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Surgical Complications Following Appendectomy in Obese Patients: A Single Tertiary Care Center Study.
Cureus
November 2024
General Surgery, King Abdulaziz Medical City, Riyadh, SAU.
Background The escalating global prevalence of obesity raises concerns about its implications for health outcomes. While obesity is acknowledged as a major risk factor for various diseases, its impact on appendicitis and appendectomy outcomes remains less explored. Methods Data on overweight and obese adults aged 18 to 65 treated for appendicitis in King Abdulaziz Medical City in Riyadh, Saudi Arabia were collected retrospectively.
View Article and Find Full Text PDFOpen-Access 12-Minute MRI Screening for Acute Appendicitis: A Five-Year Retrospective Observational Study of Diagnostic Accuracy.
J Clin Med
November 2024
Medical Imaging Department Blacktown Mount Druitt Hospitals, Blacktown Hospital, 18 Blacktown Road, Blacktown, Sydney, NSW 2148, Australia.
: This retrospective observational diagnostic accuracy study aims to demonstrate that open-access rapid-sequence non-contrast magnetic resonance imaging (MRI) is accurate for exclusion or confirmation of acute appendicitis (AA). : In 2017, a locally designed 12 min MRI protocol was made available as a new open-access option (no booking needed) for any emergency department (ED) or acute surgical patient with any clinical presentation at the authors' sites. Uninterrupted single-radiologist reporting availability was provided.
View Article and Find Full Text PDFComparison of open and laparoscopic appendectomy according to the trimester of pregnancy: A nationwide observational study.
World J Surg
December 2024
Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata, Japan.
Objective: To compare the outcomes of open appendectomy (OA) and laparoscopic appendectomy (LA) for acute appendicitis during pregnancy by trimester.
Methods: We conducted a nationwide retrospective cohort study using the Diagnosis Procedure Combination database in Japan. We identified pregnant women diagnosed with appendicitis who underwent OA or LA from 2010 to 2022.
The risk of preterm delivery after appendectomy during pregnancy is higher in the face of a negative appendectomy.
Am J Surg
November 2024
Department of Obstetrics and Gynecology, Lis Maternity and Women's Hospital, Sourasky Medical Center, Faculty of Medicine Tel Aviv University, Weizmann 6 Street Tel Aviv, Israel. Electronic address:
Article Synopsis
- This study examined the outcomes of 185 pregnant women who had appendectomies, comparing them to 555 who did not undergo surgery, focusing on clinical, obstetrical, and neonatal results from 2005 to 2022.
- The majority of the appendectomies were laparoscopic, with 76.2% of cases showing an inflamed appendix; however, preterm delivery was significantly higher in the appendectomy group (11.9%) compared to the control group (5.4%).
- The analysis indicated that having an appendectomy, especially if it was a negative appendectomy, was a significant risk factor for preterm birth, highlighting the need for careful
What you need to know: Current management of acute appendicitis in adults.
J Trauma Acute Care Surg
November 2024
From the Division of Acute Care Surgery (J.J.D.), Tampa General Hospital, University of South Florida, Tampa, Florida; School of Medicine and Surgery (M.C.), University of Milano-Bicocca; General and Emergency Surgery Department (M.C.), Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy; Tampa General Hospital (T.H.), University of South Florida, Tampa, Florida; and Department of General Emergency and Trauma Surgery (F.C.), Pisa University Hospital, Pisa, Italy.
Article Synopsis
- - Acute appendicitis is a common surgical emergency characterized by right lower quadrant abdominal pain, more frequently observed in men than in women of childbearing age, and can be diagnosed using various imaging techniques like ultrasound and CT scans.
- - Management depends on whether the appendicitis is uncomplicated or complicated; uncomplicated cases may be treated with antibiotics, while complicated cases require surgical intervention, especially for patients with abscesses.
- - Special considerations are needed for certain groups (like pregnant or immunosuppressed patients) who should receive timely surgical treatment to minimize complications.
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