid and Scopus. Read More

Pediatr Surg Int 2021 May 1. Epub 2021 May 1.

Division of General and Thoracic Surgery, Translational Medicine Program, University of Toronto, The Hospital for Sick Children, 555 University Ave, Toronto, ON, M5G 1X8, Canada.

Surgical site infections (SSIs) are the most common healthcare-associated infections in patients undergoing surgery. Various randomised control trials (RCTs) indicate that laparoscopic procedures can be associated with better outcomes compared to open procedures. However, how open versus laparoscopic approaches compare across various paediatric procedures with respect to SSI rate remains poorly defined. Read More

Childs Nerv Syst 2021 Jun 27;37(6):1825-1830. Epub 2021 Apr 27.

Neurosurgical Department, Complejo Asistencial Universitario de León, León, Spain.

Objective: To describe the first pediatric case in the literature of neuropathic inguinal pain secondary to iatrogenic nerve injury that occurred during a laparoscopic appendectomy, detailing clinical and morphological findings before and after surgery. The literature on adult patients is reviewed and pathophysiological, therapeutic, and prognostic factors are discussed.

Clinical Presentation: A 14-year-old female patient presented with a history of a laparoscopic appendectomy 3 years previously. Read More

Ulus Travma Acil Cerrahi Derg 2021 May;27(3):310-314

Department of Radiology, Hakkari State Hospital, Hakkari-Turkey.

Background: There is still no consensus about whether laparoscopic appendectomy should be performed in selected cases or routinely in all cases for treatment of acute appendicitis. Especially for rural hospitals with laparoscopic equipment shortages, it is critical to develop surgical methods alternative to LA. This prospective study aimed to compare mini-incision open appendectomy (MOA) and laparoscopic appendectomy (LA) procedures. Read More

Ann Ital Chir 2021 Apr 19;10. Epub 2021 Apr 19.

Aim: Laparoscopic appendectomy is currently the treatment of choice for acute appendicitis in emergency setting. When appendicitis is clinically suspected, an appendicolith can be found in 30% of the patients. Retained or dropped appendicoliths are an uncommon complication that may occur as a consequence of stone expulsion from the appendix, before or during laparoscopic appendectomies. Read More

Int J Colorectal Dis 2021 Apr 14. Epub 2021 Apr 14.

Department of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital, University of Wuerzburg, Oberduerrbacherstr. 6, 97080, Wuerzburg, Germany.

Background: Over the last years, laparoscopic appendectomy has progressively replaced open appendectomy and become the current gold standard treatment for suspected, uncomplicated appendicitis. At the same time, though, it is an ongoing discussion that antibiotic therapy can be an equivalent treatment for patients with uncomplicated appendicitis. The aim of this systematic review was to determine the safety and efficacy of antibiotic therapy and compare it to the laparoscopic appendectomy for acute, uncomplicated appendicitis. Read More

Surg Endosc 2021 Apr 9. Epub 2021 Apr 9.

PSJH Finance Institute, Renton, WA, USA.

Background: This study was designed to define the value, cost, and fiscal impact of robotic-assisted procedures in abdominal surgery and provide clinical guidance for its routine use.

Methods: 34,984 patients who underwent an elective cholecystectomy, colectomy, inguinal hernia repair, hysterectomy, or appendectomy over a 24-month period were analyzed by age, BMI, risk class, operating time, LOS and readmission rate. Average Direct and Total Cost per Case (ADC, TCC) and Net Margin per Case (NM) were produced for each surgical technique, i. Read More

Orv Hetil 2021 04 7;162(16):608-610. Epub 2021 Apr 7.

1 Heim Pál Országos Gyermekgyógyászati Intézet, Sebészeti és Traumatológiai Osztály, Budapest, Üllői út 86., 1089.

Összefoglaló. Bevezetés: A COVID-19-pandémia miatt a gyermekkori appendicitisek kezelésében számos változás történt (laparoszkópia helyett nyílt műtét, antibiotikumkezelés). Világszerte emelkedett a szövődményes appendicitisek aránya. Read More

SAGE Open Med Case Rep 2021 28;9:2050313X20988421. Epub 2021 Jan 28.

Department of Pathology and Laboratory Medicine, Loma Linda University Medical Center, Loma Linda, CA, USA.

