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At least 595 records · Page 33Linked to original sources
PubMed1992

[Complications in patients who underwent appendectomy for mistakenly diagnosed acute appendicitis].

A retrospective investigation was undertaken concerning 552 patients who were submitted to appendectomy on account of suspected acute appendicitis during the period January 1 1983-December 31 1987. The diagnostic certainty was found to be 69%. A total of 14.3% (79/552) developed postoperative complications, including 20 patients in whom normal appendices were removed. Some of the complications were possibly attributable to the cause of the symptoms of acute appendicitis but this was not possible to determine by review of the case records. No differences were found in the frequencies of complications in whom normal appendices were removed as compared with those in whom inflamed appendices were removed. The frequency of perforation was 17.2% (95/552) which is in agreement with the findings in previous investigations. It may thus be concluded that the incidence of complications associated with removal of a normal appendix is no greater than after removal of an inflamed appendix. Removal of a normal appendix is, however, not a harmless procedure. The incidence of "negative appendectomy" must be reduced by meticulous observation and repeated reassessment of the patient and employment of other diagnostic aids e.g. ultrasonic scanning or laparoscopy in order to confirm or refute the diagnosis prior to possible operation.

Acute Disease↗
PubMed2005

[Laparoscopic appendectomy].

Laparoscopic appendectomy is an effective, safe procedure for the treatment of patients with acute appendicitis. Studies have demonstrated the diagnostic and therapeutic advantages of the method and its positive impact on laparoscopic training. However, the procedure has not been widely accepted in Denmark. This paper describes the technical and educational aspects of laparoscopic appendectomy and provides practical information on the implementation of the procedure in daily practice.

Appendectomy↗
PubMedDate not supplied

[Laparoscopic appendectomy--considerations in about 1000 cases].

Laparoscopic appendectomy (LA) is a well spread method today, but not as largely accepted as cholecystectomy, the cure of gastro-esophageal reflux and some other procedures (relatively small in number) for which the laparoscopic approach is the golden standard. Otherwise it is improbable that LA will gain such a status, at least in the near future. On the other hand it is obvious that LA offers important advantages for some special situations: the right iliac area syndrome, obesity, professional sportsmen, abnormal localization of the appendix, as well for the cases when localized and especially diffuse peritonitis is associated. Our paper analyses the experience of General Surgery Department at the "St.John" Emergency Hospital Bucharest on laparoscopic appendectomy. The retrospective study includes 996 cases that were treated laparoscopic between 1996-2004. Of these 745 cases were catarrhal, 166 cases were phlegmonous and 76 gangrenous appendicitis. In 93 cases localized or diffuse peritonitis was associated. There were recorded also 3 cases of each of the following: chronic appendicitis, appendicular mass and mucocele. The number of conversions was 28 (2.81%). There were also 10 reinterventions (1.004%), 7 because of intraperitoneal abscess and we also recorded one death.

Appendectomy↗
PubMed1991

Laparoscopic appendectomy in 625 cases: from innovation to routine.

Invented in 1982 by Semm, a gynecologist, laparoscopic appendectomy began to be used in operative surgery in 1987. Since then, we have modified and performed this promising procedure in > 700 patients. The data of the first 625 cases indicate that laparoscopic appendectomy is safe and practicable. With regard to patient age as well as the acuteness of the inflammation, the patients represent a cross section of the normal appendicitis population. The major benefits and possible problems of the method are presented and discussed.

Adolescent↗
PubMed1991

Laparoscopic appendectomy: three years' experience.

Laparoscopic appendectomy was performed on 109 patients over a 3-year-period--1988 to 1991. All procedures were uneventful and all patients resumed normal activity within a shorter period than had been experienced with open appendectomy. Patients had a superior cosmetic result and experienced significantly less postoperative discomfort.

Appendectomy↗
PubMed2006

[Technical characteristics of laparoscopic appendectomy for acute destructive appendicitis].

Efficacy of application of laparoscopic technologies in the treatment of destructive forms of an acute appendicitis was estimated. Laparoscopic appendectomy (LA) was performed in 197 patients. The reduction of duration of the patients stationary treatment was noted, as well as of the wound infectioning rate comparing with such indexes, obtained after open appendectomy performance. The efficacy and security of LA in the treatment of patients, suffering destructive forms of an acute appendicitis, was proved.

Acute Disease↗
PubMed2006

[Results of the elective laparoscopic appendectomy in unexplained pains in the right hypogastrium].

