Implementation of artificial intelligence-based computer vision model in laparoscopic appendectomy: validation, reliability, and clinical correlation
ConclusionThe model accurately assesses complexity grading and full safety achievement. It can serve to predict operative time and intraoperative course, whereas no clinical correlation was found regarding postoperative outcomes. Further studies are needed. (Source: Surgical Endoscopy)
Source: Surgical Endoscopy - April 25, 2024 Category: Surgery Source Type: research
Economic analysis of surgical outcome monitoring using control charts: the SHEWHART cluster randomised trial
Conclusions
Using control charts paired with indicator feedback to surgical teams was associated with significant reductions in hospital bed-days within 30 days following surgery, and hospital costs reimbursed for this care by the insurer.
Trial registration number
NCT02569450. (Source: BMJ Quality and Safety)
Source: BMJ Quality and Safety - April 24, 2024 Category: General Medicine Authors: Skinner, S., Pascal, L., Polazzi, S., Chollet, F., Lifante, J.-C., Duclos, A., On behalf of the SHEWHART Trial Group Tags: Open access, Editor's choice Original research Source Type: research
Perforated Appendicitis in Children: Management, Microbiology, and Antibiotic Stewardship
AbstractAlthough appendicitis has been described for more than 300 years, its optimal management remains a topic of active investigation. Acute appendicitis is the most common cause of peritonitis in children, and rates of perforated appendicitis are much higher in children than in adults. Increased risk for perforated appendicitis in children is related to a delay in diagnosis due to age, size, access to care, and more. Surgical options include immediate appendectomy versus nonoperative management with intravenous antibiotics ± a drainage procedure, with a subsequent interval appendectomy. Microbiota of perforated append...
Source: Pediatric Drugs - April 24, 2024 Category: Pediatrics Source Type: research
Interval Appendectomy After Successful Antibiotic Treatment?
This Viewpoint discusses the pros and cons of performing interval appendectomy in patients who have recovered from successful antibiotic treatment of acute uncomplicated appendicitis. (Source: JAMA Surgery)
Source: JAMA Surgery - April 24, 2024 Category: Sports Medicine Source Type: research
Elective Appendectomy Following Antibiotics for Appendicitis
This Viewpoint considers which may be the better long-term approach to appendicitis —interval elective appendectomy or nonsurgical treatment with antibiotics. (Source: JAMA Surgery)
Source: JAMA Surgery - April 24, 2024 Category: Sports Medicine Source Type: research
Retrospective analysis of the incidence of appendiceal neoplasm and malignancy in patients treated for suspected acute appendicitis
Nonoperative management of uncomplicated appendicitis is currently being promoted as treatment option, albeit 0.7 –2.5% of appendectomies performed due to suspected acute appendicitis show histologically malign... (Source: BMC Surgery)
Source: BMC Surgery - April 24, 2024 Category: Surgery Authors: Eliane Dohner, Fiona Jos éphine Kierdorf, Rupert Langer, Markus Zuber and René Fahrner Tags: Research Source Type: research
Perforated Appendicitis in Children: Management, Microbiology, and Antibiotic Stewardship
Paediatr Drugs. 2024 Apr 24. doi: 10.1007/s40272-024-00630-0. Online ahead of print.ABSTRACTAlthough appendicitis has been described for more than 300 years, its optimal management remains a topic of active investigation. Acute appendicitis is the most common cause of peritonitis in children, and rates of perforated appendicitis are much higher in children than in adults. Increased risk for perforated appendicitis in children is related to a delay in diagnosis due to age, size, access to care, and more. Surgical options include immediate appendectomy versus nonoperative management with intravenous antibiotics ± a drainage...
Source: Paediatric Drugs - April 23, 2024 Category: Pediatrics Authors: Katherine B Snyder Catherine J Hunter Christie L Buonpane Source Type: research
Perforated Appendicitis in Children: Management, Microbiology, and Antibiotic Stewardship
Paediatr Drugs. 2024 Apr 24. doi: 10.1007/s40272-024-00630-0. Online ahead of print.ABSTRACTAlthough appendicitis has been described for more than 300 years, its optimal management remains a topic of active investigation. Acute appendicitis is the most common cause of peritonitis in children, and rates of perforated appendicitis are much higher in children than in adults. Increased risk for perforated appendicitis in children is related to a delay in diagnosis due to age, size, access to care, and more. Surgical options include immediate appendectomy versus nonoperative management with intravenous antibiotics ± a drainage...
