Acute appendicitis in an overweight and obese Mexican population: A retrospective cohort study

Sotelo-Anaya, Eduardo; Sánchez-Muñoz, Martha Patricia; Ploneda-Valencia, C.F.; Cerda-Trujillo, Liliana Faviola De la; Varela-Muñoz, Oscar; Gutiérrez-Chávez, Carlos; López-Lizárraga, C.R.

doi:10.1016/j.ijsu.2016.06.004

Cited by 8 publications

(10 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Literature reports that laparoscopic appendectomy is associated with a higher complication rate and high cost as compared to the conventional open procedure 13 . Although laparoscopic appendectomy has the advantages of optimal abdominal cavity exploration, less hospital stay and less post-operative pain which is in line with our study 3 . The difference of the technique in both methods may transform the consequences in term of complication and costs 14 .…”

Section: Discussionsupporting

confidence: 90%

“…Appendectomy has been proven to the standard care for the treatment of acute appendicitis since its introduction in 1894 by McBurney 2 . Literature already proves that laparoscopic surgery has many advantages like fast recovery, less pain at the site of surgery and shorter hospital stay 3 . In complicated appendicitis, laparoscopic appendectomy has major advantages like decreased risk of wound infection & complete vision of peritoneal cavity 4 .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Laparoscopic Versus Open Appendectomy, A Comparative Study

2019

J Liaquat Uni Med Health Sci

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Laparoscopic Versus Open Appendectomy, A Comparative Study

2019

J Liaquat Uni Med Health Sci

View full text Add to dashboard Cite

“…Acute appendicitis is the most common indication for an emergency abdominal surgery in the world, with a lifetime incidence of around 10% [1] , [2] . The etiology of acute appendicitis is secondary to appendiceal obstruction, the commonest causes of this obstruction are lymphoid hyperplasia and, fecal stasis with fecaliths [3] , [4] , [5] ; other rare causes have been described such as carcinoid tumor of the appendix, pinworm, eosinophilic appendicitis, granulomas, and actinomycosis among others [3] , [5] , [6] .…”

Section: Introductionmentioning

confidence: 99%

A rare case of subacute appendicitis, actinomycosis as the final pathology reports: A case report and literature review

Gómez-Torres

Ortega-García

Gutierrez-López

et al. 2017

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…It is reported that laparoscopic appendectomy is associated with a higher complication rate and higher charges regardless the conventional procedure (33), although the advantages of the laparoscopic approach (optimal abdominal cavity exploration, fast recovery) are emphasized elsewhere (6). The different techniques proposed in literature for both approaches can obviously change the results in terms of patient's comfort, complications and costs (2, [4][5][6][7][8]. The open technique we proposed is commonly adopted in many cases (34,35), as well as the three-port laparoscopic procedure, used for appendectomy and other abdominal procedures (36)(37)(38)(39).…”

Section: Discussionmentioning

confidence: 99%

“…The conventional, laparotomic approach is still accepted, as reported in some studies based on surgical expertise (4). Many studies suggest that the laparoscopic approach for performing appendectomy (LA) has many advantages like faster recovery, less postoperative complications, better cosmetic impact, less postoperative pain and shorter hospital stay (5,6). At first these advantages had been demonstrated in uncomplicated appendicitis (7).…”

Section: Introductionmentioning

confidence: 99%

Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit

Guercio¹

2016

GCHIR

View full text Add to dashboard Cite

clinical practice gold standard in the activity of a general emergency unit with a variety of senior surgeons with different skills on the basic laparoscopy. Study designThe present institutional retrospective cohort study included patients who have been preoperatively evaluated in case of emergency and scheduled for appendectomy within 24 hours after recovery.The main goal is to evaluate if the laparoscopic appendectomy on the whole is an advantageous procedure in a team consisting in senior surgeon who are mostly dedicated at a different kind of surgery, having different skills in laparoscopic surgery, and if those different skills affect the results. We performed a review of available data of patients who underwent appendectomy during the period in which the data of the surgical procedures were registered in the institutional electronic database (Intranet). MethodsThe present retrospective study was carried out from January 2010 to June 2016 in the Unit of General and Emergency Surgery of the "Policlinico P. Giaccone" -University of Palermo (Italy) and concerned the appendectomies performed by 6 senior surgeons working at the Unit during the whole period of observation. The activity of the surgeons that turned up successively in the team, and those who came out was excluded from this study. We included the appendectomies carried out with the conventional three-port laparoscopic approach or the Mac Burney incision for the conventional open approach. The midline xiphoid-pubis incision and the umbilicuspubis laparotomy were excluded if carried out as firstchoice approach. On the contrary, these were taken into consideration if a standard (laparotomic/laparoscopic) technique was converted to an open technique through a wide abdominal access (s).The surgeons were classified with a generic descriptor-based grading (Table 1), related exclusively to general laparoscopic skills and accepted by mutual consent of all operators (11). It should be underlined that the three "skilled" surgeons attended, during their career, a formal course of laparoscopy, on the other hand (contrary) the surgeons classified as "level 3" did not. The severity of acute appendicitis was classified according to the Disease Severity Score described by Garst et al. (12), reported on the Table 2. The surgical procedures were the conventional laparotomic appendectomy performed through a Mac-Burney incision or the three-port laparoscopic approach. The conventional, laparotomic approach was performed with a 2-5 cm long Incision along a Langer line at the junction of lateral one-third and medial twothird of right anterior superior iliac spine and umbilicus. Then, the superficial abdominal fascia is incised. Once the lateral margin of the rectum abdomen muscle is visualized it is medially retracted and the deep fascia incised, or rectum muscle is incised along the direction of its fibers. Then, the external oblique muscle is also incised and transversalis fascia visualized. After this fascia and the peritoneum were incised, the appendix is localized an...

show abstract

Acute appendicitis in an overweight and obese Mexican population: A retrospective cohort study

Abstract: The outcomes in the Mexican adult obese population with acute appendicitis when a laparoscopic appendectomy is performed are as good as reported in other countries.

Cited by 8 publications

References 16 publications

Laparoscopic Versus Open Appendectomy, A Comparative Study

Laparoscopic Versus Open Appendectomy, A Comparative Study

A rare case of subacute appendicitis, actinomycosis as the final pathology reports: A case report and literature review

Acute appendicitis: should the laparoscopic approach be proposed as the gold standard? Six-year experience in an Emergency Surgery Unit

Contact Info

Product

Resources

About