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23 records – page 1 of 3.

Acute appendicitis in pregnancy: complications and subsequent management.

https://arctichealth.org/en/permalink/ahliterature64903
Source
Eur J Surg. 1992 Nov-Dec;158(11-12):603-6
Publication Type
Article
Author
A C Halvorsen
B. Brandt
J J Andreasen
Author Affiliation
Department of Obstetrics and Gynaecology, Rigshospitalet, University of Copenhagen, Denmark.
Source
Eur J Surg. 1992 Nov-Dec;158(11-12):603-6
Language
English
Publication Type
Article
Keywords
Acute Disease
Adult
Appendectomy
Appendicitis - diagnosis - surgery
Female
Humans
Postoperative Complications
Pregnancy
Pregnancy Complications - diagnosis - surgery
Pregnancy outcome
Retrospective Studies
Abstract
OBJECTIVE--To establish guidelines for the management of a pregnancy that is complicated by acute appendicitis. DESIGN--Retrospective study. SETTING--University Hospital, Copenhagen, Denmark. SUBJECTS--16 patients operated on for symptoms of acute appendicitis during the 15 year period 1974-1988. RESULTS--In 12 patients (75%) the diagnosis was confirmed histologically. The signs and symptoms were classic, and three patients had contractions. One fetus died, in a patient with appendicitis complicated by intraperitoneal abscess. In all uncomplicated cases the pregnancy proceeded to term and the deliveries were normal. CONCLUSIONS--Pregnancy should not deter a surgeon from removing an appendix, once the diagnosis is suspected; no pregnancy was affected by removal of a normal appendix. We recommend that prophylactic antibiotics and tocolytic drugs be given in all cases. Simultaneous caesarean section should be done only if there are obstetric indications.
PubMed ID
1363065 View in PubMed
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An analysis of appendectomies performed in a Labrador general surgery practice.

https://arctichealth.org/en/permalink/ahliterature157780
Source
Can J Rural Med. 2008;13(2):68-72
Publication Type
Article
Date
2008
Author
Colin Clarkson
G Narsing Pradhan
Author Affiliation
Memorial University of Newfoundland, St. John's, Newfoundland.
Source
Can J Rural Med. 2008;13(2):68-72
Date
2008
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Appendectomy - statistics & numerical data
Appendicitis - diagnosis - surgery
Child
Child, Preschool
Diagnostic Errors - statistics & numerical data
Female
Humans
Intestinal Perforation - surgery
Male
Middle Aged
Newfoundland and Labrador
Retrospective Studies
Treatment Outcome
Abstract
The main objective of our study was to determine the rates of negative appendectomies and perforated appendices at the Labrador Health Centre, and make a comparison with the rates published in the literature.
The study population consisted of all patients who underwent appendectomies during the 5-year period ending Apr. 3, 2006. The number and rates of negative appendectomies and perforated appendices were determined for each age and sex category.
Of the 64 patients who were included in the study, 11% were found to have undergone negative appendectomies and 27% had perforated appendices. There was a clear trend toward decreasing perforation rates with increasing age as well as a trend toward increasing negative appendectomy rates with increasing age.
The rates of negative appendectomies and perforated appendices at the Labrador Health Centre are comparable with those published in the literature. Trends found in the data will help to guide future improvements in patient management.
PubMed ID
18405463 View in PubMed
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Source
Can Med Assoc J. 1975 May 17;112(10):1187-8
Publication Type
Article
Date
May-17-1975
Author
J A Mohammed
H. Oxorn
Source
Can Med Assoc J. 1975 May 17;112(10):1187-8
Date
May-17-1975
Language
English
Publication Type
Article
Keywords
Abortion, Spontaneous - etiology
Acute Disease
Adolescent
Adult
Appendectomy - adverse effects
Appendicitis - diagnosis - surgery
Female
Fetal Death
Humans
Obstetric Labor, Premature - etiology
Ontario
Parity
Pregnancy
Pregnancy Complications
Abstract
Over a 9-year period at one hospital 25 appendectomies were performed during pregnancy. In 20 cases the appendix was acutely inflamed. All mothers survived. Two women aborted and two went into premature labour. One of the premature infants survived. The fetal loss associated with acute appendicitis was 15%. Early diagnosis and operation is essential.
Notes
Cites: Am J Obstet Gynecol. 1954 Jun;67(6):1338-5013158446
Cites: Lancet. 1954 Jun 19;266(6825):1252-713164366
Cites: Br Med J. 1951 Nov 17;2(4741):1194-514879043
Cites: Aust N Z J Obstet Gynaecol. 1972 Aug;12(3):202-34511748
Cites: Surg Gynecol Obstet. 1969 Sep;129(3):489-925820929
PubMed ID
1125887 View in PubMed
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[Clinical aspects, diagnosis and surgical treatment of abdominal diseases in women]

