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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

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

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

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

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

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

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

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

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

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

Cell Mol Biol (Noisy-le-grand) 2020 Jun 5;66(3):197-203. Epub 2020 Jun 5.

Pediatric Surgery, Baoji Maternal and Child Health care Hospital of Shaanxi Province, Baoji, 721000, China.

Laparoscopic appendectomy for perforated appendicitis in children has the advantages of quick recovery, little influence of inflammatory and oxidative stress and low infection rate. Altogether 115 children with perforated appendicitis treated in our hospital from June 2018 to August 2019 were selected and divided into two groups according to different treatment methods. Laparoscopic appendectomy was used as the research group (RG) (67 cases) and open appendectomy (48 cases) as the control group (CG). Read More

Acute Med Surg 2020 Jan-Dec;7(1):e523. Epub 2020 Jun 3.

Department of General Surgery Khoo Teck Puat Hospital Singapore Singapore.

Aim: The Emergency Surgery and Trauma (ESAT) team is a dedicated consultant-led service to streamline the emergency surgical workload in Singapore. As acute appendicitis is one of the most common acute surgical conditions, we aim to compare outcomes of patients with appendicitis in the ESAT model as compared to the traditional on-call model.

Methods: A retrospective review of patients admitted to Khoo Teck Puat Hospital, Singapore, with acute appendicitis between two periods: May-October 2014 (6 months pre-ESAT) versus January-June 2017 (post-ESAT). Read More

J Gastroenterol Hepatol 2020 Jun 5. Epub 2020 Jun 5.

Department of General Surgery, St John of God Midland Hospital, Midland, Western Australia, Australia.

Background And Aim: Appendicitis after colonoscopy is an exceedingly rare complication. It remains to be explored if this entity is truly a complication of colonoscopy or a coincidental occurrence of appendicitis post-colonoscopy. The aim of this study was to systematically review all the available evidence since it was first described in 1988. Read More

BMJ Open Gastroenterol 2020 Jun;7(1)

Medically Associated Science and Technology (MAST) Program, Cedars-Sinai Medical Center, Los Angeles, California, USA

Objectives: To compare the appendiceal microbiomes and examine the prevalence of species in the appendices of adult subjects with confirmed acute non-perforated appendicitis and controls with healthy appendices.

Design: Archived samples of formalin-fixed paraffin-embedded appendiceal tissues were obtained from 50 consecutive female subjects who underwent appendectomy for acute, non-perforated appendicitis, and 35 consecutive female controls who underwent incidental appendectomy during gynaecological surgery.

Results: 16S rRNA gene sequencing revealed that the relative abundances (RAs) of the major phyla in appendiceal tissues (Firmicutes, Proteobacteria, Bacteroidetes, and Actinobacteria) were similar in both groups. Read More

Trials 2020 Jun 1;21(1):451. Epub 2020 Jun 1.

Department of Digestive Surgery, Amiens University Hospital, Amiens University Medical Center, Avenue Laennec, F-80054, Amiens cedex 01, France.

Background: Approximately 30% of appendectomies are for complicated acute appendicitis (CAA). With laparoscopy, the main post-operative complication is deep abscesses (12% of cases of CAA, versus 4% for open surgery). A recent cohort study compared short and long courses of postoperative antibiotic therapy in patients with CAA. Read More

Surgery 2020 May 24. Epub 2020 May 24.

Department of Surgery, University of California, Irvine, Orange, CA. Electronic address:

Background: The number of geriatric patients is expected to grow 3-fold over the next 30 years, and as many as 50% of the surgeries done in the United States may occur in geriatric patients. Geriatric patients often have increased comorbidities and more often present in a delayed manner for acute appendicitis. The aim of this study was to evaluate outcomes between geriatric patients and younger patients undergoing appendectomy, hypothesizing that geriatric patients will have a higher risk of abscess and/or perforation, conversion to open surgery, postoperative intra-abdominal abscess, and 30-day readmission. Read More

J Trauma Acute Care Surg 2020 Jun;88(6):839-846

From the Department of Surgery (C.A.M., J.R.M., J.W.S., D.A.M.-A., M.R.H.), and Center for Health Outcomes and Policy (A.H.C.-N., B.L.H., M.P.G., J.W.S., M.R.H.), University of Michigan, Ann Arbor, Michigan.

Objective: The American Association for the Surgery of Trauma (AAST) developed an anatomic grading system to assess disease severity through increasing grades of inflammation. Severity grading can then be utilized in risk-adjustment and stratification of patient outcomes for clinical benchmarking. We sought to validate the AAST appendicitis grading system by examining the ability of AAST grade to predict clinical outcomes used for clinical benchmarking. Read More

J Surg Educ 2020 May 20. Epub 2020 May 20.

