Pathologie der Appendizitis

Becker, K.; Höfler, Heinz

doi:10.1007/s00104-002-0513-6

Cited by 16 publications

(6 citation statements)

References 15 publications

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“…In the case of a macroscopically noninflamed appendix and after exclusion of other abdominal disorders, we recommend removal of the appendix, in agreement with other authors. 12 , 29 – 31 …”

Section: Discussionmentioning

confidence: 99%

Laparoscopy-Assisted Single-Port Appendectomy in Children

et al. 2015

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Because of its low complication rate, favorable safety, cost-effectiveness, and technical ease, mono-instrumental, laparoscopy-assisted single-port appendectomy (SPA) has been the standard therapy for appendicitis in our department since its introduction 10 years ago. We report our experience with this technique and compare its outcome to open appendectomy (OA).The records of all children who underwent appendectomy at our institution over a period of 8 years were analyzed retrospectively. Patient baseline data, markers of inflammation, operative time, length of hospital stay, complication rate according to the classification of Clavien-Dindo, and histologic grading were assessed to compare the 2 surgical techniques (SPA and OA). The chi square test, the Student's t test and the Wilcoxon-Mann-Whitney test were used to analyze the data and the comparisons of the mean values. A P value < 0.05 was considered significant.Overall, 975 patients were included in the study. A total of 555 children had undergone SPA and 420 had been treated by OA. Median operative time of SPA was longer than that of OA (60.8 min vs 57.4 min; P < 0.05). Length of hospital stay after SPA was shorter than after OA (4.4 days and 5.9 days, respectively; P < 0.001). The overall complication rate was lower for SPA than that for OA (4.0% vs 5.7%), but the difference of complications for SPA and OA was not statistically significant (P < 0.22). SPA was successfully performed in 85.9% of children. In 53.8% of patients with perforated appendicitis, no conversion was required. In the group of children with perforated appendicitis, the complication rate of ∼20% was independent of the surgical technique applied.With respect to operative time, length of hospital stay, and postoperative complication rate, SPA is not inferior to OA. SPA is safe and efficient, even in the management of perforated appendicitis.

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Section: Discussionmentioning

confidence: 99%

Laparoscopy-Assisted Single-Port Appendectomy in Children

et al. 2015

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“…Inflammation of the AV is known as acute appendicitis, which is one of the most common inflammatory diseases of the gastrointestinal tract. Reduction in blood flow as a result of obstruction of the appendix lumen, mucosal ischemic damage, and infection due to bacterial growth play a role in the pathogenesis of acute appendicitis ( 1 ).…”

Section: ıNtroductıonmentioning

confidence: 99%

Monocyte Distribution Width; Can It Be Used as an Early Diagnosis Marker in Cases of Acute Complicated Appendicitis? A Preliminary Study

Koşmaz

Durhan

Şenlikçi

et al. 2022

Ankara Eğitim Ve Araştırma Hastanesi Tıp Dergisi

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The aim of this study was to investigate the effectiveness of monocyte distribution width in both the diagnosis of acute appendicitis (AA) and in differentiating between simple appendicitis (SA) and complicated appendicitis (CA). MaTERıaL anD METhOD:This study was conducted using data from 107 adult patients who underwent appendectomy. Demographic details, preoperative white blood cell (WBC) count, immature granulocyte count (IG) and percentage (IG %), monocyte distribution width (MDW), neutrophil-lymphocyte ratio (NLR) and pathology results were evaluated retrospectively. Patients were grouped as AA and normal appendix (NA) according to the pathology reports, and the AA cases were divided into SA and CA groups according to the intraoperative findings.RESULTS: WBC, IG, IG%, NLR and MDW values were found to be statistically significant for the differentiation of acute appendicitis from normal appendicitis cases (p < 0.05). Of these parameters, the strongest parameter for the diagnosis of AA was NLR (sensitivity: 76%, specificity: 89%, p< 0.001). The IG value was found to be statistically significant in the diagnosis of complicated appendicitis cases (p < 0.05) COnCLUSıOn:The MDW value is a fast, reliable and easily accessible parameter in the diagnosis of AA. However, although MDW values were found to be high in CA cases in the differentiation of SA and CA, they were not statistically significant. More comprehensive studies are needed for a clearer assessment.

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“…The current standard consists of a modern US system with an abdominal probe (2 -5 MHz) and a small parts probe (5)(6)(7)(8)(9)(10)(11)(12). All such systems are now equipped with colour Doppler.…”

Section: Sonography Equipment and Examination Techniquementioning

confidence: 99%

Sonographie der akuten Appendizitis

Hollerweger¹

2006

Ultraschall in Med

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Pathologie der Appendizitis

Cited by 16 publications

References 15 publications

Laparoscopy-Assisted Single-Port Appendectomy in Children

Laparoscopy-Assisted Single-Port Appendectomy in Children

Monocyte Distribution Width; Can It Be Used as an Early Diagnosis Marker in Cases of Acute Complicated Appendicitis? A Preliminary Study

Sonographie der akuten Appendizitis

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