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Interval appendectomy

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https://www.readbyqxmd.com/read/29925468/hospital-type-predicts-computed-tomography-use-for-pediatric-appendicitis
#1
Kathryn Tinsley Anderson, Marisa A Bartz-Kurycki, Mary T Austin, Akemi L Kawaguchi, Lillian S Kao, Kevin P Lally, Kuojen Tsao
BACKGROUND: Evidence-based guidelines recommend ultrasound (US) over computed tomography (CT) as the primary imaging modality for suspected pediatric appendicitis. Continued high rates of CT use may result in significant unnecessary radiation exposure in children. The purpose of this study was to evaluate variables associated with preoperative CT use in pediatric appendectomy patients. METHODS: A retrospective cohort study of pediatric patients who underwent appendectomy for acute appendicitis in 2015-2016 at National Surgical Quality Improvement Program for Pediatrics (NSQIP-P) hospitals was conducted...
May 29, 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29914654/outcomes-of-appendectomy-in-elderly-veteran-patients
#2
Oswaldo Renteria, Zain Shahid, Sergio Huerta
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)...
June 16, 2018: Surgery
https://www.readbyqxmd.com/read/29872767/comparison-of-clinical-outcome-of-laparoscopic-versus-open-appendectomy-single-center-experience
#3
Mitsugi Shimoda, Tsunehiko Maruyama, Kiyotaka Nishida, Kazuomi Suzuki, Tomoya Tago, Jiro Shimazaki, Shuji Suzuki
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. We divided the patients into two groups; LA group (LAG) and OA group (OAG). Following parameters were analyzed: age, gender, preoperative clinicolaboratory characteristics, operative factors, interval appendectomy, length of hospital stay (LHS), and surgical site infections (SSI)...
May 2018: Heliyon
https://www.readbyqxmd.com/read/29804841/surgeon-variation-in-operating-times-and-charges-for-emergency-general-surgery
#4
Ambar Mehta, David T Efron, Joseph K Canner, Mariuxi C Manukyan, Linda Dultz, Christopher Burns, Kent Stevens, Joseph V Sakran
BACKGROUND: Patients and hospitals face significant financial burdens from emergency general surgeries (EGSs), which have been termed a public health crisis in the United States. We evaluated hospitalization charges, operating charges, and variations in operating time by surgeon volume for three common EGS procedures. METHODS: Using Maryland's Health Services Cost Review Commission database, we performed a retrospective study of laparoscopic appendectomies, laparoscopic cholecystectomies, and open bowel resections performed by general surgeons among adult patients from July 2012 to September 2014...
July 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29741752/abdominal-drainage-to-prevent-intra-peritoneal-abscess-after-open-appendectomy-for-complicated-appendicitis
#5
REVIEW
Zhe Li, Longshuan Zhao, Yao Cheng, Nansheng Cheng, Yilei Deng
BACKGROUND: Appendectomy, the surgical removal of the appendix, is performed primarily for acute appendicitis. Patients who undergo appendectomy for complicated appendicitis, defined as gangrenous or perforated appendicitis, are more likely to suffer from postoperative complications. The routine use of abdominal drainage to reduce postoperative complications after appendectomy for complicated appendicitis is controversial.This is an update of the review first published in 2015. OBJECTIVES: To assess the safety and efficacy of abdominal drainage to prevent intra-peritoneal abscess after open appendectomy for complicated appendicitis...
May 9, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29686488/the-morbidity-and-mortality-of-laparoscopic-appendectomy-in-patients-with-cirrhosis
#6
Yasir Al-Azzawi, Yasir Al-Abboodi, Matthew Fasullo, Tarek Najuib
Introduction: The perioperative mortality is significantly higher in patients with cirrhosis undergoing certain surgical procedures. In this study, we examined the inpatient perioperative mortality and morbidities in cirrhotic people who underwent laparoscopic appendectomy. Methods: We performed a retrospective analysis using the National Inpatient Sample database for 2010. Inclusion criteria were all race and sex who are 18 years or older. Those who have laparoscopic appendectomy and have a history of liver cirrhosis were assigned to case group...
2018: Clinical Medicine Insights. Gastroenterology
https://www.readbyqxmd.com/read/29619755/high-frequency-of-computer-tomography-and-surgery-for-abdominal-pain-after-roux-en-y-gastric-bypass
#7
Jorunn Sandvik, Torstein Hole, Christian A Klöckner, Bård E Kulseng, Arne Wibe
INTRODUCTION: Acute, intermittent, and chronic abdominal pain is a common complaint after Roux-en-Y gastric bypass (RYGB). OBJECTIVES: The aim of the study was to evaluate the use of medical imaging and the need for surgery treating abdominal pain after RYGB in a cohort with long-term follow-up. METHODS: Data from 569 patients who underwent RYGB as the primary bariatric procedure at a public hospital in Norway between April 2004 and June 2011 were prospectively registered in a local quality registry for bariatric surgery...