Department of Surgery, Columbia University Medical Center, New York, New York.

Introduction: Up to 6% of opioid naive patients who undergo surgery become chronic opioid users. The aim of this study was to determine if formal opioid prescribing education of general surgery residents is associated with decreased opioid prescribing postoperatively.

Methods: We surveyed surgery residents at 3 general surgery programs in the United States and 1 in Israel. Read More

Int J Surg Case Rep 2020 7;70:145-148. Epub 2020 May 7.

Department of General Surgery, Dammam Medical Complex, Saudi Arabia.

Introduction: Appendiceal mucocele (AM) is a very rare neoplasm with an incidence of 0.2-0.3% of all appendectomy specimens. Read More

Ned Tijdschr Geneeskd 2020 05 14;164. Epub 2020 May 14.

Maasstad Ziekenhuis, afd. Chirurgie, Rotterdam.

Recently, the revised guideline 'Guideline for diagnostics and treatment of acute appendicitis' was published by the Dutch Surgical Society. A patient with limited clinical symptoms and low suspicion of appendicitis can be assessed again at a later time, during which ultrasound diagnostics can be repeated. Following an inconclusive ultrasound scan in children who possibly have appendicitis, it is no longer recommended to perform diagnostic laparoscopy; rather, MRI diagnostics are indicated. Read More

BMJ Case Rep 2020 Apr 27;13(4). Epub 2020 Apr 27.

Department of General Surgery, Ipswich Hospital NHS Trust, Ipswich, UK.

A 77-year-old woman presented with a rare surgical phenomenon known as De Garengeot hernia. This unique presentation occurs due to the presence of a vermiform appendix in a femoral hernia sac. The patient presented with right-sided groin pain and a partially reducible hernia; she was otherwise haemodynamically stable and denied fevers, nausea and vomiting. Read More

Pediatr Neonatol 2020 Apr 6. Epub 2020 Apr 6.

Division of Pediatric Surgery, Department of Surgery, Shuang Ho Hospital, New Taipei City, Taiwan; Department of Surgery, School of Medicine, Taipei Medical University, Taipei, Taiwan. Electronic address:

Background: To compare single-incision laparoscopic appendectomy (SILA) with conventional (CLA) and transumbilical laparoscopic appendectomy (TULA).

Methods: This is a retrospective cohort study. Patients were divided into three groups, SILA, CLA, and TULA. Read More

JGH Open 2020 Apr 17;4(2):306-308. Epub 2019 Aug 17.

Sapporo Dohto Hospital Sapporo Japan.

Low-grade appendiceal mucinous neoplasms are rare and difficult to diagnose preoperatively because of a lack of characteristic symptoms. A 24-year-old female with no symptoms before pregnancy underwent an elective cesarean section at 38 weeks of gestation because of cephalo-pelvic disproportion. Although no abnormalities were detected in the newborn, uterus, or uterine adnexa, a sausage-like, swollen appendix was noted. Read More

Int Wound J 2020 Aug 7;17(4):957-965. Epub 2020 Apr 7.

Department of General Surgery, Alanya Alaaddin Keykubat University Faculty of Medicine, Antalya, Turkey.

The aim of this study was to investigate the effects of laparoscopic and open surgery on the development of postoperative surgical wound infection and wound healing between complicated appendicitis patients. Patients with complicated appendicitis were divided into those underwent laparoscopic and open surgical procedures according to the surgical method. Patients were followed up with regard to development of any postoperative wound infection, and medical, radiological, and surgical treatment methods and results were recorded. Read More

Surg Endosc 2020 Apr 3. Epub 2020 Apr 3.

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

Background: Postoperative intraabdominal abscess (IAA) is the most feared complication after laparoscopic appendectomy (LA). We aimed to evaluate the management of this complication in a large cohort of patients undergoing LA in order to design a treatment algorithm.

Methods: We included a consecutive series of patients undergoing LA for acute appendicitis from January 2008 to December 2018. Read More

J Thorac Imaging 2020 Jul;35(4):W107-W118

Radiology, University of Southern California Keck School of Medicine, Los Angeles, CA.

