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Appendectomy
Appendectomies

Images

WIKIDATA, CC BY-SA 4.0
WIKIDATA, Public Domain
WIKIDATA, CC BY-SA 4.0
WIKIDATA, GFDL
WIKIDATA, Public Domain
WIKIDATA, Public Domain
WIKIDATA, Public Domain

Presentation

Among the complications of an open appendectomy is the presentation of an incisional hernia. [ncbi.nlm.nih.gov]

Gastrointestinal

  • 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]

  • Obturator Sign

    The presence of peritonitis, Rovsing’s sign, and psoas stretch or obturator signs are common. Confirmatory imaging commonly includes ultrasound and CT scan. [clinicalpainadvisor.com]

Workup

In literature there seems to be some advantage in favour of laparoscopic appendectomy; a more accurate preoperative diagnostic workup is anyway advised in consideration also of the greater incidence of neoplasias among elderly people [1, 3, 4]. [intechopen.com]

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]

Microbiology

  • 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

The network was informed primarily by indirect treatment comparisons. [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]

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]

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]

Etiology

Several factors may contribute to the etiology of stump appendicitis, mainly related to the length of the residual tissue after 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]

Year introduced: 1991(1964) PubMed search builder options Subheadings: analysis anatomy and histology blood chemically induced complications congenital diagnosis drug therapy enzymology epidemiology ethnology etiology genetics metabolism mortality pathology [ncbi.nlm.nih.gov]

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 appendicectomy in the United States. Am J Epidemiology. 1990;132:910–25. 2. Seem K. Endoscopic appendectomy. Endoscopy. 1983;15:59–64. 3. Kurtz RJ, Heimann TM. [wjes.biomedcentral.com]

Pathophysiology

Then, we describe the pathophysiology of pneumatosis and review the literature regarding its origin and management. [ncbi.nlm.nih.gov]

PATHOPHYSIOLOGY The exact mechanism of AA is still unclear, but is believed to be multifactorial. [wjgnet.com]

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]

Pediatric appendicitis: pathophysiology and appropriate use of diagnostic imaging. CJEM. 2006 nov.;8(6):425-32. Pearl RH, Hale DA, Molloy M, Schutt DC, Jaques DP. Pediatric appendectomy. J Pediatr Surg. 1995 febr.;30(2):173-8. [revistapediatria.org]

Prevention

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

The skin is swabbed with a solution that kills germs to help prevent infections along the incision. [verywellhealth.com]

More important, it does prevent future appendicitis.3-5 Some surgeons disagree, citing an increase in operative time, hospital costs, and patient morbidity as reasonable concerns. [mdedge.com]

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