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Outcomes of Open and Laparoscopic Appendectomy With Single Endoloop Stump Closure.

JSLS 2018 Oct-Dec;22(4)

General Surgery Department, Siedlce Hospital, Siedlce, Poland.

Background And Objectives: Although laparoscopic appendectomy (LA) has been used for 35 years, the open approach (OA) is preferred worldwide. Widespread access to instrumentation in a number of centers has reduced economic and logistical obstacles. The aim of this work is to compare the results for patients with suspected appendicitis treated using an OA versus patients treated using LA. Read More

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http://dx.doi.org/10.4293/JSLS.2018.00062DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6305067PMC
January 2019

Staplers vs. loop-ligature: a cost analysis from the hospital payer perspective.

Surg Endosc 2019 Jan 2. Epub 2019 Jan 2.

Department of Surgery, Schulich School of Medicine & Dentistry, Western University, London, ON, Canada.

Background: Presently, there is equipoise regarding the surgical technique used to manage the appendiceal stump during laparoscopic appendectomy. The purpose of this research was to determine whether the routine use of loop ligature, compared to stapling, is cost effective from a hospital payer perspective.

Methods: A retrospective cohort study was conducted amongst patients undergoing emergency laparoscopic surgery for acute appendicitis at two major academic hospitals. Read More

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http://dx.doi.org/10.1007/s00464-018-06639-0DOI Listing
January 2019

Does retrieval bag use during laparoscopic appendectomy reduce postoperative infection?

Surgery 2018 Dec 24. Epub 2018 Dec 24.

Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA; Center for Surgery and Public Health, Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. Electronic address:

Background: Appendectomy is the most commonly performed emergency operation in the United States, with approximately 370,000 patients undergoing the procedure every year. Although laparoscopic appendectomy is associated with decreased complications when compared with open appendectomy, the risk for infectious complications, including surgical site infection, intra-abdominal abscess, and sepsis, remains a significant source of postoperative morbidity and health care cost. The goal of this study is to determine whether the appendix retrieval technique during laparoscopic appendectomy affects risk of infectious complications. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00396060183079
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http://dx.doi.org/10.1016/j.surg.2018.11.012DOI Listing
December 2018
1 Read

[Analysis of high risk factors for acute complex appendicitis in adults].

Zhonghua Wei Chang Wai Ke Za Zhi 2018 Dec;21(12):1374-1379

Research Institute of General Surgery, General Hospital of Nanjing Military Command, Nanjing 210002,China,

Objective: To explore the high risk factors of adult complex appendicitis, and to provide a reference for the development of a reasonable treatment strategy for acute appendicitis.

Methods: A retrospective case-control study was conducted to collect clinical data of 312 adult patients with acute appendicitis confirmed by pathology undergoing appendectomy, including open and laparoscopic surgery, from May 2011 to August 2016 at Affiliated Hospital of Qingdao University. Age <14 years old, pregnant women, complicating abscess around the appendix, AIDS, blood system diseases, autoimmune diseases, inflammatory bowel disease or progressive cancer patients were excluded. Read More

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December 2018
1 Read

Laparoscopic Appendectomy in the Setting of Clinical Prediction Rules.

J Laparoendosc Adv Surg Tech A 2018 Dec 26. Epub 2018 Dec 26.

3 Department of Surgery, Valladolid University , Valladolid, Spain .

Purpose: Acute appendicitis (AA) is the most frequent surgical entity in the emergency department, but its correct diagnosis remains challenging. To improve diagnosis, clinical prediction rules (CPRs) have been created to establish objective scores for the probability of suffering AA. In this study, we establish scores indicating whether laparoscopy would be superior to clinical observation or repeat diagnostic test. Read More

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http://dx.doi.org/10.1089/lap.2018.0707DOI Listing
December 2018

A nationwide cohort study of short- and long-term outcomes following emergency laparotomy.

Dan Med J 2019 Jan;66(1)

Introduction: Emergency laparotomy is a high-risk procedure associated with severe post-operative morbidity and high mortality. The aim was to conduct a nationwide cohort consisting of all patients undergoing emergency laparotomy during an 11-year period and to examine both short- and long-term outcomes.

Methods: Adult patients treated with emergency laparotomy due to gastrointestinal conditions from 2003 through 2013 were identified in the Danish National Patient Register. Read More

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January 2019

Laparoscopic versus open appendectomy for complicated appendicitis.

Medwave 2018 Dec 11;18(8):e7370. Epub 2018 Dec 11.

Proyecto Epistemonikos, Santiago, Chile; Centro Evidencia UC, Pontificia Universidad Católica de Chile, Santiago, Chile; Departamento de Medicina Interna, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. Email: Address: Centro Evidencia UC, Pontificia Universidad Católica de Chile, Diagonal Paraguay 476, Santiago, Chile.