https://arctichealth.org/en/permalink/ahliterature24219
Source
Klin Khir. 1993;(6):5-7
Publication Type
Article
Date
1993
Author
M M Bondarenko
V I Desiateryk
S S Briushkov
Source
Klin Khir. 1993;(6):5-7
Date
1993
Language
Ukrainian
Publication Type
Article
Keywords
Acute Disease
Adult
Appendicitis - diagnosis - surgery
Diagnosis, Differential
Diagnostic Errors
English Abstract
Female
Humans
Intraoperative Period
Ovarian Cysts - diagnosis - surgery
Ovarian Diseases - diagnosis - surgery
Pregnancy
Rupture, Spontaneous
Salpingitis - diagnosis - surgery
Abstract
The results of treatment of 31 women operated on for acute appendicitis are presented. At operation, a gynecologic disease was revealed in these women. Difficulty in differential diagnosis of acute appendicitis and gynecologic disease in a pregnant woman requires joint decision-making by a surgeon and gynecologist.
PubMed ID
8271704 View in PubMed
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Comparison of two methods for the management of appendicular mass in children.

https://arctichealth.org/en/permalink/ahliterature29980
Source
Pediatr Surg Int. 2005 Feb;21(2):81-3
Publication Type
Article
Date
Feb-2005
Author
Derya Erdogan
Ibrahim Karaman
Adnan Narci
Ayse Karaman
Y Hakan Cavusoglu
M Kemal Aslan
Ozden Cakmak
Author Affiliation
Department of Pediatric Surgery, Dr. Sami Ulus Children's Hospital, 06080 Ankara, Turkey. deryaerdogan@hotmail.com
Source
Pediatr Surg Int. 2005 Feb;21(2):81-3
Date
Feb-2005
Language
English
Publication Type
Article
Keywords
Adolescent
Appendectomy
Appendicitis - diagnosis - surgery
Child
Child, Preschool
Comparative Study
Female
Humans
Male
Retrospective Studies
Abstract
Appendicitis is the most common surgical emergency in pediatric surgery. In the presence of an appendicular mass, surgical management can be difficult. We evaluate the results of appendix mass management both with immediate operation and conservative treatment over a period of 5 years. Forty children who presented with appendicular mass over a period of 5 years were reviewed. Their mean age was 7.6+/-2.7 years, and the mean duration of symptoms was 7.8+/-2.7 days. We evaluated the children in two groups: The first group included 19 children who were operated on immediately, and the second group included 21 children who were managed conservatively, followed by elective appendectomy. In the first group, mean hospitalization time was 8.7+/-3.2 days. The complication rate was found to be high (26.3%). Ileal injury occurred in two patients, intraabdominal abscess developed in one patient, and wound infection developed in another. Appendectomy could not be done in one patient who required another laparotomy 8 weeks later. In the second group, mean hospitalization time was 8.9+/-2.6 days. Two patients (8.6%) failed to respond to conservative management. Elective appendectomy was performed after 2-3 months. Two patients returned with perforated appendicitis 5 months and 12 months later, respectively, because they were not brought back for subsequent appendectomy. It can be concluded that conservative treatment of appendicular mass is safe; we also advocate elective appendectomy because of the probable risk of recurrence.
PubMed ID
15614511 View in PubMed
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Dedicated emergency departments delay surgical treatment of acute appendicitis.

