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appendiceal abscess

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https://www.readbyqxmd.com/read/27794471/prolonged-operative-time-in-laparoscopic-appendectomy-predictive-factors-and-outcomes
#1
Byeong Geon Jeon, Hyuk Jung Kim, Kuk Hyun Jung, Sang Wook Kim, Jin Soo Park, Ki Ho Kim, Il Dong Kim, Sang-Jeon Lee
INTRODUCTION: To our knowledge, this study is the first to identify the predictive factors and outcomes of prolonged operative time associated with laparoscopic appendectomy. We aimed to identify preoperative factors that influence operation time and to determine how operative time affects laparoscopic appendectomy outcomes. METHODS: The medical records of 3049 patients who had undergone laparoscopic appendectomy between January 2008 and December 2014 were retrospectively reviewed...
October 26, 2016: International Journal of Surgery
https://www.readbyqxmd.com/read/27756361/therapeutic-effectiveness-of-percutaneous-drainage-and-factors-for-performing-an-interval-appendectomy-in-pediatric-appendiceal-abscess
#2
Chih-Cheng Luo, Kuang-Fu Cheng, Chen-Sheng Huang, Hung-Chieh Lo, Sheng-Mao Wu, Hung-Chang Huang, Wen-Kuei Chien, Ray-Jade Chen
BACKGROUND: In this study, we studied the therapeutic effectiveness of percutaneous drainage with antibiotics and the need for an interval appendectomy for treating appendiceal abscess in children with a research-oriented dataset released by the Bureau of National Health Insurance in Taiwan through the Collaboration Center for Health Information Application (CCHIA). METHODS: We identified 1225 patients under 18 years of age who had non-surgical treatment for an appendiceal abscess between 2007 and 2012 in a Taiwan CCHIA dataset...
October 18, 2016: BMC Surgery
https://www.readbyqxmd.com/read/27662216/acute-appendiceal-abscess-and-atraumatic-splenic-rupture-a-case-of-dual-pathology
#3
Piriyankan Ananthavarathan, Kamlesh Patel, Catherine Doran, Nigel Suggett
INTRODUCTION: Atraumatic splenic rupture is a rare surgical emergency that is often attributed to neoplastic or infectious causes. Rarely, it has been identified to also occur in the setting of an acute severe sepsis and in cases of pelvic or splenic abscess formation post-appendicectomy. However, to our knowledge, the co-presentation of acute appendiceal abscess and splenic rupture has not been previously described. PRESENTATION OF CASE: We present the case of a 67-year old male with decompensating haemorrhagic shock secondary to atraumatic splenic rupture on a background of an inadequately treated complicated appendicitis originally managed as diverticulitis with antibiotics in the community...
April 13, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27493473/safety-and-efficacy-of-polymeric-clips-for-appendiceal-stump-closure
#4
Caroline E Reinke, Lawrence E Tabone, Philip Fong, Jin S Yoo, Chan W Park
BACKGROUND AND OBJECTIVES: Laparoscopic appendectomy remains one of the most common emergency general surgical procedures in the United States. In an era of increasing focus on costs in medical care, we sought to evaluate the use of polymeric clips to secure the appendiceal base during laparoscopic appendectomy. METHODS: We performed a prospective cohort study of patients undergoing laparoscopic appendectomy from April 2013 through September 2014 at a single academic teaching institution...
July 2016: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/27491442/two-trocar-appendectomy-in-children-description-of-technique-and-comparison-with-conventional-laparoscopic-appendectomy
#5
Martin Salö, Emil Järbur, Mette Hambraeus, Bodil Ohlsson, Pernilla Stenström, Einar Arnbjörnsson
BACKGROUND: The aim of the study was to describe the technique of two-trocar laparoscopic appendectomy and compare the outcome between two- and three-trocar techniques in children. METHODS: All children who underwent laparoscopic surgery for suspected appendicitis from 2006 to 2014 in a center for pediatric surgery were included in the study. Converted surgeries and patients with appendiceal abscess or concomitant intestinal obstruction were excluded. A total of 259 children underwent appendectomy with either two (35 %) or three (65 %) laparoscopic trocars according to the surgeons' preference and intraoperative judgment...
