Laparoscopic versus open appendectomy: A comparison of primary outcome measures

Khalil, Jawad; Muqim, Rooh-ul; Rafique, Mohammad; Khan, Mansoor

doi:10.4103/1319-3767.82574

Cited by 38 publications

(34 citation statements)

References 19 publications

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“…Between 7-10 % of the general population will develop acute appendicitis during their lifetime with the highest incidence being in the second and third decades of life [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Hyperbilirubinaemia in appendicitis: the diagnostic value for prediction of appendicitis and appendiceal perforation

Adams¹,

Jaunoo²

2015

Eur J Trauma Emerg Surg

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Bilirubin levels may be high, but remain within normal range, in cases of appendicitis. Therefore, bilirubin levels may be a useful measurement when investigating a patient with suspected appendicitis. Hyperbilirubinaemia is highly specific with regards to perforation, a finding supported by other studies. However, possibly because of the few perforated cases in this study, we cannot recommend that hyperbilirubinaemia be used to predict perforation.

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“…Between 7-10 % of the general population will develop acute appendicitis during their lifetime with the highest incidence being in the second and third decades of life [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Hyperbilirubinaemia in appendicitis: the diagnostic value for prediction of appendicitis and appendiceal perforation

Adams¹,

Jaunoo²

2015

Eur J Trauma Emerg Surg

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“…For example, minimal access surgery (MAS) requires a longer operating time to ensure its quality. Several authors report longer operating times for MAS compared with the same procedure performed during open surgery [35][36][37]. However, as the operating time increases, so does the risk of infection, the possibilities of fluid, electrolyte and immunologic disturbances (release of cytokines and other inflammatory mediators) [38,39].…”

Section: Discussionmentioning

confidence: 99%

Re-operative abdominal predictive score: a prognostic model combining Acute Re-intervention Predictive Index and intra-abdominal pressure

Soler-Morejón

Lombardo-Vaillant

Tamargo-Barbeito

et al. 2017

Anaesthesiol Intensive Ther

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Background: The decision to re-operate after abdominal surgery is still difficult, especially in the setting of intraabdominal sepsis. Mathematical models provide a good aid to both diagnosis and decision-making. Methods: A prospective observational study was conducted with 300 patients consecutively admitted to the intensive care unit of an academic institution affiliated to Calixto García Medical Faculty following abdominal surgery from January 2008 to January 2010. The patients were randomly separated (2:1) into estimation and validation groups. Logistic regression analysis was used in the estimation group to develop three models for decision-making related to re-operation including related factors such as age, ARPI, IAP, type of surgery (elective or emergency), and the duration of surgery. The three models developed were validated on the other group. Results: The acute re-operation predictive index-intra-abdominal pressure (ARPI-IAP) model was the best of the three models, with an excellent calibration, using the Hossmer-Lemeshow goodness-of-fit statistical test (C = 9.976, P = 0.267), as well as discrimination (AUC = 0.989; 95% CI: 0.976-1.000). Conclusion:The combination of IAP with ARPI in a mathematical model can add accuracy to the prediction of need for re-operation related to intra-abdominal infectious complications in patients following abdominal surgery. This may be useful in all medical settings, but especially those with limited resources.

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“…A study at Israeli Hospital favoured open appendicectomy over laparoscopic approach but another study published in American journal of surgery is in favour of laparoscopic approach. 4,5 The aim of this study was to evaluate comparatively laparoscopic and conventional "open" appendectomy in…”

Section: Introductionmentioning

confidence: 99%

Comparative evaluation of laparoscopic versus open appendicectomy in cases of acute appendicitis

et al. 2017

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Background: Conventional open appendicectomy is a common emergency surgical procedure being used for more than a century. Despite continuously increasing popularity of minimal access surgery, laparoscopic appendicectomy has not gained enough popularity.Methods: A prospective randomized study to compare laparoscopic and open appendicectomy for the treatment of appendicitis was carried out from April 2015 to October 2016. Thirty patients each were randomized to two groups. Decision to operate was taken on clinical grounds.Results: Twenty-five patients in each group were confirmed to be suffering from appendicitis. While alternative diagnosis could be established in 4 out of remaining 5 patients in laparoscopic group, in only 1 out of 5 patients from open appendicectomy definitive diagnosis for pain could be established. There was no significant difference in operative time between two groups. Patients in laparoscopic group had lesser postoperative pain scores and wound complications. They also got discharged and returned to normal activity earlier than those in open appendicectomy group.Conclusions: Laparoscopic appendicectomy has lesser postoperative morbidity and improves diagnosis in nonappendicitis patients.

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Laparoscopic versus open appendectomy: A comparison of primary outcome measures

Cited by 38 publications

References 19 publications

Hyperbilirubinaemia in appendicitis: the diagnostic value for prediction of appendicitis and appendiceal perforation

Hyperbilirubinaemia in appendicitis: the diagnostic value for prediction of appendicitis and appendiceal perforation

Re-operative abdominal predictive score: a prognostic model combining Acute Re-intervention Predictive Index and intra-abdominal pressure

Comparative evaluation of laparoscopic versus open appendicectomy in cases of acute appendicitis

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