Source: Paediatric Drugs - April 23, 2024 Category: Pediatrics Authors: Katherine B Snyder Catherine J Hunter Christie L Buonpane Source Type: research
Income-Based Disparities in Outcomes Following Pediatric Appendectomy: A National Analysis
CONCLUSION: Pediatric patients of the lowest income quartile faced increased risk of major adverse events following appendectomy compared to those of highest income. Novel risk stratification methods and standardized care pathways are needed to ameliorate socioeconomic disparities in postoperative outcomes.PMID:38641889 | DOI:10.1177/00031348241248791 (Source: The American Surgeon)
Source: The American Surgeon - April 20, 2024 Category: Surgery Authors: Konmal Ali Amulya Vadlakonda Sara Sakowitz Zihan Gao Shineui Kim Nam Yong Cho Giselle Porter Peyman Benharash Source Type: research
The Impact of Redosing Antibiotics for Pediatric Patients Undergoing Appendectomy for Complicated Appendicitis
Am Surg. 2024 Apr 18:31348241248815. doi: 10.1177/00031348241248815. Online ahead of print.ABSTRACTCurrently, there is no universally accepted, standardized protocol for pre-operative antibiotic administration in the setting of appendectomy for complicated appendicitis among pediatric patients. Strategies to mitigate surgical site infections (SSIs) must be balanced with optimal antibiotic use and exposure. We conducted a retrospective chart review to compare outcomes between patients treated pre-operatively with a single pre-operative dose of antibiotics with those who received additional antibiotics prior to laparoscopic ...
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Monique Motta Nikitha Garapaty Margaret Savage Joann Segarra Shenae Samuels Joshua P Parreco Tamar Levene Source Type: research
Firearm injury and the Deloyers procedure: case report and literature review
This report aims to discuss the circumstances under which the Deloyers procedure was performed, as well as to evaluate the early and late postoperative outcomes, by reviewing cases conducted between 2010 and 2023. In a 22-year-old female patient who suffered major organ and tissue loss (with injuries to the sigmoid colon, descending colon, transverse colon, and mesentery) due to a firearm injury, the Deloyers procedure was applied during restorative surgery following initial damage control surgery. The procedure involved mobilizing the cecum and right colon, performing a cranio-caudal rotation over the ileocolic artery ped...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - April 18, 2024 Category: Emergency Medicine Authors: Cengiz Ceylan Source Type: research
The Impact of Redosing Antibiotics for Pediatric Patients Undergoing Appendectomy for Complicated Appendicitis
Am Surg. 2024 Apr 18:31348241248815. doi: 10.1177/00031348241248815. Online ahead of print.ABSTRACTCurrently, there is no universally accepted, standardized protocol for pre-operative antibiotic administration in the setting of appendectomy for complicated appendicitis among pediatric patients. Strategies to mitigate surgical site infections (SSIs) must be balanced with optimal antibiotic use and exposure. We conducted a retrospective chart review to compare outcomes between patients treated pre-operatively with a single pre-operative dose of antibiotics with those who received additional antibiotics prior to laparoscopic ...
Source: The American Surgeon - April 18, 2024 Category: Surgery Authors: Monique Motta Nikitha Garapaty Margaret Savage Joann Segarra Shenae Samuels Joshua P Parreco Tamar Levene Source Type: research
Firearm injury and the Deloyers procedure: case report and literature review
This report aims to discuss the circumstances under which the Deloyers procedure was performed, as well as to evaluate the early and late postoperative outcomes, by reviewing cases conducted between 2010 and 2023. In a 22-year-old female patient who suffered major organ and tissue loss (with injuries to the sigmoid colon, descending colon, transverse colon, and mesentery) due to a firearm injury, the Deloyers procedure was applied during restorative surgery following initial damage control surgery. The procedure involved mobilizing the cecum and right colon, performing a cranio-caudal rotation over the ileocolic artery ped...
Source: Turkish Journal of Trauma and Emergency Surgery : TJTES - April 18, 2024 Category: Emergency Medicine Authors: Cengiz Ceylan Source Type: research
Diagnostic performance of serum CA-125 for overall and complicated acute appendicitis: a systematic review and meta-analysis
This study aimed to analyze the diagnostic performance of serum CA-125 in acute appendicitis (AA). This review was registered in PROSPERO (CRD42023450988). We included prospective and retrospective original clinical studies evaluating the diagnostic performance of serum CA-125 in AA. A search was conducted in PubMed, Web of Science, Scopus, and OVID. Search terms and keywords were: (appendicitis OR appendectomy) AND (CA-125 OR CA125). Two independent reviewers selected the articles and extracted relevant data. Methodological quality was assessed using the QUADAS-2 index. A synthesis of the results, standardization of the m...
Source: Updates in Surgery - April 18, 2024 Category: Surgery Source Type: research
Acute Appendicitis —What’s Old Is New Again
The Appendicitis Acuta II (APPAC II) trial was a rigorous noninferiority randomized clinical trial that compared the effectiveness of oral antibiotics alone vs a combination of intravenous and oral antibiotics for the initial management of uncomplicated acute appendicitis. Planned 3-year follow-up data were presented in the secondary analysis by Sel änne et al in this issue of JAMA Surgery. Although we cannot ascertain a pharmacological or pathophysiological reason that the route of initial treatment would affect risk of recurrence 2 to 3 years after resolution of the index episode, these longer-term data do contribute to...
Source: JAMA Surgery - April 17, 2024 Category: Sports Medicine Source Type: research
