Robot-Assisted Pediatric Surgery: How Far Can We Go?
Conclusions Robot-assisted surgery appears to be safe and feasible for a number of pediatric surgical procedures. Further system improvement
and randomized studies are required to evaluate the benefits, if any, and the long-term outcomes of robotic surgery.
Content Type Journal ArticleDOI 10.1007/s00268-010-0431-6Authors
Aayed Alqahtani, King Saud University Division of Pediatric Surgery, College of Medicine P.O. Box 84147 Riyadh 11671 Saudi ArabiaAbdullrahman Albassam, King Saud University Division of Pediatric Surgery, College of Medicine P.O. Box 84147 Riyadh 11671 Saudi ArabiaMohammed Zamakhshary, King Saud bin Abdulaziz University for Health Sciences Division of Pediatric Surgery Riyadh Saudi ArabiaMohammed Shoukri, King Saud University Division of Pediatric Surge......
POSTED 02/03/2010 at 12:47 AM --
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If not appendicitis, then what else can it be? A retrospective review of 1492 appendectomies.
CONCLUSIONS. A more focused utilisation of preoperative imaging in females of reproductive age and patients at the extremes of age is suggested. Long-term follow-up should be offered to patients with granulomatous appendicitis and neoplastic appendiceal diseases.
PMID: 20124568 [PubMed - in process] (Source: Hong Kong Med J)...
POSTED 01/31/2010 at 06:00 PM --
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CT Scans Reduce Unneeded Appendectomies in Women
Title: CT Scans Reduce Unneeded Appendectomies in WomenCategory: Health NewsCreated: 1/28/2010 4:10:00 PMLast Editorial Review: 1/29/2010 (Source: MedicineNet Crohn's Disease General)...
POSTED 01/29/2010 at 01:00 AM --
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CT Scans Reduce Unneeded Appendectomies in Women
Title: CT Scans Reduce Unneeded Appendectomies in WomenCategory: Health NewsCreated: 1/28/2010 4:10:00 PMLast Editorial Review: 1/29/2010 (Source: MedicineNet Womens Health General)...
POSTED 01/29/2010 at 01:00 AM --
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Preop CT May Reduce Unnecessary Appendectomy (CME/CE)
The use of computed tomography to diagnose appendicitis may reduce the likelihood of removing healthy organs in women under 45, but not among other groups, a retrospective study showed. (Source: MedPage Today Radiology)...
POSTED 01/28/2010 at 08:13 AM --
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Single-incision laparoscopic appendectomy for acute appendicitis: a preliminary experience
Conclusion The SILA technique is safe and feasible for selected patients with noncomplicated acute appendicitis. Compared with other
transumbilical techniques of appendectomy, SILA has the advantages of feasibility without endoscopic skills and an acceptable
operative time. Technical refinements and accomplished learning probably will enable its wider use for more patients with
acute appendicitis.
Content Type Journal ArticleDOI 10.1007/s00464-009-0860-1Authors
Elie Chouillard, Centre Hospitalier Department of General and Minimally Invasive Surgery 10 rue du Champ Gaillard 78300 Poissy FranceArnaud Dache, Centre Hospitalier Department of General and Minimally Invasive Surgery 10 rue du Champ Gaillard 78300 Poissy FranceAdriana Torcivia, Centre Hospitalier Department ......
POSTED 01/28/2010 at 01:01 AM --
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Preoperative CT may reduce negative appendectomies in women
A 10-year review of more than 1,000 patients at a North Carolina hospital found (more) (Source: AuntMinnie.com Headlines)...
POSTED 01/28/2010 at 01:00 AM --
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Review Article: Granulomatous Diseases and Granulomas of the Appendix
Granulomatous appendicitis is a rare phenomenon. Idiopathic (primary) granulomatous appendicitis is very rare. It is a diagnosis by exclusion. There are many etiologies, both infectious and noninfectious, for secondary granulomatous appendicitis. Isolated appendiceal Crohn’s disease (CD) is no longer an accepted explanation of idiopathic granulomatous appendicitis, but rather, it is thought to be part of more generalized gastrointestinal CD. Yersinia infection and CD constitute the main etiology of granulomatous appendicitis in the West. Infectious causes, mainly tuberculosis and parasitic infestations, are the main culprits in tropical and subtropical countries. This variation is probably a result of differences in the geographical distribution of these diseases. Recently, interval ......
POSTED 01/27/2010 at 12:50 AM --
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Younger Women With Suspected Appendicitis Benefit From Preoperative CT
Preoperative computed tomography (CT) may help reduce unnecessary surgeries in women of reproductive age with suspected acute appendicitis, according to a new study appearing in the February issue of the journal Radiology. "We found that rising utilization of preoperative CT over the past decade, along with advances in CT technology, coincided with a significant decrease in negative appendectomies among women 45 years and younger," said Courtney A. Coursey, M.D... (Source: Health News from Medical News Today)...
POSTED 01/26/2010 at 07:00 AM --
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Preventing Unnecessary Appendectomies
Preoperative computed tomography (CT) may help reduce unnecessary surgeries in women of reproductive age with suspected acute appendicitis. (Source: Medical Headlines From Ivanhoe.com)...
POSTED 01/25/2010 at 11:00 PM --
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Laparoscopic appendectomy in paediatric patients
(Source: Surgical Practice)...