Introduction: The treatment of acute appendicitis using laparoscopy reduces the risk of wound infection, hospitalization time and return to normal activity. However, it increases the risk of intra-abdominal abscess, which is one the main complications of complicated appendicitis.

Methods: We searched in Epistemonikos, the largest database of systematic reviews in health, which is maintained by screening multiple information sources, including MEDLINE, EMBASE, Cochrane, among others. Read More

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http://dx.doi.org/10.5867/medwave.2018.08.7369DOI Listing
December 2018
6 Reads

Symptomatic HIV-Infected Patients Have Poorer Outcomes Following Emergency General Surgery: A Study of the Nationwide Inpatient Sample.

J Trauma Acute Care Surg 2018 Dec 5. Epub 2018 Dec 5.

Department of Surgery, Section of General Surgery, Trauma, and Surgical Critical Care, Yale School of Medicine, New Haven, CT USA.

Background: The impact of HIV infection on outcomes following common emergency general surgery procedures has not been evaluated since the widespread introduction of highly-active antiretroviral therapy (HAART).

Methods: A retrospective cohort study was conducted using the Nationwide Inpatient Sample. Records of patients who underwent laparoscopic or open appendectomy, cholecystectomy, or colon resection after emergency admission from 2004-2011 were obtained. Read More

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http://dx.doi.org/10.1097/TA.0000000000002161DOI Listing
December 2018
1 Read

Extended Antibiotic Course Prior to Interval Appendectomy in Children with Complicated Appendicitis Offers No Significant Advantage.

Surg Infect (Larchmt) 2018 Dec 11. Epub 2018 Dec 11.

1 Cardinal Glennon Children's Medical Center , St. Louis, Missouri.

Background: No consensus exists regarding duration of antibiotic therapy for complicated appendicitis treated with interval appendectomy. We hypothesized that more than two weeks of antibiotic therapy does not decrease complication rates in asymptomatic patients.

Patients And Methods: A retrospective review of all patients with complicated appendicitis treated with interval appendectomy from 2010-2015 was performed. Read More

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http://dx.doi.org/10.1089/sur.2018.172DOI Listing
December 2018
6 Reads

Is abdominal drainage after open emergency appendectomy for complicated appendicitis beneficial or waste of money? A single centre retrospective cohort study.

Ann Med Surg (Lond) 2018 Dec 9;36:168-172. Epub 2018 Nov 9.

UCL Medical School, UCL, Research Department of Medical Education, Room GF/664, Royal Free Campus, Hampstead, London, NW3 2PR, UK.

Background: Appendicitis is a medical condition that causes painful inflammation of the appendix. For acute appendicitis, appendectomy is immediately required as any delay may lead to serious complications such as gangrenous or perforated appendicitis with or without localized abscess formation. Patients who had appendectomy for complicated appendicitis are more prone to develop post-operative complications such as peritoneal abscess or wound infection. Read More

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http://dx.doi.org/10.1016/j.amsu.2018.10.040DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6247409PMC
December 2018
2 Reads

Methods of Conservative Antibiotic Treatment of Acute Uncomplicated Appendicitis: A Systematic Review.

J Trauma Acute Care Surg 2018 Dec 3. Epub 2018 Dec 3.

Professor of Medicine and Emergency Medicine, Department of Emergency Medicine (and Department of Medicine, Division of Infectious Diseases), Olive View-UCLA Medical Center, 14445 Olive View Drive, North Annex, Sylmar, CA 91342.

Background: Meta-analyses and a recent guideline acknowledge that conservative management of uncomplicated appendicitis with antibiotics can be successful for patients who wish to avoid surgery. However, guidance as to specific management does not exist.

Methods: PUBMED and EMBASE search of trials describing methods of conservative treatment was conducted according to PRISMA guidelines. Read More

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http://dx.doi.org/10.1097/TA.0000000000002137DOI Listing
December 2018
2 Reads

Laparoscopic versus open appendectomy in pregnancy: A single center experience.

Ulus Travma Acil Cerrahi Derg 2018 Nov;24(6):552-556

Department of General Surgery, İstanbul University İstanbul Faculty of Medicine, İstanbul-Turkey.

Background: The aim of this study was to compare the obstetric and surgical outcomes of laparoscopic appendectomy (LA) and open appendectomy (OA) performed for pregnant women at a single center. It was the hypothesis of this study that there would be no significant difference in the results.

Methods: The medical records of 57 consecutive pregnant women who underwent an appendectomy between January 2009 and September 2018 were reviewed retrospectively. Read More

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http://dx.doi.org/10.5505/tjtes.2018.26357DOI Listing
November 2018
4 Reads

Population Level Analysis of Adhesive Small Bowel Obstruction: Sustained Advantage of a Laparoscopic Approach.

Ann Surg 2018 Nov 29. Epub 2018 Nov 29.

