Literature DB >> 19350346

Emergency appendicectomy in the era of laparoscopy: a one-year audit.

Z Al Hilli1, R S Prichard, G Roche-Nagle, M Leader, D A McNamara, J Deasy.   

Abstract

BACKGROUND: Appendicectomy for acute appendicitis is the commonest emergency surgical operation. With widespread acceptance of minimal access surgery most appendicectomies are now performed laparoscopically. AIMS: The aim of this study was to assess whether the rate of normal appendicectomy has changed following the introduction of laparoscopic techniques in our institution.
METHODS: A retrospective study of patients having emergency appendicectomies over a 1-year period (2005) in a large teaching hospital was undertaken.
RESULTS: A comparison of data was made from a prior study performed at the same hospital in 1988. 196 adult patients underwent appendectomies during this period. The normal appendectomy rate was 10.2% compared to 22.8% in the previous study. This rate was twice as high in women of reproductive age as compared to men.
CONCLUSION: There has been widespread uptake of laparoscopic appendectomy in our hospital. This technique has reduced the rate of histologically normal appendicectomies due to intra-operative visualization of the appendix.

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Year:  2009        PMID: 19350346     DOI: 10.1007/s11845-009-0299-3

Source DB:  PubMed          Journal:  Ir J Med Sci        ISSN: 0021-1265            Impact factor:   1.568


  14 in total

1.  Trends in utilization and outcomes of laparoscopic versus open appendectomy.

Authors:  Ninh T Nguyen; Kambiz Zainabadi; Shahrazad Mavandadi; Mahbod Paya; C Melinda Stevens; Jeffrey Root; Samuel E Wilson
Journal:  Am J Surg       Date:  2004-12       Impact factor: 2.565

2.  Are negative appendectomies still acceptable?

Authors:  Kory Jones; Alberto A Peña; Ernest L Dunn; Lennard Nadalo; Alicia J Mangram
Journal:  Am J Surg       Date:  2004-12       Impact factor: 2.565

3.  Current trends in the management of acute appendicitis.

Authors:  S Ng; F J Fleming; J Drumm; D Waldron; P A Grace
Journal:  Ir J Med Sci       Date:  2008-02-08       Impact factor: 1.568

4.  Endoscopic appendectomy.

Authors:  K Semm
Journal:  Endoscopy       Date:  1983-03       Impact factor: 10.093

5.  The clinical and economic correlates of misdiagnosed appendicitis: nationwide analysis.

Authors:  David R Flum; Thomas Koepsell
Journal:  Arch Surg       Date:  2002-07

6.  Laparoscopic versus open appendectomy: between evidence and common sense.

Authors:  Ernst Eypasch; Stefan Sauerland; Rolf Lefering; Edmund A M Neugebauer
Journal:  Dig Surg       Date:  2002       Impact factor: 2.588

7.  Does laparoscopy reduce the incidence of unnecessary appendicectomies?

Authors:  C Barrat; J M Catheline; N Rizk; G G Champault
Journal:  Surg Laparosc Endosc       Date:  1999-01

8.  Meta-analysis of randomized controlled trials comparing laparoscopic and open appendectomy.

Authors:  J M Garbutt; N J Soper; W D Shannon; A Botero; B Littenberg
Journal:  Surg Laparosc Endosc       Date:  1999-01

9.  Negative appendectomy rate: influence of CT scans.

Authors:  Marcia L McGory; David S Zingmond; Darshani Nanayakkara; Melinda A Maggard; Clifford Y Ko
Journal:  Am Surg       Date:  2005-10       Impact factor: 0.688

10.  Appendectomy in the pre- and postlaparoscopic eras.

Authors:  D B Nguyen; W Silen; R A Hodin
Journal:  J Gastrointest Surg       Date:  1999 Jan-Feb       Impact factor: 3.267

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  1 in total

1.  Appendicitis in the modern era: universal problem and variable treatment.

Authors:  Lindsay A Bliss; Catherine J Yang; Tara S Kent; Sing Chau Ng; Jonathan F Critchlow; Jennifer F Tseng
Journal:  Surg Endosc       Date:  2014-10-08       Impact factor: 4.584

  1 in total

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