https://arctichealth.org/en/permalink/ahliterature259895
Source
Dan Med J. 2014 Mar;61(3):A4791
Publication Type
Article
Date
Mar-2014
Author
Shiraz Ajmal Qadar
Yasuko Maeda
Javed Akram
Mogens Rørbaek Madsen
Source
Dan Med J. 2014 Mar;61(3):A4791
Date
Mar-2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Appendectomy - statistics & numerical data
Appendicitis - diagnosis - surgery
Denmark
Emergency Service, Hospital - organization & administration
Female
Humans
Male
Middle Aged
Referral and Consultation - organization & administration
Retrospective Studies
Time Factors
Young Adult
Abstract
A new emergency service has been introduced in Denmark. We aimed to assess the impact of the service change for the care of acute surgical emergencies, specifically a subset of patients treated with an appendectomy.
This was a retrospective review of all the patients who had an appendectomy in a surgical department during one year prior to and one year after the implementation of a new emergency service. Data collected included patients' demographics and information related to the care such as the number of doctors involved in diagnosing appendicitis, whether preoperative radiological investigation was used, time to operation, morbidity during the first 30 days, including readmission, type of complication and required intervention.
A total of 314 patients had an appendectomy performed during the study period. After the implementation of the new emergency service, there was a significant delay in time to definitive treatment (457 minutes versus 593 minutes, p = 0.001). The total number of doctors involved in diagnosing appendicitis increased to a median of three doctors (range 1-6) from a median of two surgeons (range 1-6) (p
PubMed ID
24814912 View in PubMed
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Diagnostic accuracy in 2,351 patients undergoing appendicectomy for suspected acute appendicitis: A retrospective study 1986-1993.

https://arctichealth.org/en/permalink/ahliterature203208
Source
Dig Surg. 1999;16(1):39-44
Publication Type
Article
Date
1999
Author
J. Styrud
S. Eriksson
J. Segelman
L. Granström
Author Affiliation
Department of Surgery, Karolinska Institutet at Danderyd Hospital, Danderyd, Sweden.
Source
Dig Surg. 1999;16(1):39-44
Date
1999
Language
English
Publication Type
Article
Keywords
Acute Disease
Adult
Aged
Analysis of Variance
Appendectomy - adverse effects - statistics & numerical data
Appendicitis - diagnosis - surgery
Female
Hospitals - statistics & numerical data
Humans
Male
Middle Aged
Retrospective Studies
Sensitivity and specificity
Sweden
Unnecessary Procedures - statistics & numerical data
Abstract
To investigate the pre-operative findings, accuracy, perforation rate and complication rate in 2,351 patients who underwent appendicectomy during 1986-1993.
The 2,351 records from patients who underwent surgery were analysed to determine whether the pre-operative investigations introduced can improve the diagnostic accuracy when analysed in total.
The total diagnostic accuracy which was 70.9% in 1986 increased to a statistically significant figure of 87.1% in 1993. In female patients, the figure increased from 61.7 to 82.4% and in males from 82.0 to 91.2% during the studied period. The complication rate was in total 10.4% including a mortality of 0.21% (5 patients).
We believe that with a combination of increased interest in patients with acute appendicitis, a wider use of active in-hospital observation, a more standardised pre-operative laboratory investigation and the use of ultrasonography, a high diagnostic accuracy could be reached without an increased rate of complications and perforations.
PubMed ID
9949266 View in PubMed
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Do not rush into operating and just observe actively if you are not sure about the diagnosis of appendicitis.