Left atrial appendage (LAA) mechanical exclusion is being investigated for nonpharmacologic stroke risk reduction in selected patients with atrial fibrillation. There are multiple potential approaches in various stages of development and clinical application, each of which depends on specific cardiothoracic anatomic characteristics for optimal performance. Multiple imaging modalities can be utilized for application of this technology, with transesophageal echocardiography used for intraprocedural guidance. Read More

Ulster Med J 2020 Jan 18;89(1):25-28. Epub 2020 Feb 18.

Department of Radiology, Wrexham Maelor Hospital, Wrexham, UK.

Introduction: Acute appendicitis is a common surgical emergency, with a prevalence of 112 per 100,000 people per year in Europe. Negative appendicectomy is defined as a pathologically normal appendix removed from patient suspected with appendicitis. Negative appendectomy rate (NAR) has been reported to be around 15-25%. Read More

J Pediatr Surg 2020 Mar 2. Epub 2020 Mar 2.

Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden; Section of Pediatric Surgery, Uppsala University Children's Hospital, Uppsala, Sweden. Electronic address:

Background: The aims of this study were to compare the incidence of small bowel obstruction (SBO) requiring laparotomy after laparoscopic appendectomy (LA) and open appendectomy (OA) in children and to identify risk factors for SBO.

Methods: Medical records of patients who underwent appendectomy from 2000 to 2014 at our department of Pediatric Surgery were reviewed. Risk factors were analyzed using Cox proportional hazard regression. Read More

Gastroenterol Res Pract 2020 28;2020:6019435. Epub 2020 Feb 28.

Department of Surgery "Pietro Valdoni", Sapienza University of Rome, Umberto I Hospital-Via Lancisi 2, 00155 Rome, Italy.

The objective of this study was to evaluate the possibility to undertake an ileocolic resection in complex Crohn's disease using a minimal open abdominal access using standard laparoscopic instruments. The incision was carried out over the previous McBurney scar, with a mean length of 6 cm. Seventy-two patients with complicated Crohn's disease underwent IC resection in the considered period; 12 patients had a McBurney scar due to a previous appendectomy and represented the group of study. Read More

Ann Hepatobiliary Pancreat Surg 2020 Feb 27;24(1):44-51. Epub 2020 Feb 27.

Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

Backgrounds/aims: Acute appendicitis is one of the most common emergent disease in the general population requiring surgical treatment. However, only a few cases of appendicitis after liver transplantation (LT) were reported. We described experiences of acute appendicitis after LT in single center. Read More

J Invest Surg 2020 Mar 13:1-15. Epub 2020 Mar 13.

Department of General Surgery, University of Genoa, Genova, Italy.

Acute appendicitis (AA) is one of the most common causes of abdominal pain requiring surgical intervention. Approximately 20% of AA cases are characterized by complications such as gangrene, abscesses, perforation, or diffuse peritonitis, which increase patients' morbidity and mortality. Diagnosis of AA can be difficult, and evaluation of clinical signs, laboratory index and imaging should be part of the management of patients with suspicion of AA. Read More

J Surg Res 2020 Jul 6;251:159-167. Epub 2020 Mar 6.

Department of Surgery, Division of General and Acute Care Surgery, Dallas, Texas. Electronic address:

Background: Outcomes of appendectomy stratified by type of complicated appendicitis (CA) features are poorly researched, and the evidence to guide operative versus nonoperative management for CA is lacking. This study aimed to determine laparoscopic-to-open conversion risk, postoperative abscess risk, unplanned readmission risk, and length of hospital stay (LOS) associated with appendectomy in patients with perforated appendicitis without abscess (PA) and perforated appendicitis with abscess (PAWA) compared with a control cohort of nonperforated appendicitis (NPA).

Methods: The 2016-2017 National Surgical Quality Improvement Program Appendectomy-targeted database identified 12,537 (76. Read More

J Gastrointest Surg 2020 Mar 3. Epub 2020 Mar 3.

The National Clinical Database, Segawa Bldg. 9F, Kandasurugadai 2-8, Chiyoda-ku, Tokyo, 101-0062, Japan.

Purpose: Our aim was to compare postoperative outcomes of laparoscopic and open appendectomies for acute appendicitis in children under the circumstance of widespread use of laparoscopic surgery.

Method: This study included data on laparoscopic and open appendectomies in children with acute appendicitis from the National Clinical Database, which is a Japanese nationwide surgical database, in 2015. The occurrence rates of complications within 30 days after the surgery and postoperative hospital stay were compared by univariate and multivariate analyses. Read More

Int J Surg Case Rep 2020 11;68:88-91. Epub 2020 Feb 11.