Department of Surgery, Massachusetts General Hospital, Boston, MA.

Objective: The objective of this study was to determine the effects of open versus laparoscopic surgery on the development of adhesive small bowel obstruction (aSBO).

Summary Background Data: aSBO is a significant contributor to short and long-term postoperative morbidity. Laparoscopy has demonstrated a protective effect in colorectal surgery, but these effects have not been generalized to other abdominal procedures. Read More

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http://dx.doi.org/10.1097/SLA.0000000000003107DOI Listing
November 2018

Laparoscopic versus open surgery for suspected appendicitis.

Cochrane Database Syst Rev 2018 11 28;11:CD001546. Epub 2018 Nov 28.

Institute for Research in Operative Medicine (IFOM) - Department for Evidence-based Health Services Research, University Witten/Herdecke, Ostmerheimer Str. 200 (Building 38), Cologne, Germany, 51109.

Background: The removal of the acute appendix is one of the most frequently performed surgical procedures. Open surgery associated with therapeutic efficacy has been the treatment of choice for acute appendicitis. However, in consequence of the evolution of endoscopic surgery, the operation can also be performed with minimally invasive surgery. Read More

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http://dx.doi.org/10.1002/14651858.CD001546.pub4DOI Listing
November 2018
2 Reads

Preoperative Gastroesophageal Reflux Disorder Is Associated With Increased Morbidity in Patients Undergoing Abdominal Surgery.

J Surg Res 2018 Dec 8;232:587-594. Epub 2018 Aug 8.

Department of Surgery, University of Virginia, Charlottesville, Virginia.

Background: In North America, the prevalence of gastroesophageal reflux disorder ranges from 18.1% to 27.8%. Read More

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http://dx.doi.org/10.1016/j.jss.2018.07.051DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251493PMC
December 2018
5 Reads

Occurrence and Treatment of Pediatric Appendicitis in Finland 2004-2014.

J Surg Res 2018 Dec 30;232:33-38. Epub 2018 Jun 30.

Heart Center, Turku University Hospital, Turku, Finland; Research Center of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland.

Background: We aimed to investigate the trends in occurrence and the treatment approaches of appendicitis in Finnish children.

Material And Methods: All patients aged <16 y hospitalized for appendicitis in Finland in 2004-2014 were included. Data were retrospectively collected from the Finnish Care Register for Health Care and Statistics Finland. Read More

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http://dx.doi.org/10.1016/j.jss.2018.06.010DOI Listing
December 2018
4 Reads

Predicting factors of postoperative complications in appendectomies.

Rev Col Bras Cir 2018 Nov 14;45(5):e19. Epub 2018 Nov 14.

Universidade Federal de Pelotas, Faculdade de Medicina, Pelotas, RS, Brasil.

Objective: to evaluate the main risk factors for postoperative complications in patients undergoing appendectomy for acute appendicitis.

Methods: we retrospectively analyzed 1241 patients undergoing open or laparoscopic appendectomy. Patients were allocated to four groups: Group 1, without postoperative complications, and Groups 2, 3, and 4, with postoperative complications defined according to their severity, following Clavien-Dindo classification (I, II, and ≥III, respectively). Read More

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http://dx.doi.org/10.1590/0100-6991e-20181920DOI Listing
November 2018
3 Reads

Mini-Incision Open Appendectomy with Incision Skin Tissue Retractor vs. Laparoscopic Appendectomy: A Retrospective Study of the Management of Child Acute Appendicitis.

Adv Ther 2018 Dec 13;35(12):2176-2185. Epub 2018 Nov 13.

Department of Surgery, National Children's Medical Center, Beijing Children's Hospital Affiliated to Capital Medical University, Beijing, 100045, China.

Introduction: This study aims to compare the clinical effects of an incision skin tissue retractor for mini-incision open appendectomy and laparoscopic surgery for pediatric appendicitis.

Methods: From January 2014 to July 2017, a total of 248 patients were included in the present study. Laparoscopic appendectomy was performed for 108 cases (LA group), and mini-incision open appendectomy with an incision skin tissue retractor was performed for 140 cases (MOA-ISTR group). Read More

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http://link.springer.com/10.1007/s12325-018-0829-3
Publisher Site
http://dx.doi.org/10.1007/s12325-018-0829-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6267690PMC
December 2018
10 Reads

[Appendectomy: open versus laparoscopic versus single port : Evidence for choice of surgical procedure].

Chirurg 2018 Nov 12. Epub 2018 Nov 12.

Klinik für Allgemein‑, Viszeral‑, Thorax- und Gefäßchirurgie, Klinikum Südstadt, Südring 81, 18059, Rostock, Deutschland.

