Laparoscopic appendicectomy in obese is associated with improvements in clinical outcome: Systematic review

Dasari, Bobby; Baker, Jill; Markar, Sheraz R.; Gardiner, Keith

doi:10.1016/j.ijsu.2014.11.052

Cited by 25 publications

(23 citation statements)

References 19 publications

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“…A meta-analysis of prospective and retrospective comparative series evidences superiority of LA vs. OA also in obese (BMI >30) patients [ 92 ]. Dasari et al reported the same encouraging results also in a recent Systematic Review [ 93 ].…”

Section: Resultsmentioning

confidence: 55%

WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

Saverio¹,

et al. 2016

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Acute appendicitis (AA) is among the most common cause of acute abdominal pain. Diagnosis of AA is challenging; a variable combination of clinical signs and symptoms has been used together with laboratory findings in several scoring systems proposed for suggesting the probability of AA and the possible subsequent management pathway. The role of imaging in the diagnosis of AA is still debated, with variable use of US, CT and MRI in different settings worldwide. Up to date, comprehensive clinical guidelines for diagnosis and management of AA have never been issued. In July 2015, during the 3rd World Congress of the WSES, held in Jerusalem (Israel), a panel of experts including an Organizational Committee and Scientific Committee and Scientific Secretariat, participated to a Consensus Conference where eight panelists presented a number of statements developed for each of the eight main questions about diagnosis and management of AA. The statements were then voted, eventually modified and finally approved by the participants to The Consensus Conference and lately by the board of co-authors. The current paper is reporting the definitive Guidelines Statements on each of the following topics: 1) Diagnostic efficiency of clinical scoring systems, 2) Role of Imaging, 3) Non-operative treatment for uncomplicated appendicitis, 4) Timing of appendectomy and in-hospital delay, 5) Surgical treatment 6) Scoring systems for intra-operative grading of appendicitis and their clinical usefulness 7) Non-surgical treatment for complicated appendicitis: abscess or phlegmon 8) Pre-operative and post-operative antibiotics.

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Section: Resultsmentioning

confidence: 55%

WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

Saverio¹,

et al. 2016

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“…This was confirmed by a meta-analysis, although a reduced length of hospital stay was noted after LA [105]. More recently, two recent meta-analyses showed a reduction of mortality and morbidity rates after LA [106, 107]. …”

Section: Pre-operative Carementioning

confidence: 79%

Diagnosis and management of acute appendicitis. EAES consensus development conference 2015

et al. 2016

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Unequivocal international guidelines regarding the diagnosis and management of patients with acute appendicitis are lacking. The aim of the consensus meeting 2015 of the EAES was to generate a European guideline based on best available evidence and expert opinions of a panel of EAES members. After a systematic review of the literature by an international group of surgical research fellows, an expert panel with extensive clinical experience in the management of appendicitis discussed statements and recommendations. Statements and recommendations with more than 70 % agreement by the experts were selected for a web survey and the consensus meeting of the EAES in Bucharest in June 2015. EAES members and attendees at the EAES meeting in Bucharest could vote on these statements and recommendations. In the case of more than 70 % agreement, the statement or recommendation was defined as supported by the scientific community. Results from both the web survey and the consensus meeting in Bucharest are presented as percentages. In total, 46 statements and recommendations were selected for the web survey and consensus meeting. More than 232 members and attendees voted on them. In 41 of 46 statements and recommendations, more than 70 % agreement was reached. All 46 statements and recommendations are presented in this paper. They comprise topics regarding the diagnostic work-up, treatment indications, procedural aspects and post-operative care. The consensus meeting produced 46 statements and recommendations on the diagnostic work-up and management of appendicitis. The majority of the EAES members supported these statements. These consensus proceedings provide additional guidance to surgeons and surgical residents providing care to patients with appendicitis. Electronic supplementary materialThe online version of this article (doi:10.1007/s00464-016-5245-7) contains supplementary material, which is available to authorized users.

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“…LA also appears to be a safer alternative approach to OA in obese adult patients. In the systematic review by Dasari et al including seven retrospective cohort studies and one randomized controlled trial, LA in obese patients was associated with reduced mortality (RR 0.19), reduced overall morbidity (RR 0.49), reduced superficial SSI (RR 0.27), and shorter operating times and postoperative length of hospital stay, compared to OA [156].…”

Section: Q44: Does Laparoscopic Single-incision Surgery Confer Any mentioning

confidence: 99%

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

et al. 2020

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Background and aims: Acute appendicitis (AA) is among the most common causes of acute abdominal pain. Diagnosis of AA is still challenging and some controversies on its management are still present among different settings and practice patterns worldwide. In July 2015, the World Society of Emergency Surgery (WSES) organized in Jerusalem the first consensus conference on the diagnosis and treatment of AA in adult patients with the intention of producing evidence-based guidelines. An updated consensus conference took place in Nijemegen in June 2019 and the guidelines have now been updated in order to provide evidence-based statements and recommendations in keeping with varying clinical practice: use of clinical scores and imaging in diagnosing AA, indications and timing for surgery, use of nonoperative management and antibiotics, laparoscopy and surgical techniques, intra-operative scoring, and perioperative antibiotic therapy.

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Laparoscopic appendicectomy in obese is associated with improvements in clinical outcome: Systematic review

Abstract: Laparoscopic appendicectomy appears to be a safer alternative approach to open surgery in obese adult patents. There is no significant difference in the outcomes between the obese and non-obese patients undergoing laparoscopic appendicectomy.

Cited by 25 publications

References 19 publications

WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis

Diagnosis and management of acute appendicitis. EAES consensus development conference 2015

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

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