AIM: The aim of this study is to assess results of surgical therapy in female patients with clinical diagnoses of unexplained pains in the right hypogastrium. STUDY GROUP: The study was conducted with a group of female patients, who were indicated for elective laparoscopic appendectomy. All girls underwent complete laboratory and clinical examinations prior to the procedure, and, later, histological findings and peroperative findings were added. The patient group was then re-examined retrospectively. All procedures were conducted at the Clinic of Paediatric Surgery, Orthopaedics and Traumatology in Brno. METHODOLOGY: A follow-up examination of clinical symptoms was the primary method in the study. After 3 years of the procedure, the girls were asked to fill in a questionnaire, including 5 questions with pre-defined answers. Complete records of 67 female patients were obtained during the period 1997-2000. RESULTS AND CONCLUSION: Over 80% of the enquired female patients experienced no further symptoms. The study confirmed positive effects of elective appendectomies in unexplained pains in the right hypogastrium.

Abdominal Pain↗
PubMedDate not supplied

Laparoscopic appendectomy for mucocele of the appendix: Report of 8 cases.

Mucocele of the appendix is an aseptic dilatation secondary to obstruction. Surgical excision is the treatment of choice in benign mucocele. The incidence of mucocele of the appendix in our center is 0.15%, of a total of 6000 appendectomies over 8 years. We operated on 9 cases; laparoscopic appendectomy was done in 8 of them. One patient had pseudomyxoma peritonei, so open surgery was done. Other organs were also examined as there is a possibility of concurrent tumors. As there is risk of malignancy of the appendix leading to port-site metastasis we used a non-permeable bag to remove the resected specimen.

Appendectomy↗
PubMedDate not supplied

Laparoscopic appendectomy in pregnancy: a case series of seven patients.

BACKGROUND: Appendicitis in the pregnant patient presents with diagnostic difficulties and more serious problems. Open surgery has its own limitations, mostly governed by the stage of the disease and the trimester of pregnancy. Laparoscopic appendectomy is beginning to be recognized as standard appendicitis treatment, as evidenced by several studies. In pregnancy, laparoscopy is even more controversial. Several studies prove the safety of laparoscopy and some studies disprove it. METHODS: We have treated 7 patients in the last 10 years; 6 had acute appendicitis and 1 had a perforated appendix. Ultrasound diagnosed 5 patients, and CT scan identified the other 2 patients. The patient with the perforated appendix had free fluid in the right iliac fossa and pelvis. Laparoscopic appendectomy was done in all patients. DISCUSSION: Pregnancy poses its own unique problems to the surgeon and anesthesiologist. The normal physiology becomes altered, and sound knowledge of this is necessary to handle these patients. Clinical presentation was mostly straightforward. Both ultrasound and CT scan were useful investigations. CONCLUSION: Most studies support the use of laparoscopy in the management of appendicitis. There was no mortality (for mother and fetus) or morbidity in our patients.

Adult↗
PubMed1991

[Laser-assisted laparoscopic appendectomy].

Our constantly good experience with approximately 300 laparoscopic appendectomies (almost 520 at present (Feb. 90)) encouraged us in 1988 to introduce Laser technology into laparoscopic abdominal surgery. 22 patients underwent Laser-aided laparoscopic appendectomy. We obtained good results by means of using both an CO2-Laser and a Nd-YAG-Laser.

Adolescent↗
PubMed1991

[Pelvic pain in women. Evaluation of a celioscopic intraperitoneal appendectomy technique].

The diagnostic and therapeutic value of laparoscopic surgery has been established for ovarian cysts and ectopic pregnancies. The diagnosis of appendicitis is difficult and laparoscopy is useful. The aim of this study is to assess feasibility, efficacy and advantages of a new technique of laparoscopic appendectomy. From 1st August to 15th December 1989, the women seen for pelvic pain were divided into three groups: appendicitis, pelvic inflammatory disease (PID) and doubtful. Intra-peritoneal appendectomy was performed when the laparoscopic diagnosis was not PID. Via three supra symphyseal trochars, the appendix was exposed and its mesentery was coagulated. The appendix stump was closed with a clip applicator. Twelve women were included in this study. In two thirds of cases, laparoscopy confirmed the clinical diagnosis. Mean operation time was 39 minutes. Laparotomy was never necessary. There were no post-operative complications and intestinal transit was always complete on the second post-operative day. The patient's and nurse's appreciation was excellent. This operation was possible on every occasion. This technique is sure, quick and easily reproducible. A comfortable post-operative period and esthetic advantages were reported by the women.

Appendectomy↗
PubMed1991

Laparoscopic appendectomy incidental to gynecologic procedures.