The treatment of choice in acute appendicitis is still the surgical removal of an inflamed vermiform appendix. There is still some disagreement regarding the optimal access route, i.e. Read More

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http://link.springer.com/10.1007/s00104-018-0758-3
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http://dx.doi.org/10.1007/s00104-018-0758-3DOI Listing
November 2018
8 Reads

Effects of Carbon Dioxide Insufflation and Trendelenburg Position on Brain Oxygenation During Laparoscopy in Children.

Surg Laparosc Endosc Percutan Tech 2018 Nov 1. Epub 2018 Nov 1.

Department of Pediatric Surgery, Izmir Katip Celebi University, Cigli.

Purpose: Laparoscopic appendectomy has become more popular compared with the open appendectomy in children, but there are limited data on the effects of pneumoperitoneum and Trendelenburg position on cerebral oxygenation. This study was designed to evaluate the changes in cerebral saturation using near-infrared spectroscope during laparoscopic surgery in children.

Methods: The children underwent laparoscopic (LAP Group, n=22) or open appendectomy (OPEN Group, n=22). Read More

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http://dx.doi.org/10.1097/SLE.0000000000000593DOI Listing
November 2018
5 Reads

Role of preoperative C-reactive protein value and neutrophil ratio in the determination of conversion from laparoscopic appendectomy to open appendectomy.

Ulus Travma Acil Cerrahi Derg 2018 Sep;24(5):429-433

Department of General Surgery, Başkent University Faculty of Medicine, Ankara-Turkey.

Background: In this study, we aimed to investigate the factors causing conversion from laparoscopic appendectomy (LA) to open appendectomy (OA) in patients with acute appendicitis and to investigate the role of preoperative C reactive protein (CRP) and neutrophil ratio in this conversion and determine a cut-off point for these parameters.

Methods: Records of patients who underwent LA due to acute appendicitis at our general surgery department between January 2011 and January 2017 were retrospectively evaluated. The preoperative American Society of Anesthesiology (ASA) scores, Alvarado scores, white blood cell count, C-reactive protein level, and neutrophil ratio were evaluated. Read More

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http://dx.doi.org/10.5505/tjtes.2018.68705DOI Listing
September 2018
1 Read

The contemporary appendectomy for acute uncomplicated appendicitis in adults.

Surgery 2018 Oct 29. Epub 2018 Oct 29.

Department of Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA; Department of Surgery, Veterans Affairs Greater Los Angeles Healthcare System, CA.

Background: Epidemiologic data related to the surgical management of appendicitis are out of date. As we contemplate the role of nonoperative therapy in uncomplicated appendicitis, a contemporary profile of the risks and benefits of operative appendectomy is needed.

Methods: This study merged the 2016 National Surgical Quality Improvement Program essential and appendectomy-targeted participant use files. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00396060183065
Publisher Site
http://dx.doi.org/10.1016/j.surg.2018.09.009DOI Listing
October 2018
43 Reads

A new right groin incision versus McBurney's incision for open appendectomy: a randomized controlled trial.

Langenbecks Arch Surg 2018 Nov 20;403(7):805-810. Epub 2018 Oct 20.

Department of Social Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

Purpose: We aimed to introduce a new surgical method for open appendectomy including a right groin incision with adipocutaneous flap and to compare its feasibility, safety, and cosmetic outcomes with classic McBurney's incision.

Methods: Patients with the diagnosis of acute appendicitis who were candidates for appendectomy surgery at General Surgery Department, Besat Hospital, Hamadan University of Medical Sciences, Iran, in 2016 and 2017, were enrolled in a randomized controlled clinical study. Patients were randomly assigned to two groups each containing 50 patients. Read More

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http://dx.doi.org/10.1007/s00423-018-1719-5DOI Listing
November 2018
1 Read

Twenty-four hour versus extended antibiotic administration after surgery in complicated appendicitis: A randomized controlled trial.

J Trauma Acute Care Surg 2019 Jan;86(1):36-42

From the Division of Acute Care Surgery, Department of Surgery (S.S., M.R., E.H.N., E.L., K.G.I., J.L., P.T.), North Estonia Medical Centre, Tallinn; School of Medicine, University of Tartu (S.S., V.M., A.L., U.L., P.T.), Tartu, Estonia; and Division of Trauma, Hand and Reconstructive Surgery (T.L.), Goethe University Hospital, Frankfurt/Main, Germany.

Background: Recent investigations noted noninferiority in short-course antimicrobial treatments following source control in abdominal infections. We set out to investigate noninferiority of a short and fixed (24 hours) antibiotic administration compared to extended treatment after source control in complicated appendicitis in a prospective single-center open-label randomized controlled trial.

