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Diagnostic value of the MZXBTCH scoring system for acute complex appendicitis.
Sci Rep
January 2025
Department of Gastrointestinal Surgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 102218, China.
The objective of this study was to develop a novel scoring model, assess its diagnostic value for complex appendicitis, and compare it with existing scoring systems. A total of 1,241 patients with acute appendicitis were included, comprising 868 patients in the modeling group (mean age, 35.6 ± 14.
View Article and Find Full Text PDFSafety and cost of selective histopathological analysis for detecting cancer in surgical specimens: a systematic review.
ANZ J Surg
January 2025
Department of Surgery, The Univeristy of Adelaide, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
Article Synopsis
- The systematic review investigates the effectiveness and cost benefits of a selective histopathology approach for cancer detection, rather than the usual routine analysis of surgical specimens.
- It analyzed data from 11 studies involving over 26,000 patients who underwent various surgical procedures, identifying a low rate of cancer diagnoses but noting substantial cost savings.
- The conclusion emphasizes that while this selective method doesn’t significantly increase missed cancer diagnoses, there are concerns regarding legal protections for surgeons who opt out of routine histopathological analysis.
Should an Interval Appendicectomy Be Performed by a Minimally Invasive Gynaecologist?
Int J Womens Health
December 2024
Sydney Women's Endosurgery Centre (SWEC), St George Hospital, Sydney, NSW, Australia.
Objective: We aimed to explore the abnormal pathology findings in appendix specimens removed based on intraoperative abnormal appearance during elective surgery for benign gynaecological conditions by a minimally invasive gynaecologist, as well as the associated complication rate.
Materials And Methods: This retrospective cohort study was conducted in a tertiary referral surgical centre for benign gynaecological conditions between the years 2004-2023. It included patients who underwent appendicectomy by a trained minimally invasive gynaecologist based on observations during surgery for benign gynaecological conditions.
Protective effect of appendectomy against the onset of ulcerative colitis: A case-control study.
World J Gastrointest Surg
December 2024
Department of Gastroenterology, The First Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, Xinjiang Uygur Autonomous Region, China.
Background: Previous studies suggest that appendectomy has a protective effect against ulcerative colitis (UC); however, relatively few studies focusing on this topic have been reported in China.
Aim: To explore the correlation between appendectomy and the onset of UC.
Methods: A total of 313 patients with newly diagnosed UC and 313 healthy individuals were selected for this study.
Missed Opportunity for Initial Diagnosis in Children With Complex Appendicitis.
Pediatr Emerg Care
December 2024
From the Department of Pediatric Surgery, Nationwide Children's Hospital, Columbus, OH.
Objectives: Delayed diagnosis of acute appendicitis in children may result in complex appendicitis with appendiceal perforation. Delayed diagnosis can result from missed opportunity for initial diagnosis (MOID) despite medical attention. Studies report MOID of less than 5% in pediatric emergency departments (EDs), but we hypothesized that many MOID occurs outside tertiary care facilities.
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