Prostate cancer is the most common visceral malignancy diagnosed in males. Surveillance for post-treatment neoplasms is very crucial. Here we report the first case of recurrent metastatic prostate cancer presenting as acute appendicitis in a background of a high-grade appendiceal mucinous neoplasm. Read More

Ann Ital Chir 2021 ;92:1-5

Introduction: Laparoscopy appendectomy (LA) is the most widely used method for the treatment of acute appendicitis (AA). The interest has shifted towards the mini-incision open method (MOA).

Materials And Methods: A retrospective study was conducted considering all patients who underwent surgery due to suspected appendicitis from December 2014 to January 2019. Read More

J Family Med Prim Care 2020 Dec 31;9(12):5867-5871. Epub 2020 Dec 31.

Consultant Surgeon, Private Clinic, Katara, Bhopal, Madhya Pradesh, India.

Mucocele of the appendix is a very rare disease entity that often discovered incidentally during surgery. It can result from both non-neoplastic and neoplastic lesions and histopathological examination is needed for confirmation. Failure to make an early preoperative diagnosis may results in its rapture and spillage of mucin contents into the peritoneal cavity leading to a disastrous complication of pseudomyxoma peritonei (PMP) that has a very bad prognosis. Read More

Pain Res Manag 2021 22;2021:6643714. Epub 2021 Feb 22.

Sakarya University, Faculty of Medicine, Department of Anesthesiology and Reanimation, Sakarya, Turkey.

Background: Chronic postsurgical pain is an important problem for both children and adults. This study aims to investigate the prevalence of chronic postappendectomy pain (CPAP) in children and its social and physical effects.

Methods: This prospective observational study was conducted on children aged 8-18 years who had undergone open appendectomies. Read More

JAMA Netw Open 2021 03 1;4(3):e210553. Epub 2021 Mar 1.

Department of Surgery, University of Michigan, Ann Arbor.

Importance: Surgery is a teachable moment, and smoking cessation interventions that coincide with an episode of surgical care are especially effective. Implementing these interventions at a large scale requires understanding the prevalence and characteristics of smoking among surgical patients.

Objectives: To describe the prevalence of smoking in a population of patients undergoing common surgical procedures and to identify any clinical or demographic characteristics associated with smoking. Read More

J Parkinsons Dis 2021 ;11(2):641-651

Department of Neurology, Helsinki University Hospital and Department of Clinical Neurosciences (Neurology), University of Helsinki, Helsinki, Finland.

Background: The gastrointestinal tract is considered as a potential origin of Parkinson's disease (PD) pathology. Besides constipation, appendectomy and inflammatory bowel disease have also been associated with a higher PD-risk, but findings have been inconsistent. To date, there is only one previous study suggesting that irritable bowel syndrome (IBS) is associated with an increased risk of PD. Read More

World J Surg 2021 Jun 26;45(6):1717-1724. Epub 2021 Feb 26.

Department of Pharmacoepidemiology, Graduate School of Medicine and Public Health, Kyoto University, Yoshida Konoecho, Sakyoku, Kyoto, 606-8501, Japan.

Purpose: We have described the epidemiology, diagnostic modality, treatment patterns, and outcomes of acute appendicitis during pregnancy.

Methods: Using a nationwide claim-based database in Japan, we analyzed the data of pregnant patients who were diagnosed with appendicitis between January 2005 and May 2019. Patient characteristics, imaging studies, length of hospital stay, proportion of fetal losses, complications, and type of antibiotics were examined. Read More

Surg Laparosc Endosc Percutan Tech 2021 Feb 17. Epub 2021 Feb 17.

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

Background: As the prevalence of obesity continues to increase worldwide, we aimed to determine the surgical outcomes of obese patients with acute appendicitis undergoing laparoscopic appendectomy (LA).

Materials And Methods: A retrospective analysis of patients undergoing LA during the period 2006 to 2019 was performed. The cohort was divided into 2 groups: G1, patients with body mass index ≥30 kg/m2 and G2: patients with body mass index <30 kg/m2. Read More

BMJ Case Rep 2021 Feb 17;14(2). Epub 2021 Feb 17.

General Surgery, Maidstone and Tunbridge Wells NHS Trust, Tunbridge Wells, UK.

A 7-year-old girl presented with a 2-day history of right iliac fossa pain, fever and elevated inflammatory markers. Clinical examination supported a diagnosis of appendicitis. The patient was taken to theatre for an open appendicectomy the following morning. Read More