Methods: After Institutional Review Board (IRB) approval, all consecutive adult patients (age, ≥ 18 years) with complicated appendicitis including gangrenous appendicitis, perforated appendicitis, and appendicitis with periappendicular abscess between May 2016 and February 2018 were randomly allocated to antibacterial therapy limited to 24 hours (short) vs. Read More

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http://dx.doi.org/10.1097/TA.0000000000002086DOI Listing
January 2019
12 Reads

Examining length of stay after commonly performed surgical procedures in ACS NSQIP pediatric.

J Surg Res 2018 Nov 21;231:186-194. Epub 2018 Jun 21.

Department of Surgery, Nationwide Children's Hospital, Columbus, Ohio; Center for Surgical Outcomes Research, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio. Electronic address:

Background: The objective of this study was to identify ranges of postoperative length of stay (LOS) for common pediatric procedures using a large multi-institutional database.

Materials And Methods: A retrospective analysis of the most frequently performed general surgical procedures in the ACS-NSQIP Pediatric (2013-2015) was performed. These included laparoscopic appendectomy (LA), laparoscopic cholecystectomy, laparoscopic gastrostomy, laparoscopic esophagogastric fundoplication (LF), thoracoscopic repair of pectus excavatum (TPE), open appendectomy (OA), enterostomy closure (OEC), gastrostomy closure (OGC), and bowel resection (OBR). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00224804183035
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http://dx.doi.org/10.1016/j.jss.2018.05.054DOI Listing
November 2018
14 Reads

High complication rate among patients undergoing appendectomy in Ontario: a population-based retrospective cohort study.

Can J Surg 2018 12;61(6):412-417

From the Department of Surgery, Kingston Health Sciences Centre, Kingston, Ont. (Patel, Nanji, Brogly, Merchant); the Faculty of Health Sciences, Queen's University, Kingston, Ont. (Patel, Nanji, Merchant); the Institute for Clinical Evaluative Sciences, Queen's University, Kingston, Ont. (Lajkosz, Groome); and the Department of Public Health Sciences, Queen's University, Kingston, Ont. (Groome).

Background: Appendectomy is a common emergency procedure. The risks have been reported in previous studies but often are limited to inpatient complications. The purpose of this study was to describe inpatient and outpatient rates of complications associated with appendectomy in a contemporary population-based cohort and explore factors associated with these complications. Read More

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http://dx.doi.org/10.1503/cjs.011517DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281459PMC
December 2018
1 Read

Five-Year Follow-up of Antibiotic Therapy for Uncomplicated Acute Appendicitis in the APPAC Randomized Clinical Trial.

JAMA 2018 09;320(12):1259-1265

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

Importance: Short-term results support antibiotics as an alternative to surgery for treating uncomplicated acute appendicitis, but long-term outcomes are not known.

Objective: To determine the late recurrence rate of appendicitis after antibiotic therapy for the treatment of uncomplicated acute appendicitis.

Design, Setting, And Participants: Five-year observational follow-up of patients in the Appendicitis Acuta (APPAC) multicenter randomized clinical trial comparing appendectomy with antibiotic therapy, in which 530 patients aged 18 to 60 years with computed tomography-confirmed uncomplicated acute appendicitis were randomized to undergo an appendectomy (n = 273) or receive antibiotic therapy (n = 257). Read More

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http://dx.doi.org/10.1001/jama.2018.13201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6233612PMC
September 2018
2 Reads

Current Trends in Training in the Surgical Management of Acute Appendicitis at a Veteran Affairs Hospital.

J Surg Educ 2018 Sep 21. Epub 2018 Sep 21.

Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Surgery, VA North Texas Health Care System, Dallas, Texas. Electronic address:

Introduction: An open appendectomy used to be one of the most common cases performed by interns and physical exam dictated operative intervention. We hypothesized that the management of acute appendicitis has drastically changed from these previous practices.

Methods: A retrospective, single institution study was performed at the VA North Texas Health Care System between July 2005 to June 2017 for all patients who underwent an appendectomy. Read More

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http://dx.doi.org/10.1016/j.jsurg.2018.07.029DOI Listing
September 2018
2 Reads

Evolution and Current Trends in the Management of Acute Appendicitis.

Surg Clin North Am 2018 Oct 13;98(5):1005-1023. Epub 2018 Jul 13.

Department of Translational Science, Creighton University School of Medicine, Uniformed Services University of the Health Sciences, F. Edward Hébert School of Medicine, Walter Reed National Military Medical Center, Bethesda, MD, USA.

The treatment of appendicitis has evolved since the first appendectomy in the eighteenth century. It seems to have come full circle with nonoperative management in the era before frequent surgical interventions, to open surgical interventions, minimally invasive interventions, and now back to a renewed interest in nonoperative management of acute appendicitis. Scoring systems to help refine the diagnosis of acute appendicitis and advances in medical imaging have also changed the management of this condition. Read More

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http://dx.doi.org/10.1016/j.suc.2018.05.006DOI Listing
October 2018
17 Reads

Acute Appendicitis: Efficient Diagnosis and Management.