April 4, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29605040/outcomes-of-interval-appendectomy-in-comparison-with-appendectomy-for-acute-appendicitis
#8
Abbas Al-Kurd, Ido Mizrahi, Baha Siam, Amram Kupietzky, Nurith Hiller, Nahum Beglaibter, Ahmed Eid, Haggi Mazeh
BACKGROUND: Traditionally, patients treated conservatively for periappendiceal abscess or phlegmon would subsequently undergo interval appendectomy (IA); however, recent evidence has shed doubt on the necessity of this procedure. This study aimed to assess the outcomes of patients who underwent IA, in comparison with those operated acutely for appendicitis. MATERIALS AND METHODS: A retrospective analysis identified patients who underwent IA between 2000 and 2016...
May 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29596127/effect-of-early-postoperative-feeding-on-the-recovery-of-children-post-appendectomy
#9
Selda Rızalar, Ayfer Özbaş
The aim of this study was to determine the effect of early postoperative feeding on recovery after appendectomy in children. It was undertaken as a multicenter study. Patients were randomly assigned to 2 groups, each containing 46 children. Postoperatively, liquid and solid food intake and evacuation of first flatus and stool were recorded for the intervention and routine care groups. Postoperative thirst, hunger, nausea, and pain levels were evaluated at regular intervals using the Visual Analogue Scale. Data were obtained as number, mean, and percentage, and statistically analyzed using the chi-square test and the 2-sample t test...
March 2018: Gastroenterology Nursing: the Official Journal of the Society of Gastroenterology Nurses and Associates
https://www.readbyqxmd.com/read/29519569/does-size-matter-correlation-of-ultrasound-findings-in-children-without-clinical-evidence-of-acute-appendicitis
#10
Tishara Wijayanayaka, Jacob Davidson, Andreana Bütter
PURPOSE: The purpose of this study was to determine whether children with a positive ultrasound (US) for acute appendicitis but a negative clinical picture developed appendicitis requiring definitive management. METHODS: After obtaining IRB approval, we conducted a retrospective review of patients ≤17years who presented with possible acute appendicitis between April 1st, 2014, and December 31st, 2015. We included patients with a US suggestive of acute appendicitis based on size criteria but without concerning clinical features...
May 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29488087/bacterial-culture-and-antibiotic-susceptibility-in-patients-with-acute-appendicitis
#11
Dae Woon Song, Byung Kwan Park, Suk Won Suh, Seung Eun Lee, Jong Won Kim, Joong-Min Park, Hye Ryoun Kim, Mi-Kyung Lee, Yoo Shin Choi, Beom Gyu Kim, Yong Gum Park
PURPOSE: Essential treatment of acute appendicitis is surgical resection with the use of appropriate antibiotics. In order to effectively treat acute appendicitis, it is important to identify the microorganism of acute appendicitis and evaluate the effective antibiotics. METHODS: A total of 694 patients who underwent appendectomy for acute appendicitis and had positive microbial result between 2006 and 2015 were recruited. For microbial assessment, luminal contents of the appendix were swabbed after appendectomy...
April 2018: International Journal of Colorectal Disease
https://www.readbyqxmd.com/read/29431586/drain-failure-in-intra-abdominal-abscesses-associated-with-appendicitis
#12
Christopher B Horn, Adrian A Coleoglou Centeno, Jarot J Guerra, John E Mazuski, Grant V Bochicchio, Isaiah R Turnbull
BACKGROUND: Previous studies have suggested that percutaneous drainage and interval appendectomy is an effective treatment for appendicitis with associated abscess. Few studies to date have analyzed risk factors for failed drain management. We hypothesized that older patients with more co-morbidities would be at higher risk for failing conservative treatment. METHODS: The 2010-2014 editions of the National Inpatient Sample (NIS) were queried for patients with diagnoses of peri-appendiceal abscesses...
April 2018: Surgical Infections
https://www.readbyqxmd.com/read/29370051/a-protocol-for-non-operative-management-of-uncomplicated-appendicitis
#13
Tyler J Loftus, Camille G Dessaigne, Chasen A Croft, R Stephen Smith, Philip A Efron, Frederick A Moore, Scott C Brakenridge, Alicia M Mohr, Janeen R Jordan
BACKGROUND: We developed a protocol to identify candidates for non-operative management (NOM) of uncomplicated appendicitis. Our objective was to evaluate protocol efficacy with the null hypothesis that clinical outcomes, hospital readmission rates, and hospital charges would be unchanged after protocol implementation. METHODS: We performed a single-center 4-year propensity score matched retrospective cohort analysis of 406 patients with acute uncomplicated appendicitis...