August 4, 2016: BMC Surgery
https://www.readbyqxmd.com/read/27311320/acute-appendicitis-with-a-neuroendocrine-tumor-g1-carcinoid-pitfalls-of-conservative-treatment
#6
Hiroyuki A Watanabe, Taketoshi Fujimoto, Yo Kato, Mayumi Sasaki, Toshikazu Ikusue
A man in his early thirties presented to our clinic with right lower abdominal pain. Computed tomography (CT) and ultrasonography (US) revealed a swollen appendix and an appendicolith. Abscess formation was not observed but ongoing appendiceal rupture was not ruled out. Three months after successful conservative therapy, the lumen of the apical portion was kept dilated and laparoscopic interval appendectomy was performed. No tumorous findings were observed macroscopically. However, histology revealed many tiny nests infiltrating the submucosa, muscular layer, and subserosa at the root of the appendix...
August 2016: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/27294658/appendiceal-stump-closure-using-polymeric-clips-reduces-intra-abdominal-abscesses
#7
Christopher Soll, Paloma Wyss, Hans Gelpke, Dimitri Aristotle Raptis, Stefan Breitenstein
PURPOSE: Polymeric clips (hem-o-lok ligation system) are a novel alternative for securing the base of the appendix during laparoscopic appendectomy. There is a lack of systematic evaluation of polymeric clips to close the appendiceal stump with regard to postoperative intra-abdominal abscesses. The aim of this study was to compare the hem-o-lok ligation system with conventional devices. METHODS: The outcome of 813 consecutive patients, operated between 2009 and 2013 receiving laparoscopic appendectomy either with hem-o-look or endoloop for acute appendicitis, was analysed...
August 2016: Langenbeck's Archives of Surgery
https://www.readbyqxmd.com/read/27261953/streptococcus-constellatus-tubo-ovarian-abscess-in-a-non-sexually-active-adolescent-female
#8
David Mills, Bazak Sharon, Kari Schneider
Tubo-ovarian abscess (TOA) in non-sexually active female adolescents is a rare presentation to the pediatric emergency department. In the following case, bilateral TOA secondary to Streptococcus constellatus was diagnosed in a 13-year-old virginal female. The patient was seen 4 months before presentation for interventional radiology-guided drainage and antibiotic treatment for an intra-abdominal abscess due to suspected appendiceal rupture. Exploratory laparotomy on the most recent presentation demonstrated an appendix with inflammation and serositis on pathology report, a concern for chronic appendicitis with microperforation and subsequent bacterial translocation of the bilateral ovaries...
June 2, 2016: Pediatric Emergency Care
https://www.readbyqxmd.com/read/27194260/comparison-of-clinical-outcome-of-laparoscopic-versus-open-appendectomy-for-complicated-appendicitis
#9
P Horvath, J Lange, R Bachmann, F Struller, A Königsrainer, M Zdichavsky
BACKGROUND: Laparoscopic appendectomy is now the treatment of choice in uncomplicated appendicitis. To date its importance in the treatment of complicated appendicitis is not clearly defined. METHODS: From January 2005 to June 2013 a total of 1762 patients underwent appendectomy for the suspected diagnosis of appendicitis at our institution. Of these patients 1516 suffered from complicated appendicitis and were enrolled. In total 926 (61 %) underwent open appendectomy (OA) and 590 (39 %) underwent laparoscopic appendectomy (LA)...
