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Sandeep Indika Wijegoonewardene, Joel Stein, David Cooke, Alan Tien
The authors present a case of a 30-year-old female who presented with symptoms and signs suggestive of appendicitis accompanied by elevated inflammatory markers. The patient was consented and taken to theatre for laparoscopic apendicectomy. At operation, the appendix was found to be normal but with surrounding turbid fluid in the right paracolic gutter and subhepatic space. On further inspection, a perforated pre pyloric ulcer was discovered. This was managed laparoscopically with a peritoneal lavage and falciform ligament patch repair...
June 28, 2012: BMJ Case Reports
C Fortea-Sanchis, D Martínez-Ramos, J Escrig-Sos, J M Daroca-José, G A Paiva-Coronel, R Queralt-Martín, R García-Calvo, M I Rivadulla-Serrano, J L Salvador-Sanchis
BACKGROUND: There is no international consensus on the approach of choice for performing appendectomy. AIMS: To analyze and compare open and laparoscopic approaches in the surgical treatment of acute appendicitis. MATERIAL AND METHODS: A retrospective study was carried out on patients over 14-years-old operated on for suspected acute appendicitis between January 2007 and December 2009. Variables were: age, sex, body mass index, specialized surgeon or resident in training, progression duration, conversion rate, use of drains, abdominal cavity irrigation, macroscopic appearance of the appendix, onset time of anesthesia, ASA classification, postoperative hospital stay, resumption of intake of liquids, and complications...
April 2012: Revista de Gastroenterología de México
G Stătescu
Acute peritonitis not treated within the first 24-48 hours leads to complications that have to be solved by the surgeon. These complications represent MOF and the prognosis of the case is reserved. Our case has the following features: young female of 29 years of age admitted into the hospital in the gynaecologic department as she was in pain in the hypogastric area with suspicion of diagnosis by bilateral metroanexite. She had her coil devise removed three weeks before. After wards she followed the prescribed treatment with powerful antibiotics...
January 2003: Revista Medico-chirurgicală̆ a Societă̆ţ̜ii de Medici ş̧i Naturaliş̧ti Din Iaş̧i
J Ríos, C Murillo, G Carrasco, C Humet
OBJECTIVE: To determine the costs, with the help of direct case to case measurement, of the surgical site infection in apendicectomy and colectomy. METHODS: HASH(0x55f1438) DESIGN: cases and controls study, population-based, in which the cases were all the patients diagnosed of surgical site infection after apendicectomy or colectomy in SCIAS- Hospital de Barcelona, and the controls were a random sample of noninfected patients that presented common characteristics for matching purposes...
May 2003: Gaceta Sanitaria
Edgar Marcial Rivera Díaz
STATE OF THE PROBLEM: To establish the advantages and disadvantages of open appendicectomy versus laparoscopic appendicectomy in the surgical treatment of acute appendicitis in the National Hospital Carlos Alberto Seguin Escobedo. OBJECTIVES/AIMS: Comparative evaluation of open appendicectomy versus laparoscopic appendicectomy in their grouped in: a) Characters/Features.- Age, sex, occupation, time of disease, symptoms and signs, laboratory investigations, pre and post operative diagnoses, pre and post operative antibiotic therapy and time of anesthesia, b) Impact of surgical techniques in: preoperative time, operative time, operative accidents, stay in hospital and postoperative complications, and c) Evaluation of the benefits through comparative costs of both techniques...
October 2002: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
J Cueto García, J Ribé Bello, L A Giorgiana, C Cervantes Llaca
A retrospective analysis of the case histories of 238 patients who were hospitalized with acute appendicitis in the Clinical Hospital 60 of the Instituto Mexicano del Seguro Social from 1970 to 1971 revealed the following: 36% of the patients were operated in the earliest stage of acute appendicitis, 21.8% presented with perforated appendix and 32.6% with local and systemic septic complications. The group with perforated appendix presented most frequently with high levels of leucocytes and abscesses in incisions...
September 1977: Revista de Gastroenterología de México
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