February 2018: Journal of Trauma and Acute Care Surgery
https://www.readbyqxmd.com/read/29353527/irrigation-versus-suction-alone-in-laparoscopic-appendectomy-is-dilution-the-solution-to-pollution-a-systematic-review-and-meta-analysis
#14
Shahab Hajibandeh, Shahin Hajibandeh, Adam Kelly, Jigar Shah, Rao Muhammad Asaf Khan, Nilanjan Panda, Moustafa Mansour, Sohail Malik, Sanjay Dalmia
OBJECTIVES: To investigate outcomes of peritoneal irrigation versus suction without irrigation in patients undergoing emergency laparoscopic appendectomy. METHODS: We performed a systematic review and conducted a search of electronic information sources to identify all randomized controlled trials (RCTs) and observational studies investigating outcomes of irrigation versus suction alone in patients undergoing emergency laparoscopic appendectomy. We used the Cochrane risk of bias tool and the Newcastle-Ottawa scale to assess the risk of bias of RCTs and observational studies, respectively...
January 1, 2018: Surgical Innovation
https://www.readbyqxmd.com/read/29352339/effect-of-time-to-operation-on-value-of-care-in-acute-care-surgery
#15
Tyler J Loftus, Martin D Rosenthal, Chasen A Croft, R Stephen Smith, Philip A Efron, Frederick A Moore, Alicia M Mohr, Scott C Brakenridge
BACKGROUND: As reimbursement models evolve, there is increasing emphasis on maximizing value-based care for inpatient conditions. We hypothesized that longer intervals between admission and surgery would be associated with worse outcomes and increased costs for acute care surgery patients, and that these associations would be strongest among patients with high-risk conditions. METHODS: We performed a 5-year retrospective analysis of three risk cohorts: appendectomy (low-risk for morbidity and mortality, n = 618), urgent hernia repair (intermediate-risk, n = 80), and laparotomy for intra-abdominal sepsis with temporary abdominal closure (sTAC; high-risk, n = 102)...
January 19, 2018: World Journal of Surgery
https://www.readbyqxmd.com/read/29337180/impact-of-an-acute-surgical-unit-in-appendicectomy-outcomes-a-systematic-review-and-meta-analysis
#16
REVIEW
Ishwarya Balasubramanian, Ben Creavin, Des Winter
BACKGROUND: The provision of emergency general surgical services is undergoing a paradigm shift towards a consultant led, patient centered model in order to improve patient outcomes. The aim of this current study is to use meta-analytical techniques to assess the efficacy of acute surgical unit (ASU) in appendectomy. METHODS: A meta-analysis was conducted according to the PRISMA guidelines. A comprehensive literature search of PubMed, Embase and Scopus for published studies comparing ASU and traditional (TRAD) model on appendectomy outcomes was performed...
February 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29336758/occult-appendiceal-neoplasms-in-acute-and-chronic-appendicitis-a-single-institution-experience-of-1793-appendectomies
#17
Jamie A Schwartz, Craig Forleiter, David Lee, Grace J Kim
The incidence of appendiceal neoplasms may have been underreported in the past. Patients undergoing incidental appendectomies or appendectomies for chronic appendicitis may be at higher risk for an incidental appendiceal neoplasm. To determine the incidence of occult appendiceal neoplasms and identify risk factors associated with this pathology, a retrospective review of a pathology specimen database was conducted from November 2007 to December 2011, in a single tertiary care hospital center. All patients with appendectomies were included for analysis (n = 1793)...
December 1, 2017: American Surgeon
https://www.readbyqxmd.com/read/29334144/acute-gastrointestinal-bleeding-from-appendiceal-diverticulitis-diagnosed-preoperatively-by-combined-short-interval-computed-tomography-and-colonoscopy-a-case-report
#18
Yutaro Ogawa, Naoki Asayama, Shinji Nagata
No abstract text is available yet for this article.
January 15, 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
https://www.readbyqxmd.com/read/29285140/bayesian-network-meta-analysis-of-the-effects-of-single-incision-laparoscopic-surgery-conventional-laparoscopic-appendectomy-and-open-appendectomy-for-the-treatment-of-acute-appendicitis
#19
Jian Feng, Naiqiang Cui, Zhenyu Wang, Jutao Duan
The present study aimed to systematically evaluate the effectiveness of single-incision laparoscopic surgery (SILS), conventional laparoscopic appendectomy (CLA) and open appendectomy (OA) for the treatment of acute appendicitis. PubMed and Embase databases were systematically searched to identify relevant studies comparing the effectiveness of different appendectomy methods for treating acute appendicitis published prior to April 2016. ADDIS 1.16.5 software was used for data analysis. Heterogeneity was assessed using I2 statistic...
December 2017: Experimental and Therapeutic Medicine
https://www.readbyqxmd.com/read/29223668/transumbilical-extracorporeal-laparoscopic-assisted-appendectomy
#20
Lindsey Perea, William H Peranteau, Pablo Laje
AIM OF THE STUDY: The perfect balance between safety, cosmesis, and cost effectiveness in a world with ever growing healthcare costs has yet to be found for nonperforated appendicitis. The aim is to present our data regarding safety and cost effectiveness of the transumbilical extracorporeal laparoscopic-assisted appendectomy technique. METHODS: A retrospective review was performed for all laparoscopic appendectomies for acute appendicitis from October 2014 to October 2016...
February 2018: Journal of Pediatric Surgery
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