Am Fam Physician 2018 Jul;98(1):25-33

Saint Louis University Southwest Illinois Family Medicine Residency, Belleville, IL, USA.

Appendicitis is one of the most common causes of acute abdominal pain in adults and children, with a lifetime risk of 8.6% in males and 6.7% in females. Read More

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July 2018
1 Read

Endoscopic full-thickness resection of polyps involving the appendiceal orifice: a prospective observational case study.

Endosc Int Open 2018 Sep 11;6(9):E1112-E1119. Epub 2018 Sep 11.

Department of Gastroenterology & Hepatology, Academic Medical Centre, University of Amsterdam, Amsterdam, The Netherlands.

 Colorectal polyps involving the appendiceal orifice (AO) are difficult to resect with conventional polypectomy techniques and therefore often require surgical intervention. These appendiceal polyps could potentially be removed with endoscopic full-thickness resection (eFTR) performed with a full-thickness resection device (FTRD). The aim of this prospective observational case study was to evaluate feasibility, technical success and safety of eFTR procedures involving the AO. Read More

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http://dx.doi.org/10.1055/a-0635-0911DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6133683PMC
September 2018
1 Read

Global prevalence and incidence of surgical site infections after appendectomy: a systematic review and meta-analysis protocol.

BMJ Open 2018 Aug 30;8(8):e020101. Epub 2018 Aug 30.

Department of Epidemiology and Public Health, Centre Pasteur of Cameroon, Yaoundé, Cameroon.

Introduction: Acute appendicitis is a surgical emergency and the most frequent aetiology of acute surgical abdominal pain in developed countries. Universally, its widely approved treatment is appendectomy. Like all surgical procedures, appendectomy can be associated with many complications among which are surgical site infections (SSIs). Read More

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http://dx.doi.org/10.1136/bmjopen-2017-020101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6119422PMC
August 2018
9 Reads
2.063 Impact Factor

[Necrotizing fasciitis caused by a Garengeot's hernia. Case report].

Rev Med Chil 2018 May;146(5):660-664

Departamento de Cirugía Digestiva, Hospital Clínico, Pontificia Universidad Católica de Chile, Santiago, Chile.

Garengeot's hernia corresponds to the presence of the appendix within a femoral hernia, associated or not with acute appendicitis. The diagnosis of this uncommon situation is usually done during surgery. Furthermore, the clinical presentation as necrotizing fasciitis is a rare condition. Read More

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http://dx.doi.org/10.4067/s0034-98872018000500660DOI Listing
May 2018
10 Reads

Clinical Outcomes and Healthcare Costs Associated with Laparoscopic Appendectomy in a Middle-Income Country with Universal Health Coverage.

World J Surg 2019 01;43(1):67-74

Departamento de Cirugía, Facultad de Medicina, Universidad Nacional de Colombia, Carrera 45 N° 26-85, Edificio 471, Bogotá, Colombia.

Background: Although many studies have compared outcomes of laparoscopic appendectomy (LA) and open appendectomy (OA), some clinical and economic outcomes continue to be controversial, particularly in low-medium-income countries. We aimed at determining clinical and economic outcomes associated with LA versus OA in adult patients in Colombia.

Methods: Retrospective, cohort study based on administrative healthcare records included all patients who underwent LA or OA in Colombia's contributory regime between July 1, 2013, and September 30, 2015. Read More

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http://dx.doi.org/10.1007/s00268-018-4777-5DOI Listing
January 2019
8 Reads

Pilot Study to Evaluate the Safety, Feasibility, and Financial Implications of a Postoperative Telemedicine Program.

Ann Surg 2018 Oct;268(4):700-707

Department of Surgery, University of Michigan, Ann Arbor, MI.

Background: Telemedicine in surgery holds promise for improving access and decreasing costs, but its role remains ill-defined. This pilot study was performed to investigate the safety, feasibility, and financial implications of providing postoperative care using an electronic clinic (eClinic) at a university hospital.

Methods: An easy-to-use and secure eClinic platform was constructed in Epic (Epic Systems Corporation, Verona, WA). Read More

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http://dx.doi.org/10.1097/SLA.0000000000002931DOI Listing
October 2018
2 Reads

Determination of the concentration of cathepsin B by SPRI biosensor in children with appendicitis, and its correlation with proteasomes.

Adv Clin Exp Med 2018 Nov;27(11):1529-1534

Department of Pediatric Surgery, Medical University of Bialystok, Poland.

Background: Cathepsin B (CatB) belongs to a family of lysosomal cysteine proteases and plays an important role in intracellular proteolysis.

Objectives: The concentration of CatB and 20S proteasome was evaluated in the serum of children with appendicitis, before and after surgery, on a basis of an innovative method for determining biomolecules concentration - surface plasmon resonance imaging (SPRI) biosensor.