1. The advantages of laparoscopic appendectomy over the traditional "open" method include decreased chance of wound infection, early ambulation and resumption of normal daily activities, decreased postoperative pain, improved diagnostic accuracy, better visualization of intra-abdominal anatomy, improved cosmetic results, and avoidance of "open" appendectomy if pathology is found during routine gynecologic laparoscopic surgery. 2. Single-puncture laparoscopy has several advantages over the multiple-puncture approach, including simplicity, expediency, lower cost, avoidance of potential complications associated with multiple punctures, improved cosmetic results, and flexibility to be converted into multiple-puncture laparoscopy or laparotomy when indicated. 3. Laparoscopy is expected to eventually replace laparotomy as the primary approach for most cases of diseases of the appendix. It is not suitable in cases of dense adhesions with distorted anatomy, malignancy, or severe pelvic peritonitis.

Appendectomy↗
PubMed1991

[When is surgical correction of the terminal ileum during appendectomy indicated?].

During 1416 appendectomy operations we examined the ileum and found 42 cases of terminal ileum infraction (ileum terminale duplex) caused by the cicatrisation of the mesenterium. Nine of the forty-two had characteristic symptoms of terminal ileum infraction syndrome (stomachodynia and pain in the right lower part of the abdomen 4 or 5 hours after meals, distensions). Deliberation was performed in this cases at the time of the appendectomy operations. Following the operations they had no symptoms. When the infraction is severe or the patient has typical complaints of terminal ileum infraction syndrome necessitates the deliberation of the terminal ileum in our opinion.

Appendectomy↗
PubMed1991

[Early commissural ileus after appendectomy in children].

The results of treatment of early commissural ileus (ECI) after appendectomy in children for the period of from 1971 to 1988 are presented. Before 1980, the active tactics of treatment was predominantly used. Of the 4412 patients who underwent appendectomy, ECI developed in 28 (0.68%), 18 were operated on, including the 7--repeatedly. Since 1980, the complex of conservative measures permitting to avoid the operative intervention more than in 60% of the patients has been introduced. Of the 4281 patient operated on for acute appendicitis, ECI developed in 12 (0.28%). The conservative measures has proved to be effective in 2/3 patients. Recurrency of commissural ileus was noted in 1 patient. There were no lethal outcomes.

Acute Disease↗
PubMed1990

Appendectomy, appendicitis, and large bowel cancer.

A cohort of 167,561 persons who received multiphasic health checkups were followed up for cancer development. A history of appendectomy showed slightly negative nonsignificant associations with the development of cancer of the colon, rectum, and all sites combined. By inference, the relation of appendicitis with these cancers was also inverse. Upper 95% confidence limits were compatible only with small positive associations of appendectomy and appendicitis with these cancers. These data do not support the view that removing the appendix increases cancer risk by diminishing immunocompetency. A link between appendicitis and large bowel cancer has been noted in intersociety correlations and has been hypothesized to be due to prevention of both by a high-fiber diet. However, appendicitis does not appear to be a useful predictor of large bowel cancer within a developed society.

Adolescent↗
PubMed1990

[Factors determining the development of wound infection after appendectomy].

In order to illustrate which factors are of significance for the development of wound infection after appendectomy, an extensive prospective material of 2,097 patients submitted to appendectomy was analysed. Regression analyses demonstrated that age alone, employment of preoperative antibiotics (cefoxitin) and patient delay (time from onset of symptoms till admission) were of significance. The present authors conclude, on the basis of this material, that all patients over 25 years of age should be given preoperative antibiotic prophylaxis which covers aerobic and also anaerobic microorganisms. If a gangrenous or perforated appendix is found, antibiotics should be administered intraoperatively if prophylactic treatment has not been administered. In cases of perforation, antibiotics should be administered postoperatively for 72 hours.

Adolescent↗
PubMed1989

[Oral rehydration immediately after appendectomy].

An experimental study of 20 patients with appendicitis was carried out in order to know if after the appendectomy they tolerate the hidratation with rehidratant salts by mouth in place of endovenous hydratation. The oral hydratation was indicated in all the cases immediately after the operation and only was one failure (5%). In the 95% the oral hydratation was tolerated, 45% without gastric symptoms, 35% with mild gastric symptoms and in 15% with moderate gastric symptoms. The association of gentamycin-metronidazol administered by intramuscular and oral way respectively was used in 100% of the patients. In 80% as profilaxis and in 20% as treatment. Two cases had complication as sepsis of the wound one of the profilactic group (5.9%) and another of the treatment group. In conclusion the oral hydratation with rehydrating salts were tolerated for the patients immediately after the appendectomy.

Administration, Oral↗
PubMed1989

[The x-ray characteristics of the changes in the fallopian tubes of women with primary sterility who have had an appendectomy].

Using hysterosalpingography an attempt was made to classify the changes occurring in the uterine tubes of 114 women with primary sterility, undergone appendectomy in the past. It was established that changes in the tubes presented various character and included 2/5 of the material. There was direct dependence between appendectomy with complications and the gravity of the tubal factor.

Adult↗