Abscess and symptoms duration upon presentation should guide decision algorithms for early versus interval appendectomy in children

To compare outcomes for complicated appendicitis treated with early versus interval appendectomy and to identify which patients would likely benefit from early appendectomy.
Source: Pediatrics and Neonatology - Category: Perinatology & Neonatology Authors: Tags: Original Article Source Type: research

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Background: Two types of appendicitis are hypothesized, simple and complex, with potential different treatment strategies. To improve differentiation, underlying pathogeneses need to be further unraveled. Aim: To determine if the microbial composition in the appendix differs between children with simple and complex appendicitis. Methods: Two-center, prospective cohort study including 40 children (0–17 years old) undergoing appendectomy for suspected appendicitis. Appendix tissue was used for IS-pro analysis to identify bacterial species by their length of 16S-23S rDNA interspacer (IS) region. Cluster analysis...
Source: The Pediatric Infectious Disease Journal - Category: Infectious Diseases Tags: Translational Medicine Reports Source Type: research
ConclusionAlthough rare, imperforate hymen with retrograde menstruation that causes dilatation of the vagina and uterus (i.e., hematocolpometra) is an important consideration in the differential diagnosis of abdominal pain in premenarchal females with abdominal pain. It is easily diagnosed by physical examination. However, if patient or parents refuse genital exam evaluation, imaging studies can greatly help with diagnosis. Ultrasound will show an echogenic fluid accumulation in the vagina that can extend to uterus.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
The sole physician to a 13-man Soviet team of researchers at isolated Novolazarevskaya Station in Antarctica, Dr. Leonid Ivanovich Rogozov (1934 to 2000) diagnosed his own appendicitis in late April of 1961. Using a mirror and syringefuls of 0.5% Novocaine (procaine), Rogozov performed self-surgery under a supplemented field block on May Day, successfully removing his appendix. His surgical feat made headlines worldwide and was even memorialized “12/10/61” by Thai artist Artchan Artthex (lower left). Titled “Dr. Leonid Rogozov” (upper left), this graphite-on-paper features a rear view of the surgica...
Source: Anesthesiology - Category: Anesthesiology Source Type: research
ConclusionsAppendectomy remains the most effective treatment for the definitive cure of acute appendicitis. However, antibiotic therapy can be a safe alternative approach for selected patients with uncomplicated acute appendicitis.Trial registrationDRKS00010401
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
Surgical management of appendicitis accounts for ~30% of total expenditure in the practice of pediatric surgery and is associated with high cost variation. We hypothesize that incorporating single-incision laparoscopy (SILS) and the resultant by-product dual-incision laparoscopy (DILS) into a historically three-incision laparoscopic (TILS) appendectomy practice affords equal outcomes at lower cost.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research
The study aimed to expand previous data regarding an association between asthma and appendectomy in children compared with the population of all ages. The Korean Health Insurance Review and Assessment Service—National Sample Cohort from 2002 through 2013 was used. In all, 22,030 participants who underwent appendectomy were matched for age, sex, income, region of residence, hypertension, diabetes, and dyslipidemia with 88,120 participants who were included as a control group. In both the appendectomy and control groups, previous history of asthma was investigated. Appendectomy for appendicitis was identified based on...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
The aim of this study was to investigate the effect of oral lactulose for pediatric patients with complicated appendicitis, who underwent appendectomy.
Source: BMC Gastroenterology - Category: Gastroenterology Authors: Tags: Research article Source Type: research
Conclusions: There is a relationship between the non-use of drains and collections and evisceration in post-operative patients with open appendectomy, by complicated acute appendicitis. PMID: 31448803 [PubMed - in process]
Source: Cirugia y Cirujanos - Category: Surgery Authors: Tags: Cir Cir Source Type: research
Conclusion: Considering the lower levels of CA-125 in patients with AA compared with NAA cases and also weak screening performance characteristics, it seems that it could not be considered as an accurate screening tool in this regard. PMID: 31432034 [PubMed]
Source: Accident and Emergency Nursing - Category: Emergency Medicine Authors: Tags: Arch Acad Emerg Med Source Type: research
Appendectomy is considered the first treatment choice for appendicitis. However, controversy exists since conservative therapy is associated with fewer complications than appendectomy for patients with acute a...
Source: BMC Surgery - Category: Surgery Authors: Tags: Research article Source Type: research
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