School of Medicine, Universidad ICESI, Calle 18 No. 122-135, Carrera 98 No. 18-49, Cali, Colombia; Department of Pathology, Fundación Valle del Lili, Carrera 98 No. 18-49, Cali, Colombia. Electronic address:

Introduction: Acute appendicitis (AA) is the most common cause of acute surgical abdomen. Complications from surgical appendectomy include intraabdominal abscess, bleeding, surgical site infections, ileus, and stump appendicitis (SA). This last one is one of the least common ones with a reported incidence of 1:50. Read More

Endosc Int Open 2020 Mar 21;8(3):E388-E395. Epub 2020 Feb 21.

Department of Endoscopy and Gastroenterology, Pavillon L, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France.

Endoscopic submucosal dissection (ESD) of superficial colorectal lesions in close proximity to the appendiceal orifice (L-PAO) was shown to be feasible except in case of deep invasion into the appendix (type 3 of Toyonaga's classification). This study aimed to determine the outcomes of ESD with double clip and rubber band traction (DCT-ESD) of L-PAO including a majority of type 3. We reviewed retrospectively all consecutive DCT-ESD of L-PAO performed in 3 French centers. Read More

Updates Surg 2020 Mar 19;72(1):185-191. Epub 2020 Feb 19.

Department of Emergency and Trauma Surgery, Maggiore Hospital, Parma, Italy.

Diffuse peritonitis represents a life-threatening complication of acute appendicitis (AA). Whether laparoscopy is a safe procedure and presents similar results compared with laparotomy in case of complicated AA is still a matter of debate. The objective of this study is to compare laparoscopic (LA) and open appendectomy (OA) for the management of diffuse peritonitis caused by AA. Read More

BMJ Open 2020 02 18;10(2):e034266. Epub 2020 Feb 18.

Department of Surgery and Specialties, Faculty of Medicine and Biomedical Sciences, University of Yaoundé I, Yaoundé, Cameroon.

Background: Although surgical site infection (SSI) is one of the most studied healthcare-associated infections, the global burden of SSI after appendectomy remains unknown.

Objective: We estimated the incidence of SSI after appendectomy at global and regional levels.

Design: Systematic review and meta-analysis. Read More

JAMA Surg 2020 Feb 19. Epub 2020 Feb 19.

Turku University Hospital, Division of Digestive Surgery and Urology, University of Turku, Turku, Finland.

Importance: Long-term results support antibiotics for uncomplicated acute appendicitis as an alternative to appendectomy. To our knowledge, treatment-related long-term patient satisfaction and quality of life (QOL) are not known.

Objective: To determine patient satisfaction and QOL after antibiotic therapy and appendectomy for treating uncomplicated acute appendicitis. Read More

Surg Infect (Larchmt) 2020 Feb 5. Epub 2020 Feb 5.

Division of General Surgery, Department of Surgery, Stanford University, Stanford, California.

Acute appendicitis is one of the most common surgical emergencies globally. Its incidence is increasing in low- and middle-Human Development Index countries (LMHDICs). Although a proportion of patients can be treated successfully with non-operative management consisting of antibiotics, supportive therapy, and close observation, current diagnostic algorithms lack the granularity to identify these patients accurately. Read More

Am J Surg 2020 Jan 10. Epub 2020 Jan 10.

Department of Internal Medicine, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Pediatrics and Communicable Diseases, University of Michigan Medical School, Ann Arbor, MI, USA; Department of Medicine, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA; Center for Clinical Management Research, Veterans Affairs Ann Arbor Healthcare System, Ann Arbor, MI, USA; Patient Safety Enhancement Program for the University of Michigan and VA Ann Arbor Healthcare System, Ann Arbor, MI, USA.

Background: The Michigan Appropriate Perioperative (MAP) criteria provide guidance regarding urinary catheter use. For Category A (e.g. Read More

Ann Surg 2020 Jan 21. Epub 2020 Jan 21.

The National Clinical Database.

Objective: The aim of the study was to investigate the effect of abdominal drainage at appendectomy for complicated appendicitis in children.

Summary Of Background Data: Although an abdominal drain placement at appendectomy is an option for reducing or preventing postoperative infectious complication, there is controversy regarding its effect for complicated appendicitis.

Method: The study used the data on appendectomies for complicated appendicitis in children (≤15 years old) that were operated in 2015 and registered in the National Clinical Database, a nationwide surgical database in Japan. Read More

Nihon Shokakibyo Gakkai Zasshi 2020 ;117(1):78-83

Department of Gastroenterology, Kagoshima Medical Association Hospital.