May 18, 2016: Surgical Endoscopy
https://www.readbyqxmd.com/read/26958796/antibiotics-for-appendicitis-not-so-fast
#10
Mazhar Khalil, Peter Rhee, Tahereh Orouji Jokar, Narong Kulvatunyou, Terence O'Keeffe, Andrew Tang, Ahmed Hassan, Lynn Gries, Rifat Latifi, Bellal Joseph
BACKGROUND: Emerging literature in acute appendicitis favors the nonoperative management of acute appendicitis. However, the actual use of this practice on a national level is not assessed. The aim of this study was to assess the changing trends in nonoperative management of acute appendicitis and its effects on patient outcomes. METHODS: We did an 8-year (2004-2011) retrospective analysis of the National Inpatient Sample database. We included all inpatients with the diagnosis of acute appendicitis...
June 2016: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/26802841/a-systematic-review-of-perforated-appendicitis-and-phlegmon-interval-appendectomy-or-wait-and-see
#11
REVIEW
Ghaleb Darwazeh, Steven C Cunningham, Gopal C Kowdley
Patients with appendiceal abscess or phlegmon have been traditionally managed with antibiotics and radiologically guided drainage of the abscess. Many studies have questioned the need for interval appendectomy. A systematic review of the nonsurgical treatment of patients with an appendiceal abscess or phlegmon was undertaken. The rate of recurrence after nonsurgical management, morbidity and length of hospital stay was measured. PubMed and Cochrane databases were queried to identify 21 studies reporting the morbidity of nonsurgical treatment of appendiceal phlegmon or abscess, and five studies reporting the morbidity of performing interval appendectomy...
January 2016: American Surgeon
https://www.readbyqxmd.com/read/26719159/ct-differentiation-between-tubo-ovarian-and-appendiceal-origin-of-right-lower-quadrant-abscess-ct-clinical-and-laboratory-correlation
#12
Nurith Hiller, Tal Fux, Anna Finkelstein, Haggi Mezeh, Natalia Simanovsky
To investigate which clinical, laboratory, and CT findings potentially facilitate the differential diagnosis between tubo-ovarian abscess (TOA) and periappendicular abscess (PAA), we retrospectively reviewed abdominal CT examinations and medical records for all women who presented to our medical center with unilateral right pelvic abscess formation who underwent CT evaluation from 2004-2014. A wide spectrum of clinical data and imaging findings were recorded. CT diagnoses were made in consensus by two experienced body radiologists blinded to the final diagnosis...
April 2016: Emergency Radiology
https://www.readbyqxmd.com/read/26702750/experiences-with-less-appendectomy-in-children
#13
COMPARATIVE STUDY
Mohammad Reza Vahdad, Matthias Nissen, Alexander Semaan, Tobias Klein, Emanuel Palade, Thomas Boemers, Hamid Reza Foroutan, Ralf-Bodo Troebs, Grigore Cernaianu
PURPOSE: To evaluate the outcome of laparoendoscopic single-site (LESS-A) through one transumbilical port vs. 3-port laparoscopic (3TA) appendectomy in children. METHODS: We reviewed the records of 309 children (65 LESS-A, 244 3TA) operated on between 2008 and 2012. One hundered forty-nine patients had acute catarrhalis (CA), 133 phlegmonous (PLA), and 27 perforated appendicitis (PA). We compared the duration of operation (DO) the incidence of abdominal abscesses (AA) and wound infections (WI), as well as the degree of appendiceal inflammation (DI) among surgeons with and without board certification...
January 2016: Archives of Iranian Medicine
https://www.readbyqxmd.com/read/26653832/trends-in-use-of-percutaneous-versus-open-surgical-drainage-of-abdominal-abscesses
#14
COMPARATIVE STUDY
David C Levin, David Eschelman, Laurence Parker, Vijay M Rao
PURPOSE: To compare recent trends in the use of percutaneous and surgical approaches to treating abdominal abscesses in a large population. METHODS: The nationwide Medicare Physician/Supplier Procedure Summary Master Files for 2001 through 2013 were searched. Current Procedural Terminology-4 codes were selected for the four types of abdominal abscesses that had distinct codes for both open surgical and percutaneous drainage-appendiceal, peritoneal, subphrenic, and liver...