POSTED 01/25/2010 at 06:00 PM --
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Imaging May Reduce Negative Appendectomy Rate in Women
The use of preoperative computed tomography in women under the age of 46 years with suspected acute
appendicitis was associated with a lower rate of negative appendectomy, according to research published in the
February issue of Radiology. (Source: Modern Medicine)...
POSTED 01/25/2010 at 06:00 PM --
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Characteristics of Perforated Appendicitis in a Rural Population: True Time to Perforation
Conclusion: There appears to be a baseline risk of perforation in all patients with acute appendicitis even when the presentation is early in the disease process. This risk appears to be highest in patients older than 55 years of age with almost 70% of patients noted to have perforated appendicitis at 36hours to 48hours after onset. (Source: Journal of Surgical Research)...
POSTED 01/25/2010 at 10:42 AM --
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Assessment of Emergency and Essential Surgical Providers at the District Hospital in Ghana
Conclusions: The present study demonstrates that there is a significant gap in education and training as well as an unmet need of human resources to provide surgical care in Ghana. These findings are likely to apply for other countries in Africa as well. Solutions include the development of formal short-term surgical training for MOs as well as exploring the training and utilization of physician extenders to support MOs when inadequate numbers are present. These data contribute to increasing evidence that the improvement of basic surgical and obstetrical services at the district hospital level must be the focus of future global health efforts. These data also underscore that importance of emergency and essential surgical care at the first referral facility as a necessary component of prima......
POSTED 01/25/2010 at 10:42 AM --
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Are CT Scans Over-Utilized for the Diagnosis of Appendicitis?
Introduction: Acute appendicitis a challenging diagnosis to make for surgeons and emergency medicine physicians alike. It is by far the most common non-traumatic surgical emergency coming through the emergency departments. Over the years, CT scan has become an important adjunct diagnostic tool. Unfortunately, over utilization of CT scanning has been questioned since it increases time patients spend in the emergency department, subject patients to additional radiation, and increases healthcare costs. The purpose of this study is to determine the utility of CT scans for accurate diagnosis of acute appendicitis in children. Methods: Medical records for 961 consecutive patients aged 0 to 21 years who underwent appendectomy for appendicitis at a tertiary care children's hospital in Buffalo, NY ......
POSTED 01/25/2010 at 10:41 AM --
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Acute Care Surgery Performed by Sleep Deprived Residents: Are Outcomes Affected?
Background: The Institute of Medicine recently recommended further reductions in resident duty hours, including a 5-hour rest time for on call residents after 16hours of work, as a way of providing better protection for patients against fatigue-related errors. Yet no data is available regarding outcomes of operations performed by surgical trainees working beyond 16hours in the current 80-hour workweek era. Methods: A retrospective review of all laparoscopic cholecystectomies (LC) and appendectomies performed by surgery residents at a public teaching hospital from July 2003 through March 2009. Operations after 10 PM were performed by residents who began their shift at 6 AM and had thus been working 16hours. A comparison was performed with operations performed between 6 AM and 10 PM (Daytime......
POSTED 01/25/2010 at 10:41 AM --
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Factors Affecting Morbidity/Mortality of Emergency General Surgery
This study aims to determine the predictive factors for postoperative complications of EGS. Methods: A retrospective study of all randomly selected Brigham and Women's Hospital (BWH) American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) patients who had an EGS procedure from January 1, 2007 to December 31, 2008 were selected for this study. BWH IRB approved this study. The study applied the inclusion and exclusion criteria as defined by ACS NSQIP using select preoperative and all postoperative data variables. Additional non-ACS NSQIP data points were added and analyzed as possible predictors of poor outcomes. These included blood glucose levels closest to the time of surgical incision, length of time from ED arrival to incision, total volume of intravenous......
POSTED 01/25/2010 at 10:40 AM --
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Laparoscopic Versus Open Appendectomy in Complicated Appendicitis. A Review of the NSQIP Database
Introduction: Laparoscopic appendectomy (LA) has been an established treatment method for uncomplicated acute appendicitis for twenty years. Controversy still exists regarding the superiority of either technique for the treatment of complicated appendicitis. Objective: To examine and elucidate any benefits in post operative morbidity and mortality when comparing laparoscopic versus open appendectomy for complicated appendicitis. Method and Design of Study: A retrospective analysis was performed using the American College of Surgeon's National Surgical Quality Improvement Project (ACS-NSQIP) dataset between 2005 and 2007. Inclusion criteria were patients undergoing either open (CPT 44950) or laparoscopic (CPT 44970) appendectomy, and had complicated appendicitis (ICD9 Diagnosis Codes 540.0 ......
POSTED 01/25/2010 at 10:39 AM --
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Radiology: Multidetector CT scans reduce unnecessary appendectomies in women
Rising utilization rates of preoperative CT over the past 10 years, as well as advances in CT technology, corresponded to the decrease in the negative appendectomy rate for women 45 years of age and younger, based on the results of a recent retrospective study published in the February edition of Radiology. (Source: Health Imaging News)...
POSTED 01/25/2010 at 09:20 AM --
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Radiology: Multidetector CT scans reduce unnecessary appendectomies in women
Rising utilization rates of preoperative CT over the past 10 years, as well as advances in CT technology, corresponded to the decrease in the negative appendectomy rate for women 45 years of age and younger, based on the results of a recent retrospective study published in the February edition of Radiology. (Source: Health Imaging News)...
POSTED 01/25/2010 at 09:20 AM --
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