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Operative and non-operative management of acute appendicitis during pregnancy: a population-based study.
Arch Gynecol Obstet
December 2024
Laboratory of Healthcare Research and Pharmacoepidemiology, Division of Biostatistics, Epidemiology and Public Health, Department of Statistics and Quantitative Methods, University of Milano-Bicocca, Via Bicocca degli Arcimboldi, 8 (Building U7), 20126, Milan, Italy.
Purpose: Acute appendicitis during pregnancy poses unique challenges due to altered anatomical and physiological dynamics and concern about foetal well-being. This study aimed to assess management strategies and outcomes of acute appendicitis during pregnancy, focusing on non-operative management versus surgical intervention.
Methods: The study is based on the computerized healthcare utilization database of Lombardy.
Changes in the Presentation and Severity of Acute Appendicitis: A Comparison of the COVID-19 Pandemic and Post-Pandemic Eras.
Diseases
November 2024
Department of Surgery, Prince Saud Bin Jalawi Hospital, Alahsa 36377, Saudi Arabia.
Article Synopsis
- The COVID-19 pandemic caused people to delay seeking medical help, resulting in fewer appendectomies and more cases of complicated appendicitis during this period.
- A study compared appendectomy patients from three groups: during the pandemic, after it, and before it, finding no major demographic differences but notable variations in symptom duration and complication rates.
- After the pandemic, patients presented with acute appendicitis symptoms sooner and experienced fewer complications, highlighting how health restrictions affected medical care for appendicitis.
Barriers to accessing appendectomy in the public sector health system in the Western Cape Province, South Africa.
Afr J Emerg Med
December 2024
Division of Health Systems and Public Health, Department of Global Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Background: Appendectomy is the surgical treatment for acute appendicitis and barriers to timely care can lead to morbidity and mortality. In South Africa, patients experience delays during the stages of seeking, reaching, and receiving care. This study explored the perceptions and experiences of barriers to accessing appendectomy among patients, caregivers, and surgeons employed at selected public hospitals in the Western Cape, South Africa.
View Article and Find Full Text PDFReduction in perforated appendicitis incidence between rural and urban populations after introducing social health insurance in Vietnam: A population-based study.
World J Surg
December 2024
Institute of Public Health, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
Background: Over the years, Vietnam has expanded its social health insurance (SHI) coverage to reduce health disparities. In this population-based study, we examined the differences in incidences of perforated appendix between rural and urban populations in Vietnam since the expansion of SHI coverage in 2015. We also identified risk factors for perforated appendix in these populations.
View Article and Find Full Text PDFBackground Diagnosing acute appendicitis remains a problem, especially in teenagers with right lower quadrant pain. Imaging studies aid in accurate diagnosis but have limitations such as cost and availability. The Modified Alvarado Scoring System (MASS) is simple and cost-effective with fewer parameters.
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