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Appendectomy

Appendectomies


Presentation

  • Among the complications of an open appendectomy is the presentation of an incisional hernia.[ncbi.nlm.nih.gov]
Right Lower Quadrant Tenderness
  • An 11-week-old girl was brought to the emergency department with a 48-hour history of abdominal pain, emesis, low-grade fever, and focal right lower quadrant tenderness.[ncbi.nlm.nih.gov]
Skin Tear
  • The largest of the 3 wounds was a Class III skin tear based on the Payne-Martin Classification System. It measured (L) 4.4 cm (W) 1.8 cm (D) 0.3 cm and required 3 months to heal.[ncbi.nlm.nih.gov]
Reduced Fetal Movement
  • MATERIALS AND METHODS: A 32-year-old para 0 woman at 34 weeks of gestation attended to the present clinic because of a feeling of reduced fetal movements in the last 24 hours.[ncbi.nlm.nih.gov]

Workup

  • Baseline coronary artery disease or cardiac dysfunction—goals of management: According to the ACC/AHA guidelines, appendectomy falls into minimal to moderately invasive procedure; further workup is usually not recommended unless for the patients with[clinicaladvisor.com]
Ovarian Mass
  • Imaging studies showed a right ovarian mass with features of a dermoid cyst and an appendicolith within the appendix without signs of acute appendicitis. She underwent concomitant LESS ovarian cystectomy and appendectomy without any complications.[ncbi.nlm.nih.gov]
Taenia Saginata
  • The objective of our study is to report a very rare case of post appendectomy faecal fistula caused by taenia saginata infestation and was successfully treated conservatively.[ncbi.nlm.nih.gov]

Treatment

  • Nonoperative treatment of acute appendicitis is embraced by many surgical teams, driven by low to moderate quality randomized studies that support noninferiority of antibiotics versus appendectomy for treatment of acute uncomplicated appendicitis.[ncbi.nlm.nih.gov]
  • Because we established a 24% minimal clinically important difference, we did not demonstrate noninferiority of antibiotic treatment for appendicitis relative to surgical treatment.[doi.org]

Prognosis

  • Prognosis of Appendectomy Prognosis of this procedure is based on two parameters, i.e. recovery after the surgery and the mortality linked with appendectomy.[newsmax.com]
  • LEVEL OF EVIDENCE: Prognosis study, level II. Copyright 2017 Elsevier Inc. All rights reserved.[ncbi.nlm.nih.gov]
  • But the good news is that she is… The prognosis and everything went well. Thank God. It's been a rough 48 hours here."[blabbermouth.net]
  • After the surgery, it may take about 3 weeks for a complete recovery Simple Appendectomy has an excellent prognosis However, if there are complications and the appendix has ruptured the prognosis is still good.[dovemed.com]

Etiology

  • Stump appendicitis is a rare complication seen after appendectomy and is generally not considered a possible etiology in patients presenting with fever and right iliac fossa abdominal pain with a history of appendectomy.[ncbi.nlm.nih.gov]
  • This underappreciated structural characteristic of perfusion may be an important causal factor in the overall etiology of appendicitis.[laparoscopy.blogs.com]

Epidemiology

  • Modern epidemiology. Boston: Little, Brown, 1986:166. 25. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990 ;132: 910 - 925 26. Tysk C, Jarnerot G.[nejm.org]
  • The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol 1990;132:910–25. Snyder TE, Selanders JR. Incidental appendectomy—yes or no? A retrospective case study and review of the literature.[acog.org]
  • The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132:910-925. 7. Andreu-Ballester JC, Gonzalez-Sanchez A, Ballester F, et al.[laparoscopy.blogs.com]
  • The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990 Nov. 132(5):910-25. [Medline]. Andersson RE. Meta-analysis of the clinical and laboratory diagnosis of appendicitis. Br J Surg. 2004 Jan. 91(1):28-37.[emedicine.medscape.com]
  • The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990;132(5):910-25. Disponible en: Oyetunji TA, Ong uti SK, Bolorunduro OB, Cornvell III EE, Nwomeh BC.[anfamed.edu.uy]
Sex distribution
Age distribution

Pathophysiology

  • Then, we describe the pathophysiology of pneumatosis and review the literature regarding its origin and management.[ncbi.nlm.nih.gov]
  • Briefly, the pathophysiology and progressive timeline of AA are attributed to the following: Luminal obstruction causing distention Ineffective venous and lymphatic drainage Bacterial invasion Perforation with associated leakage of contents into the peritoneal[emedicine.medscape.com]
  • Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management . 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 120. Updated by: Debra G.[medlineplus.gov]
  • Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016:chap 120. Updated by: Debra G.[nlm.nih.gov]

Prevention

  • In patients with non-rheumatic atrial fibrillation, efficacy of stroke prevention with oral anticoagulant therapy has been proved.[ncbi.nlm.nih.gov]

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