All patients (aged 12 to 60 years) who came in the emergency department with right iliac fossa pain and underwent appendectomy
were enrolled in the study.
The tactical modification of appendiceal stump closure with a single endoligature, replacing the invaginating suture, adjusted very well to laparoscopic appendectomy
and nowadays is the procedure of choice whenever possible.
Certainly in remote settings where surgery is not readily available, antimicrobial therapy with fluid and electrolyte management and close observation can be used in children with uncomplicated appendicitis with few failures and relatively few children requiring subsequent appendectomy
5) reported that 66% of cases of SA appeared following open appendectomy
while 34% appeared following laparoscopic appendectomy
Patients who underwent multi-port laparoscopic appendectomy
or open abdominal appendectomy
for necrotic or perforated appendicitis were excluded from the study.
Outcomes and cost analysis of laparoscopic versus open appendectomy
for treatment of acute appendicitis: 4-years experience in a district hospital.
A case of septic shock with renal failure was reported in the open appendectomy
group, and a single case of pneumonia in the laparoscopic appendectomy
Many now believe appendectomy
is curative of non-neoplastic AMs and cystadenomas that fail to meet those criteria, while right hemicolectomy is still recommended in cases of positive appendiceal/ileocolic lymph nodes, synchronous tumors (14) mucinous cystadenomacarcinomas (2) or cystadenomas involving the appendiceal base.
Group 1 Emergency surgery group Group 2 Conservative group * 2A Patients who underwent interval appendectomy
* 2B High-risk patients who were kept on follow-up * 2C Patients on follow-up who underwent appendectomy
due to recurrent appendicitis
CHALLENGES: LACK OF DATA, LACK OF BUY-IN--Texas Children's statistics for appendectomy
care are consistent with nationwide trends.
Keywords: Acute, Appendicitis, Appendectomy
While antibiotics for appendicitis may seem novel, they have been considered as a possible appendectomy