December 2015: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/26576398/predictive-factors-to-distinguish-between-patients-with-noncomplicated-appendicitis-and-those-with-complicated-appendicitis
#15
Tae Hyung Kim, Byung Sun Cho, Jae Hag Jung, Moon Soo Lee, Je Ho Jang, Chang Nam Kim
PURPOSE: Recently, randomized controlled trials have reported that conservative therapy can be a treatment option in patients with noncomplicated appendicitis. However, preoperative diagnosis of noncomplicated appendicitis is difficult. In this study, we determined predictive factors to distinguish patients with noncomplicated appendicitis from those with complicated appendicitis. METHODS: A total of 351 patients who underwent surgical treatment for acute appendicitis from January 2011 to December 2012 were included in this study...
October 2015: Annals of Coloproctology
https://www.readbyqxmd.com/read/26564615/extraperitoneal-ascending-appendicitis-usefulness-of-the-split-interfascial-plane-sign-on-mdct
#16
Y M Ku, S L Lee, Y Kim, Y Won
PURPOSE: To retrospectively evaluate the multidetector computed tomography (MDCT) findings of extraperitoneal ascending appendicitis. MATERIALS AND METHODS: The MDCT examinations of 10 patients with extraperitoneal ascending appendicitis confirmed by laparoscopic surgery were retrospectively analyzed. Preoperative MDCT examinations were obtained after intravenous administration of iodinated contrast material in all patients. Transverse and coronal reformatted MDCT images were reviewed in consensus by two radiologists...
June 2016: Diagnostic and Interventional Imaging
https://www.readbyqxmd.com/read/26501716/reply-to-letter-laparoscopic-surgery-or-conservative-treatment-for-appendiceal-abscess-in-adults
#17
Panu Mentula, Henna Sammalkorpi, Ari Leppäniemi
No abstract text is available yet for this article.
October 22, 2015: Annals of Surgery
https://www.readbyqxmd.com/read/26501710/letter-to-the-editor-laparoscopic-surgery-or-conservative-treatment-for-appendiceal-abscess-in-adults
#18
Dieter G Weber, Salomone Di Saverio
No abstract text is available yet for this article.
October 22, 2015: Annals of Surgery
https://www.readbyqxmd.com/read/26491433/transumbilical-laparoscopic-assisted-appendectomy-in-the-treatment-of-acute-uncomplicated-appendicitis-in-children
#19
Carmine Noviello, Mercedes Romano, Ascanio Martino, Giovanni Cobellis
Transumbilical laparoscopic-assisted appendectomy (TULAA) is increasingly being performed worldwide. The authors report their experience in the treatment of acute uncomplicated appendicitis in children with TULAA. From January 2008 to December 2012 all types of acute appendicitis were divided, according to the clinical and ultrasonographic findings, into complicated (appendiceal mass/abscess, diffuse peritonitis) and uncomplicated. Complicated appendicitis was treated by open appendectomy (OA). All patients with the suspicion of uncomplicated appendicitis were offered TULAA by all surgeons of the team...
2015: Gastroenterology Research and Practice
https://www.readbyqxmd.com/read/26448743/laparoscopic-appendectomy-in-children-preliminary-study-in-pediatric-hospital-albert-royer-dakar
#20
Mbaye Fall, Doudou Gueye, Ibrahima Bocar Wellé, Faty Balla Lo, Aloise Sagna, Marie Diop, Ibrahima Fall
Appendiceal pathology's management has benefited in recent years from the advent of laparoscopic surgery. This study is to make a preliminary assessment of laparoscopic management of acute and complicated appendicitis in children after a few months of practice at the University Hospital Albert Royer, Dakar. This is a retrospective study of 22 cases of patients, all operated on by the same surgeon. The parameters studied were age, sex, clinical data and laboratory features, radiological data, and results of surgical treatment...
2015: Gastroenterology Research and Practice
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