Grey Zone Appendicitis: Role of Blood Test Biomarkers to Detect Early Appendicitis and to Decrease the Incidence of Negative Appendectomy

Condition:   Appendicitis Intervention:   Procedure: laparoscopic appendectomy Sponsor:   Zagazig University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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CONCLUSION: There is no advantage to irrigating the peritoneal cavity over suction alone during laparoscopic appendectomy for uncomplicated acute appendicitis. Irrigation may actually prolong the operative time and therefore be detrimental. PMID: 32146786 [PubMed]
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research
We report the case of a pregnant patient with CTS who uneventfully underwent laparoscopic appendectomy without invasive cardiac monitoring using total intravenous anesthesia.
Source: Saudi Journal of Anaesthesia - Category: Anesthesiology Authors: Source Type: research
This study included data on laparoscopic and open appendectomies in children with acute appendicitis from the National Clinical Database, which is a Japanese nationwide surgical database, in 2015. The occurrence rates of complications within 30  days after the surgery and postoperative hospital stay were compared by univariate and multivariate analyses.p 
Source: Journal of Gastrointestinal Surgery - Category: Surgery Source Type: research
Standing in front of the crowd that had gathered to witness the first water arriving in Los Angeles, California, after it had traveled 238 miles along the California Aqueduct from Owens Valley, the aqueduct ’s builder, William Mulholland, said to the crowd, “There it is. Take it.” The same could be said for the Appendicitis Acuta (APPAC) study. The APPAC trial was a well-thought-out and hard-to-perform study breaking new ground by proposing to not perform appendectomy when, in fact, most surgeons believed that appendectomy was essential. Various readers have developed their own interpretations of what the...
Source: JAMA Surgery - Category: Sports Medicine Source Type: research
Elias Estifan, Sushant M Nanavati, Vinod Kumar, Aarohi Vora, Moayyad Alziadat, Ahmed Sharaan, Mourad IsmailJournal of Global Infectious Diseases 2020 12(1):34-36 Clostridium difficile colitis has been the most recognized bacterial enterocolitis for years and other bacteria such as Staphylococcus colitis has been relegated. Staphylococcus enterocolitis following antibiotics had been one of the most frequent complications in surgical patients in the 1950s and 1960s and now reappear with more resistance such as methicillin-resistantStaphylococcus aureus(MRSA) colitis which brings a new challenge. A 32-year-old Hispanic femal...
Source: Journal of Global Infectious Diseases - Category: Infectious Diseases Authors: Source Type: research
The objective of this study is to compare laparoscopic (LA) and open appendectomy (OA) for the management of diffuse peritonitis caused by AA. This is a prospective multicenter cohort study, including 223 patients with diffuse peritonitis from perforated AA, enrolled in the Physiological parameters for Prognosis in Abdominal Sepsis (PIPAS) study from February to May 2018. Two groups were created: LA  = 78 patients, mean age 42.51 ± 22.14 years and OA = 145 patients, mean age 38.44 ± 20.95 years. LA was employed in 34.98% of cases. There was no ...
Source: Updates in Surgery - Category: Surgery Source Type: research
Condition:   Appendicitis Intervention:   Procedure: laparoscopic appendectomy Sponsor:   Zagazig University Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Authors: Seo JW, Kim MJ, Yoon SH, Paik KY, Park SM, Kang WK, Lee D, Lee CS Abstract Purpose: Few studies have analyzed the effects of preoperative pain education on the postoperative decision to discharge. The purpose of this study was to determine the effects of pain education and management on the decision to discharge patients after single-incision laparoscopic appendectomy (SILA). Methods: We included 135 patients who had undergone SILA for acute appendicitis between March 2017 and April 2018 in a single medical center. Of these, 72 (53.3%) patients had received preoperative pain education (group I) and 63 ...
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research
Conclusion: The LC for LA by residents was 11-35 cases according to multidimensional statistical analyses. The accumulation of surgical experience of residents might affect the LC, especially for surgical completion rather than for operation time. PMID: 32054238 [PubMed - as supplied by publisher]
Source: Annals of Coloproctology - Category: Gastroenterology Tags: Ann Coloproctol Source Type: research
Conclusion: Bupivacaine did not decrease pain and analgesics use. When surgery exceeded 40 minutes, bupivacaine use might be associated with less pain and less analgesics use. PMID: 32051818 [PubMed]
Source: Annals of Surgical Treatment and Research - Category: Surgery Tags: Ann Surg Treat Res Source Type: research
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