https://arctichealth.org/en/permalink/ahliterature90206
Source
Pediatr Surg Int. 2009 Mar;25(3):277-82
Publication Type
Article
Date
Mar-2009
Author
Cavusoglu Yusuf Hakan
Erdogan Derya
Karaman Ayse
Aslan Mustafa K
Karaman Ibrahim
Tütün Ozden C
Author Affiliation
Dr. Sami Ulus Children's Hospital, Ankara, Turkey. hakancavusoglu@hotmail.com
Source
Pediatr Surg Int. 2009 Mar;25(3):277-82
Date
Mar-2009
Language
English
Publication Type
Article
Keywords
Adolescent
Appendicitis - diagnosis - surgery
Child
Child, Preschool
Cohort Studies
Diagnosis, Differential
Female
Humans
Infant
Male
Retrospective Studies
Tomography, X-Ray Computed
Ultrasonography
Abstract
PURPOSE: The aim of this study was to determine whether the admission and active observation of children where the diagnosis of acute appendicitis is uncertain is a safe and effective way to improve the diagnostic accuracy of appendicitis and safely reduce the incidence of negative laparotomies without increasing complications. METHODS: We performed a retrospective cohort study of children who presented with a complaint of right lower quadrant pain and were hospitalized with a diagnosis of appendicitis or suspected appendicitis from 1 January to 31 December 2007. RESULTS: A total of 569 patients were included in the study. The mean age was 9.5 +/- 3.2 (range 1.1-17) years. The number of patients directly operated on with a diagnosis of appendicitis was 186 (32%) from the total of 575 while 389 patients (68%) were observed in the surgical ward as the examination and/or investigation findings were equivocal. Of the 383 patients admitted for observation, 173 (45%) were operated on with a suspicion of appendicitis after 14.4 +/- 6.7 h while 210 (55%) were discharged after 1.1 +/- 1.2 days as there seemed to have no surgical problem. Our total negative appendectomy rate was 4% (14/350) and total perforation rate was 37.4% (131/350). The patients operated on directly and those operated on after observation were similar, and there was no difference for the preoperative duration of symptom, histopathological diagnosis, postoperative complication rate, postoperative inpatient days and hospital charges. Total hospitalization duration was significantly longer and the hospital charges significantly higher in the negative appendectomy group. CONCLUSION: Both the features and results and the complication rates and costs of the group operated on after observation were the same as the directly operated on group. However, patients undergoing a negative appendectomy stayed as inpatients longer than only observation patients with higher treatment charges. We could therefore decrease the negative appendectomy rate, the associated cost and duration of hospitalization without causing extra complications if we observe and investigate patients with right lower quadrant pain with a doubtful diagnosis and did not operate on them directly.
PubMed ID
19184052 View in PubMed
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The impact of an acute care emergency surgical service on timely surgical decision-making and emergency department overcrowding.

https://arctichealth.org/en/permalink/ahliterature134306
Source
J Am Coll Surg. 2011 Aug;213(2):284-93
Publication Type
Article
Date
Aug-2011
Author
Adnan Qureshi
Andy Smith
Frances Wright
Fred Brenneman
Sandro Rizoli
Taulee Hsieh
Homer C Tien
Author Affiliation
Department of Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Source
J Am Coll Surg. 2011 Aug;213(2):284-93
Date
Aug-2011
Language
English
Publication Type
Article
Keywords
Adult
Appendicitis - diagnosis - surgery
Emergency Service, Hospital - organization & administration
Female
Humans
Intestinal Diseases - diagnosis - surgery
Length of Stay
Male
Middle Aged
Ontario
Time Factors
Triage
Abstract
This study evaluated how implementation of an acute care emergency surgery service (ACCESS) affected key determinants of emergency department (ED) length of stay, and particularly, surgical decision time. Also, we analyzed how ACCESS affected ED overcrowding.
We conducted a before and after study of all ED patients referred to ACCESS from January 1, 2007 to June 30, 2009. ACCESS was implemented on July 1, 2008. The primary outcome was surgical decision time; the secondary outcome was a measure of overall ED overcrowding: "time-to-stretcher" for all ED patients. The control groups were patients referred to internal medicine or urology. Patients with appendicitis were studied in order to analyze the impact on patient outcomes and to determine barriers to efficient ED patient flow.
Of 2,510 patients, 1,448 patients were pre-ACCESS, and 1,062 were after ACCESS implementation. Implementation of ACCESS was associated with a 15% reduction in surgical decision time (12.6 hours vs 10.8 hours, p
PubMed ID
21601487 View in PubMed
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23 records – page 1 of 3.