Generally, a colon lesion is evaluated by endoscopy. In many cases, total colonoscopy is often difficult to perform due to postsurgical adhesion. Here, we described a case of a colon tumor that could not be recognized by colonoscopy and palpation under laparotomy. Read More

J Surg Res 2020 May 6;249:42-49. Epub 2020 Jan 6.

Division of Pediatric Surgery, Department of Surgery, Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois. Electronic address:

Background: The impact of social, racial, and economic inequities on health and surgical outcomes for children is poorly described.

Methods: A systematic review using search terms related to disparities in care of pediatric appendicitis identified 20 titles and narrowed to 11 full texts. Nine retrospective studies were analyzed, representing 350,408 cases treated across the United States from 1983 to 2010. Read More

Biomedica 2019 12 1;39(4):699-706. Epub 2019 Dec 1.

Unidad de Prevención y Control de Infecciones, Hospital de San José, Bogotá, D.C., Colombia; Facultad de Medicina, Fundación Universitaria de Ciencias de la Salud, Bogotá, D.C., Colombia.

Introduction: Acute appendicitis is the first cause of acute abdomen, however, there is a little information about the associated bacteria and its sensibility profile. Objetive: To identify and to determine the resistance pattern of aerobic and anaerobic bacteria isolated in periapendicular fluid cultures taken in patients with acute appendicitis and to establish the proportions of isolates according to the clinical phase. Materials and methods: A descriptive and prospective study was undertaken at the Hospital Universitario de San José (Bogotá, Colombia) of patients older than sixteen years of age, undergoing an open appendectomy. Read More

J Surg Educ 2020 May - Jun;77(3):615-620. Epub 2019 Dec 16.

HCA Memorial Savannah, Savannah, Georgia.

Objectives: To study how an educational intervention given to surgical residents affected postoperative opioid prescribing. To determine whether decreased opioid prescription amounts increased patients' rate of refills, emergency department visits, or readmissions.

Design: Prospective sequential cohort study. Read More

Medicine (Baltimore) 2019 Nov;98(47):e18072

Department of Surgery, Chungbuk National University Hospital.

Introduction: Appendectomy is one of the most common emergency surgical operations. Stump appendicitis is a rare complication after appendectomy and is caused by acute inflammation of the remnant part of the appendix. Because of the low index of suspicion owing to a previous history of appendectomy, the diagnosis of stump appendicitis is often delayed. Read More

J Pediatr Surg 2019 Oct 26. Epub 2019 Oct 26.

Resident of Pediatrics, Department of Pediatrics, Faculty of Medicine, Universidad Nacional de Colombia, Colombia.

Acute appendicitis is the most frequent urgent abdominal surgical pathology in children. Therapeutic decisions in patients who have undergone an appendectomy are made based on the macroscopic findings at the moment of surgery. There is high variability between surgical and histopathological findings. Read More

Surg Technol Int 2019 11;35:71-83

University of Brussels, Head, Digestive Clinic, American College of Surgeons Belgian Chapter, Saint-Pierre University Hospital, Brussels, Belgium.

Background: Single-incision laparoscopy (SIL) was initially reported in the mid-1900's, but remained unpopular until the arrival of Natural Orifice Transluminal Endoscopic Surgery. It was described not only for surgery involving the digestive system, but also for breast, thoracic, urologic, gynecologic and pediatric surgery. Various studies have proven its feasibility, safety and effectiveness. Read More

Am J Case Rep 2019 Nov 9;20:1648-1651. Epub 2019 Nov 9.

Department of Surgery, College of Medicine, King Khalid University Hospital, King Saud University Medical City, Riyadh, Saudi Arabia.

BACKGROUND Cytoreductive surgery with hyperthermic intraperitoneal chemotherapy is one of the treatment options in low-grade appendiceal mucinous neoplasm with peritoneal dissemination. The minimal invasive surgery approach was introduced to the field after years of traditional open technique. Multi-port laparoscopic and robotic techniques were reported with good short-term outcomes in very selected patients with low PCI scores. Read More

Clin Ter 2019 Nov-Dec;170(6):e409-e417

School of Medicine and Surgery, Section of General and Thoracic Surgery (Chair: Giuseppe Modica, MD), University Hospital of Palermo, Palermo, Italy.

Background: Stump appendicitis is a rare delayed complication post-appendectomy and it represents a diagnostic problem as clinicians are often not very familiar with this pathology.

Materials And Methods: One case of stump appendicitis has been reported in a 54 year old woman, whose acute phase was conservatively treated in our Department. A review of Medline literature was also carried out, from 1945 to 2015, showing 111 cases of stump appendicitis. Read More