Appendectomy Procedures News

All Recent Appendectomy Procedures News

Post-appendectomy visits to the emergency department within the global period: a target for cost containment
Conclusions: ED visits during the postoperative global period are avoidable by identifying patients who may need additional care; improving patient education, optimizing pain control, and improving patient office access. (Source: American Journal of Surgery)... MORE...
POSTED 08/28/2010 at 03:02 AM --


The use of laparoscopic surgery in pregnancy: evaluation of safety and efficacy
Conclusion: Laparoscopic appendectomy and cholecystectomy appear to be as safe as the respective open procedures in pregnant patients; however, this population in particular remains at risk for perinatal complications regardless of the method of abdominal access. (Source: American Journal of Surgery)... MORE...
POSTED 08/28/2010 at 03:02 AM --


Gangrenous intrathoracic appendicitis, a rare cause of right-sided chest pain: Report of a case
Abstract  Diaphragmatic hernias are becoming increasingly common due to radiofrequency ablation of malignant liver tumors. Most patients eventually present with symptoms caused by bowel obstruction. A 54-year-old woman with pleuritic pain and fever had a right-sided enterothorax probably caused by hemihepatectomy several years before. The patient was diagnosed with perforated gangrenous intrathoracic appendicitis during an emergency laparotomy for suspected incarceration of her diaphragmatic hernia. She was treated with an appendectomy and suturing of her right hemidiaphragm. An acquired diaphragmatic hernia should therefore be surgically repaired as soon as it is diagnosed in order to avoid complications. Content Type Journal ArticleDOI 10.1007/s00595-009-4172-9Authors...... MORE...
POSTED 08/26/2010 at 03:05 AM --


Suprapubic single-incision laparoscopic appendectomy: a nonvisible-scar surgical option
Conclusion  Suprapubic SILS appendectomy offers better, cosmetically appealing results than the standard umbilical access. In case of retrocecal or purulent or gangrenous acute appendicitis, the view provided via the suprapubic approach makes access to and dissection of the appendix easy, and it also enables exteriorization of a drain without adding new lateral incisions. Content Type Journal ArticleDOI 10.1007/s00464-010-1307-4Authors Óscar Vidal, General Surgery and Emergency Unit, Department of General and Digestive Surgery, Digestive Diseases and Metabolism Institute, Hospital Clínic i Provincial, Universitat de Barcelona, Villarroel 170, 9th stair, 4th floor, 08036 Barcelona, SpainCesar Ginestà, General Surgery and Emergency Unit, Department of General and Di...... MORE...
POSTED 08/25/2010 at 01:10 AM --


Laparoendoscopic Single-Site Surgery for Treatment of Concomitant Ovarian Cystectomy and Cholecystectomy
Abstract: Since the first laparoscopic appendectomy was performed by Semm in 1983, laparoscopic surgery has become the criterion standard surgical route for treatment of several pathologic conditions across disciplines. Attempts to minimize access-related injuries and complications resulted in development of laparoendoscopic single-site surgery (LESS), which, because of the decreased number of ports used, may be the next generation of minimally invasive surgery. Laparoscopic single-site surgery has been reported in nephrectomy, pyeloplasty, radical prostatectomy, cholecystectomy, and colorectal, bariatric, and gynecologic surgery. This technique may increase the benefits of traditional minimally invasive surgery such as decreased blood loss and postoperative pain, faster recovery time, few...... MORE...
POSTED 08/24/2010 at 02:12 AM --


Clinical experience with a multifunctional, flexible surgery system for endolumenal, single-port, and NOTES procedures
Conclusion  Availability of a multifunctional, flexible surgery platform provides a choice of a single-port or incisionless surgical approach with the potential to reduce complications, pain, and recovery time while improving cosmesis. Content Type Journal ArticleDOI 10.1007/s00464-010-1225-5Authors Santiago Horgan, Department of Surgery, University of California, San Diego, 200 West Arbor Drive, 8402 San Diego, CA USAKari Thompson, Department of Surgery, University of California, San Diego, 200 West Arbor Drive, 8402 San Diego, CA USAMark Talamini, Department of Surgery, University of California, San Diego, 200 West Arbor Drive, 8402 San Diego, CA USAAlberto Ferreres, Department of General Surgery, Hospital Bocalandro, University of Buenos Aires, Buenos Aires, Argent...... MORE...
POSTED 08/24/2010 at 01:01 AM --