Material And Methods: Forty-two children with acute appendicitis, who were treated at the Department of Pediatric Surgery (Medical University of Bialystok, Poland), were randomly included into the study (age: 5-17 years, mean age: 11. Read More

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http://dx.doi.org/10.17219/acem/70811DOI Listing
November 2018
9 Reads

Laparoscopic Ileocolic Pexy as Preventive Treatment Alternative for Ileocolic Intussusception With Multiple Recurrences in Children.

Surg Laparosc Endosc Percutan Tech 2018 Oct;28(5):314-317

Department of Pediatric Surgery, Huai'an Women and Children's Hospital, Jiangsu, P.R. China.

Purpose: Idiopathic intussusception is one of the most common causes of small bowel obstruction in children. To decrease subsequent recurrence and to detect a lead point, an early laparoscopy was performed for children with multiple recurrent ileocolic intussusception.

Materials And Methods: Between January 2014 and July 2017, a total of 2561 consecutive children with intussusception were treated and followed. Read More

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http://dx.doi.org/10.1097/SLE.0000000000000564DOI Listing
October 2018
4 Reads

Management of Appendicitis Globally Based on Income of Countries (MAGIC) Study.

World J Surg 2018 Jul 13. Epub 2018 Jul 13.

Department of General Surgery, Maggiore Hospital, Parma, Italy.

Background: Our aim is to compare the management approaches and clinical outcomes of acute appendicitis according to annual Gross National Income per Capita (GNI/Capita) of countries.

Methods: Consecutive patients who were diagnosed to have acute appendicitis from 116 centers of 44 countries were prospectively studied over a 6-month period (April-September 2016). Studied variables included demography, Alvarado score, comorbidities, radiological and surgical management, histopathology, and clinical outcome. Read More

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http://dx.doi.org/10.1007/s00268-018-4736-1DOI Listing
July 2018
4 Reads

Spinal/epidural block as an alternative to general anesthesia for laparoscopic appendectomy: a prospective randomized clinical study.

Wideochir Inne Tech Maloinwazyjne 2018 Jun 16;13(2):148-156. Epub 2018 Jan 16.

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

Introduction: Laparoscopic appendectomy (LA) has been generally performed under general anesthesia. Laparoscopic appendectomy is rarely performed under regional anesthesia because of pneumoperitoneum-related problems.

Aim: To compare spinal/epidural anesthesia (SEA) and general anesthesia (GA) during LA with respect to perioperative and postoperative adverse events and postoperative pain. Read More

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http://dx.doi.org/10.5114/wiitm.2018.72684DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6041592PMC
June 2018
1 Read
1.092 Impact Factor

Laparoscopic Appendectomy: A Report on 1164 Operations at a Single-Institution, Safety-Net Hospital.

Am Surg 2018 Jun;84(6):1110-1116

Laparoscopic appendectomy (LA) is the standard of care for the treatment of acute appendicitis. There is an ongoing debate regarding the optimal management of appendicitis, which led us to study outcomes after an appendectomy at a large safety-net hospital. We hypothesize that despite a high-risk population, LA remains a safe and effective treatment for acute appendicitis. Read More

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A case of De Garengeot's hernia with acute appendicitis and literature review.

Int J Surg Case Rep 2018 23;49:55-57. Epub 2018 Jun 23.

Department of Surgery, Filiates General Hospital, Greece. Electronic address:

Background: De Garengeot hernia is defined as femoral hernia containing appendix. An acute appendicitis in a femoral hernia is a extremely unusual surgical finding and occurs in 0.08%-0. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.06.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6039706PMC
June 2018
4 Reads

Population-level outcomes of early versus delayed appendectomy for acute appendicitis using the American College of Surgeons National Surgical Quality Improvement Program.

J Surg Res 2018 Sep 3;229:234-242. Epub 2018 May 3.

Michael E. DeBakey Department of Surgery, Baylor College of Medicine, One Baylor Plaza MS390, Houston, Texas. Electronic address:

Background: The optimal timing of appendectomy for acute appendicitis has been analyzed with mixed results. We hypothesized that delayed appendectomy would be associated with increased 30-d morbidity and mortality.

Materials And Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried for all patients undergoing nonelective appendectomy from 2012 to 2015 with a postoperative diagnosis of appendicitis. Read More

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http://dx.doi.org/10.1016/j.jss.2018.04.011DOI Listing
September 2018
4 Reads

Conversion from laparoscopic to open appendectomy: decreased risk at dedicated children's hospitals.

Pediatr Surg Int 2018 Aug 20;34(8):873-877. Epub 2018 Jun 20.

Phoenix Children's Hospital, Phoenix, AZ, USA.

Purpose: The advent of laparoscopy has revolutionized surgical practice within the last 30 years. Conversion to open surgery, however, remains necessary at times, even for the most experienced laparoscopic surgeon.

