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At least 1,099 records · Page 61Linked to original sources
PubMed1976

A comparison of Mersilene and polyglycolic acid sutures in pararectal abdominal wounds after appendectomy.

A total of 206 patients were subjected to operation for acute appendicitis through a pararectal laparotomy. Mersilene was used in 101 and polyglycolic acid (PGA, Dexon) in 105 patients as buried sutures for the closure of the abdominal wall, including the fascial layer. Wound complications developed after Mersilene in 23 and after PGA in 10 cases. PGA did not lead to an increased frequency of early wound infections. Granulomata or fistulae developed after Mersilene in 18 patients, but not in any of the cases in which PGA was used. Wound rupture and incisional hernia did not occur in any of the patients in the two groups.

Appendectomy↗
PubMed1999

[Laparoscopic appendectomy. Review based on an homogeneous series of 906 cases].

PURPOSE: The aim of this retrospective study is to present the results of a large homogeneous series of laparoscopic appendicectomy. Special attention is drawn to the reasons for conversion and postoperative complications. METHODS: From May 1990 to December 1997, 906 patients were operated by laparoscopy for acute appendicitis, by one surgeon, using the same technique. Acute peritonitis and abscesses were found in 63 patients. RESULTS: There was no post-operative mortality. The overall conversion rate was 2.3 per cent, but was 25 per cent for abscesses with severe inflammatory adhesions, and 0 per cent for diffuse peritonitis. Post-operative complications were more frequent in the early period. The overall morbidity rate was 0.1 per cent, including essentially intraabdominal abscesses. CONCLUSION: A recent critical review of twelve randomized controlled trials on laparoscopic appendicectomy failed to draw any definitive conclusion because of a statistical lack of power. The present study with a large number of patients shows that laparoscopic treatment is safe. The limit of the method essentially concerns abscesses with sclerous inflammation.

Abscess↗
PubMed1999

[Method for creating approach by Volkovich-D'iakonov in technically complicated appendectomies].

As a result of morphological experiments in 28 corpses, various methods for correction of the approach by Volkovich--Dyakonov regarding various topographo-anatomical location of the appendix were assessed. The design of Sigal--Kabanov retractors has been improved. The mode of making the approach by Volkovich--Dyakonov by apparatus correction was developed. It was used in clinical trial of 62 patients with acute appendicitis. Comparative clinical characteristics have shown some advantages of this original variant of correction of the surgical approach compared to traditional one.

Appendectomy↗
PubMed1999

Appendectomy in pregnancy and postpartum: analysis of data from a large private hospital.

Little research is found in the nursing literature regarding appendicitis in the pregnant patient. Appendicitis in pregnancy is associated with: perforation of the appendix, peritonitis, and increased fetal and maternal mortality and morbidity. Preterm labor and early delivery may further complicate the pregnancy. Advanced practice nurses may encounter pregnant women with abdominal pain who present in the primary care setting as well as in an obstetric office. Knowledge of signs and symptoms of appendicitis in pregnancy, potential complications, and outcomes is essential to nursing. Early recognition may decrease complications and improve outcomes. A 10-year chart review was performed at a large urban Midwestern hospital with a large obstetric department. Deliveries numbered more than 66,000 during the 10 years. A total of 42 cases of appendicitis during pregnancy and the 2 weeks following delivery was identified. The characteristics of the population as well as considerations for practice are discussed.

Adolescent↗
PubMedDate not supplied

Laparoscopic cholecystectomy and appendectomy in situs inversus totalis.

Situs inversus totalis is an uncommon anatomic anomaly that complicates diagnosis and management of acute abdominal pain. Expedient diagnosis of common intraperitoneal disease processes such as biliary colic, acute appendicitis and diverticulitis is often delayed as a result of seemingly incongruous physical findings. We present the case of a young woman with prior emergency room visits for complaints of a vague left upper quadrant abdominal pain. An ultrasound performed on her third presentation revealed visceral situs inversus with cholelithiasis and dilated intra- and extrahepatic biliary ducts. Standard laparoscopic cholecystectomy and cholangiography with a mirror-image surgical approach was performed successfully and without complication.

Adult↗