Laparoscopic Versus Open Appendectomy: An Analysis of Outcomes in 17,199 Patients Using ACS/NSQIP
Conclusions  Using the ACS/NSQIP PUF file, we demonstrate that laparoscopic appendectomy has better outcomes than open appendectomy for the treatment of appendicitis. While the operative treatment of appendicitis is surgeon specific, this study lends support to the laparoscopic approach for patients requiring appendectomy. Content Type Journal ArticleDOI 10.1007/s11605-010-1300-1Authors Andrew J. Page, Emory Endosurgery Unit, Division of General and Gastrointestinal Surgery, 1364 Clifton Rd NE, Suite H-124, Atlanta, GA 30322, USAJonathan D. Pollock, Emory Endosurgery Unit, Division of General and Gastrointestinal Surgery, 1364 Clifton Rd NE, Suite H-124, Atlanta, GA 30322, USASebastian Perez, Emory Endosurgery Unit, Division of General and Gastrointestinal Surgery, 1...... MORE...
POSTED 08/19/2010 at 01:43 AM --


REGULAR ARTICLE: Single‐port appendectomy in obese children: an optimal alternative?
Abstract (Source: Acta Paediatrica)... MORE...
POSTED 08/18/2010 at 02:17 AM --


[Pylephlebitis in the child: A challenging diagnosis.]
We report on 2 cases of pylephlebitis in a 12-year-old girl and a 13-year-old boy, following undiagnosed appendicitis. In the 1st case, the young girl had been misdiagnosed with Salmonella infection and was given antibiotics; in the 2nd case, the boy had retrocecal appendicitis that was clinically subacute. An accurate diagnosis was finally made in both cases by CT scan. Both children evolved satisfactorily following appendectomy, long-term antibiotics, and anticoagulation. Clinically, the severe sepsis associated with pylephlebitis is at the forefront. Physical examination is often normal and therefore of little help; the knowledge of a preceding abdominal infection leads to further radiological investigations. Biologically, there are pronounced signs of infection. CT is the preferred exa...... MORE...
POSTED 08/15/2010 at 06:00 PM --


Effectiveness of a Surgical Glove Port for Single Port Surgery
Conclusions  This surgical-glove port is easy to install and is made from conventional, commonly used surgical equipment, making it unnecessary to purchase any expensive new devices. This surgical-glove port technique is a promising method to introduce SPS, because developing or purchasing new devices is unnecessary. Our experience demonstrates the efficacy, appropriateness, and cost-effectiveness of this simple port technique. Content Type Journal ArticleDOI 10.1007/s00268-010-0649-3Authors Michihiro Hayashi, Department of General and Gastroenterological Surgery, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki, Osaka, 569-8686 JapanMitsuhiro Asakuma, Department of General and Gastroenterological Surgery, Osaka Medical College, 2-7 Daigaku-cho, Takatsuki, Osaka, 5...... MORE...
POSTED 08/12/2010 at 01:00 AM --


Is It Really Appendicitis?
In today's "18 and Under" column, pediatrician Dr. Perri Klass explores the murky world of appendicitis. (Source: NYT Health)... MORE...
POSTED 08/09/2010 at 06:01 PM --


Is It Really Appendicitis?
In today's "18 and Under" column, pediatrician Dr. Perri Klass explores the murky world of appendicitis. (Source: NYT)... MORE...
POSTED 08/09/2010 at 06:01 PM --


Appendicular tuberculosis: review of 155 published cases and a report of two cases
Conclusions  Tuberculosis is a systemic disease with localized manifestations; therefore, anti-TB therapy must be initiated in any patient whose pathologic specimen reveals tuberculosis. Content Type Journal ArticleCategory CASE REPORTDOI 10.1007/s00068-010-0040-yAuthors S. Akbulut, Diyarbakir Education and Research Hospital Department of Surgery Diyarbakir 21400 TurkeyY. Yagmur, Diyarbakir Education and Research Hospital Department of Surgery Diyarbakir 21400 TurkeyS. Bakir, Diyarbakir Education and Research Hospital Department of Pathology Diyarbakir 21400 TurkeyN. Sogutcu, Diyarbakir Education and Research Hospital Department of Pathology Diyarbakir 21400 TurkeyD. Yilmaz, Diyarbakir Education and Research Hospital Department of Surgery Diyarbakir 21400 TurkeyA. Sen...... MORE...
POSTED 07/26/2010 at 05:07 PM --