Methods: The kids' inpatient database was analyzed for 2006, 2009, and 2012 for patients who underwent laparoscopic appendectomy and conversion to open (CPT 470. Read More

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http://dx.doi.org/10.1007/s00383-018-4297-2DOI Listing
August 2018
1 Read

Outcomes of appendectomy in elderly veteran patients.

Surgery 2018 09 18;164(3):460-465. Epub 2018 Jun 18.

University of Texas Southwestern Medical Center, Department of Surgery, Dallas, TX; VA North Texas Health Care System, Department of Surgery, Dallas, TX. Electronic address:

Background: Some studies indicate that noncomplicated acute appendicitis might be treated exclusively with antibiotics instead of an appendectomy. This study was undertaken to assess outcomes in elderly veterans and to determine if operative intervention would lead to substantial complications such that a nonoperative strategy should be investigated.

Methods: A retrospective, single-institution analysis was conducted of patients who underwent an appendectomy at the VA North Texas Health Care System over a period of 12 years (from July 2005 to June 2017). Read More

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http://dx.doi.org/10.1016/j.surg.2018.04.027DOI Listing
September 2018
3 Reads

A French hernia in Dubai: A case report.

Int J Surg Case Rep 2018 31;48:135-138. Epub 2018 May 31.

Rashid Hospital, Dubai, United Arab Emirates.

Introduction: De Garengeot hernia was first described in 1731. It is rare type of hernia and there is no established mode of treatment for it to date. This work has been reported in line with the SCARE criteria (Agha et al. Read More

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http://dx.doi.org/10.1016/j.ijscr.2018.05.018DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6038108PMC

Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience.

Heliyon 2018 May 24;4(5):e00635. Epub 2018 May 24.

Department of Gastroenterological Surgery, Tokyo Medical University, Ibaraki Medical Center, Japan.

Introduction: Laparoscopic appendectomy (LA) is now a treatment of choice in patients with appendicitis. This study compares the treatment outcomes of LA and open appendectomies (OA) in our department.

Patients And Methods: From January 2006 to April 2016 a total of 185 patients underwent appendectomy at our institution. Read More

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http://dx.doi.org/10.1016/j.heliyon.2018.e00635DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5986549PMC

Evaluation of transversus abdominis plane block in open appendectomy in paediatrics: Comparison of ropivacaine in two different concentrations.

Eur J Anaesthesiol 2018 07;35(7):547-548

From the Department of Anaesthesiology, Albert Sabin Children's Hospital, Fortaleza, Ceará, Brazil (WAPF, CRF, MLV, JMAG).

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http://dx.doi.org/10.1097/EJA.0000000000000802DOI Listing
July 2018
8 Reads

Partial Cecum Necrosis as a Rare Cause of Acute Abdominal Pain in an Elderly Patient.

J Coll Physicians Surg Pak 2018 Jun;28(6):S81-S83

Department of General Surgery, Medical Park Hospital, Istanbul, Turkey.

Partial necrosis of the cecum is a rare form of ischemic colitis with unknown etiology. A 68-year female patient was admitted due to a severe pain in the right lower quadrant of the abdomen for one week. One month ago, she had coronary artery bypass graft surgery with carotid endarterectomy. Read More

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http://dx.doi.org/10.29271/jcpsp.2018.06.S81DOI Listing
June 2018
2 Reads

Trends in the Use of Laparoscopic Versus Open Paediatric Appendicectomy: A Regional 12-Year Study and a National Survey.

World J Surg 2018 11;42(11):3792-3802

Department of Surgery, Adelaide and Meath Hospital, Tallaght, Dublin, Ireland.

Background: In adult patients, it is generally accepted that laparoscopic appendicectomy (LA) is the predominant operative pathway in treating acute appendicitis. The case for a similar pathway utilising LA in children is less clear. We investigate usage, trends and complications after LA in children in a single co-located adult/paediatric centre with contemporaneous adults as controls. Read More

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http://dx.doi.org/10.1007/s00268-018-4688-5DOI Listing
November 2018
1 Read

Stump appendicitis: a retrospective review of 3130 consecutive appendectomy cases.

World J Emerg Surg 2018 24;13:22. Epub 2018 May 24.

2Department of General Surgery, Sakarya University Research and Educational Hospital, Sakarya, Turkey.

Background: Stump appendicitis is inflammation of remnant appendix tissue due to incomplete removal of the appendix. Due to appendectomy history, stump appendicitis diagnosis is usually delay and that can cause increase morbidity.

Methods: Medical records of patients who had surgery for acute appendicitis at a single center from 2008 to 2017 were retrospectively reviewed. Read More

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http://dx.doi.org/10.1186/s13017-018-0182-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5968495PMC
December 2018
11 Reads