2 Common Surgeries Unlikely To Be Affected By Guidance For Medical Training Requirements
As the Accreditation Council for Graduate Medical Education seeks to improve patient care by further limiting the hours worked by medical residents, the Journal of Surgical Research will published a new study online on Monday reporting that outcomes in two common surgeries - appendectomy and laparoscopic cholecystectomy - were similar among residents who had worked less than 16 hours and those who had worked more than 16 hours... (Source: Health News from Medical News Today)... MORE...
POSTED 07/26/2010 at 03:00 AM --


Negative appendectomy experience in children
Conclusion  Despite new techniques, 100% correct diagnosis of AP is still a challenging problem. Furthermore, appendicitis is a deadly disease if not treated properly. Therefore, it is best to perform exploration without undue delay in cases with suspicious AP. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s11845-010-0526-yAuthors R. Karabulut, Gazi University Medical Faculty Department of Pediatric Surgery Gezegen Sokak 1/10, Gaziosmanpaşa, Çankaya 06670 Ankara TurkeyK. Sonmez, Gazi University Medical Faculty Department of Pediatric Surgery Gezegen Sokak 1/10, Gaziosmanpaşa, Çankaya 06670 Ankara TurkeyZ. Turkyilmaz, Gazi University Medical Faculty Department of Pediatric Surgery Gezegen Sokak 1/10, Gaziosmanpaşa, Çankaya 06670 Ankara TurkeyB...... MORE...
POSTED 07/24/2010 at 03:06 PM --


Negative Appendectomy Rate in the Era of CT: An 18-year Perspective [Gastrointestinal Imaging]
We observed a significant reduction in both the negative appendectomy rate and number of appendectomies performed in emergency department patients, which was associated with a significant increase in the rate of preoperative CT in patients undergoing appendectomy during an 18-year period. (Source: Radiology)... MORE...
POSTED 07/23/2010 at 10:11 AM --


Comparison of 30-day outcomes after emergency general surgery procedures: Potential for targeted improvement
Conclusion: Emergency general surgery procedures, particularly colorectal resections, were associated with substantial 30-day overall morbidity and serious morbidity/mortality. Most hospitals did not have consistent risk-adjusted outcomes across all 3 procedures, but for a substantive minority of institutions (7–10%), good or bad performance was generalizable across procedures. Individual hospitals should examine their procedure-specific outcomes after emergency general surgery operations to focus quality improvement initiatives appropriately. (Source: Surgery)... MORE...
POSTED 07/15/2010 at 02:49 AM --


Assessment of capacity for surgery, obstetrics and anaesthesia in 17 Ghanaian hospitals using a WHO assessment tool
Conclusions The greatest barrier to improving surgical care at district hospitals in Ghana is the shortage of adequately trained medical personnel for emergency and essential surgical procedures. Important future steps include strengthening their number and qualifications. (Source: Tropical Medicine and International Health)... MORE...
POSTED 07/13/2010 at 06:00 PM --


Appendicectomy and multiple sclerosis risk
Conclusion: Although inconclusive in terms of assessing the hypothesis, these results may help to explain why earlier studies of appendicitis and MS risk have been inconsistent, as there may be variation in association by diagnosis underlying appendicectomy. (Source: European Journal of Neurology)... MORE...
POSTED 07/11/2010 at 06:00 PM --


The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review
Conclusion  The potential benefits of SILS include superior cosmesis and possibly shorter operative time, lower costs, and a shortened time to full physical recovery. Careful case selection and a low threshold of conversion to conventional laparoscopic surgery are essential. Multicenter, randomized, prospective studies are needed to compare short- and long-term outcome measures against those of conventional laparoscopic surgery. Content Type Journal ArticleCategory ReviewDOI 10.1007/s00464-010-1208-6Authors Kamran Ahmed, Imperial College London Department of Biosurgery and Surgical Technology 10th Floor, QEQM Building, St Mary’s Hospital Campus, Praed Street London W2 1NY UKTim T. Wang, Imperial College London Department of Biosurgery and Surgical Technology 10th ...... MORE...
POSTED 07/10/2010 at 02:02 AM --


 

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