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Medicinski Glasnik : Official... Aug 2020In contrast to classical appendectomy where the appendiceal stump is secured by a single or double ligature, in laparoscopic appendectomy various ways of securing the... (Review)
Review
In contrast to classical appendectomy where the appendiceal stump is secured by a single or double ligature, in laparoscopic appendectomy various ways of securing the stump are mentioned. Each of these methods has advantages and disadvantages. Since different possibilities exist for closing the stump, it is very important to find the optimum method for closure of the appendiceal stump, bearing in mind their simplicity, biocompatibility and price. The aim of this review article has been to present the problem of securing the base of the appendix during laparoscopic appendectomy.
Topics: Appendectomy; Appendix; Humans; Laparoscopy; Postoperative Complications
PubMed: 32253902
DOI: 10.17392/1131-20 -
Medicina 2022
Topics: Appendectomy; Appendicitis; Appendix; Humans; Laparoscopy; Postoperative Complications
PubMed: 35037879
DOI: No ID Found -
Cleveland Clinic Journal of Medicine Jun 2022
Topics: Appendix; Bites and Stings; Dust; Humans
PubMed: 35649570
DOI: 10.3949/ccjm.89b.06022 -
Revista Espanola de Enfermedades... Nov 2008
Topics: Adult; Aged; Appendectomy; Appendiceal Neoplasms; Appendicitis; Appendix; Cecal Diseases; Cystadenocarcinoma, Mucinous; Cystadenoma, Mucinous; Diagnostic Errors; Dilatation, Pathologic; Female; Humans; Hyperplasia; Incidental Findings; Male; Middle Aged; Mucocele; Terminology as Topic
PubMed: 19159184
DOI: 10.4321/s1130-01082008001100017 -
Journal of Ultrasound Dec 2018Cecal appendix is the terminal part of cecum and is characteristic of rabbit, among domestic animals. The purpose of this work is to evaluate its morphology upon...
PURPOSE
Cecal appendix is the terminal part of cecum and is characteristic of rabbit, among domestic animals. The purpose of this work is to evaluate its morphology upon ultrasound.
METHODS
A prospective study was planned for the duration of approximately 1 year. Rabbits presented in the study period for abdominal ultrasound with no clinically evident alterations of the gastrointestinal tract were eligible for inclusion in the study. Abdominal ultrasound was performed under manual restrain with a high frequency linear probe (8-18 MHz).
RESULTS
Cecal appendix was visualized in 40/42 rabbits (95.2%) with median or left paramedian views. The wall appeared multilayered in accordance with normal bowel anatomy, and the luminal content showed in all cases an alimentary pattern. Measurement of appendix wall thickness (AWT) was possible in all 40 rabbits in which the appendix was visualized while measurement of the appendix diameter (AD) was possible in 39 rabbits. Reference intervals for AWT were 1.1-2.1 mm, and for AD were 3.9-8.8 mm. There was a negative correlation between age and AWT (r = - 0.35, P = 0.027) and a moderate positive correlation between AWT and AD (r = 0.71, P < 0.001).
CONCLUSIONS
Cecal appendix is recognizable via ultrasound in the vast majority of rabbits. We describe the normal morphological aspect of the appendix and we provide reference intervals for wall thickness and diameter of the appendix, in order to aid in the diagnosis of disorders of the appendix. The negative correlation between age and AWT indicates lower values of AWT associated with increasing age that could represent the physiological decrease in the immunitary function of the appendix in aged rabbits.
Topics: Animals; Appendix; Female; Male; Organ Size; Prospective Studies; Rabbits; Reference Values; Ultrasonography
PubMed: 30097901
DOI: 10.1007/s40477-018-0316-3 -
Polski Przeglad Chirurgiczny Nov 2021<b>Aim:</b> The study was conducted to analyze stump appendicitis which is a long-term complication of appendectomy - the otherwise commonest general...
<b>Aim:</b> The study was conducted to analyze stump appendicitis which is a long-term complication of appendectomy - the otherwise commonest general surgical procedure conducted in the world. </br></br> <b>Methods:</b> 48 cases included from 36 articles published in the peer reviewed journals of repute were evaluated for eight variables including: (I) age of the patient, (II) gender, (III]) duration of symptoms, (IV) imaging, (V) interval time since initial operation, (VI) details of initial operation, (VII) management, (VIII) stump length if managed by operation. </br></br> <b> Results:</b> 48 cases (27 males and 19 females) ranging in age from 2 to 72 years reported after a wide range of time (3 days - 46 years) after primary appendectomy. The duration of symptoms ranged from 1 day to 7 months. As many as 31 (64.5%) cases had inflamed stump appendix whereas 17 (33.5%) had perforation. Twenty-one (43.7%) had undergone laparoscopic primary appendectomy and 27 (56.3%) had undergone open appendectomy. Management of the retained stump included stump appendectomy in 42 (87.5%), right hemicolectomy in 2 (4.2%) and conservative in 4 (8.3%) cases. In the 44 cases managed by surgical intervention, the approach was open in 27 (61.4%) and laparoscopic in 17 (38.6%) cases. The length of the retained appendix stump ranged from 0.5 cm to 6.5 cm (mean 2.14 cm). </br></br> <b>Conclusion:</b> Stump appendicitis is an entity that a physician needs to suspect if a patient reports with features of appendicitis even after appendectomy had been conducted. Management is generally surgical and aimed at removal of the retained appendiceal stump.
Topics: Amputation Stumps; Appendectomy; Appendicitis; Appendix; Child, Preschool; Female; Humans; Laparoscopy; Male; Postoperative Complications
PubMed: 35195078
DOI: 10.5604/01.3001.0015.4553 -
JPMA. the Journal of the Pakistan... Apr 2021Mucinous cystadenoma is a rare tumour of the appendix. It accounts for only 0.4% of the gastrointestinal tract malignancies and is reported rarely in the literature....
Mucinous cystadenoma is a rare tumour of the appendix. It accounts for only 0.4% of the gastrointestinal tract malignancies and is reported rarely in the literature. Therefore, surgical management is not yet established. Here we report the case of a 65-year-old female who presented with a dragging sensation and a feeling of a mass in the right iliac fossa. Her computed tomography (CT) suggested formation of an abscess in the parietal peritoneum. She was scheduled for laparotomy and upon exploration, a mass was found arising from the tip of the retroperitoneal appendix. The whole of the appendix was studded with mucoid material. Right hemicolectomy was performed and histopathology of the appendix showed mucinous cystadenoma with no evidence of malignant changes. The recovery was uneventful and the patient was discharged on the fourth post-operative day. The unusual presentation of retroperitoneal pseudomyxoma without any intraperitoneal pathology prompted us to report this case.
Topics: Aged; Appendiceal Neoplasms; Appendix; Colectomy; Cystadenoma, Mucinous; Female; Humans; Mucocele
PubMed: 34125785
DOI: 10.47391/JPMA.01 -
The Israel Medical Association Journal... Oct 2022
Topics: Humans; Appendix; Gastrointestinal Stromal Tumors
PubMed: 36309865
DOI: No ID Found -
Medical Ultrasonography Sep 2020This article aims to introduce a novel anatomical scanning method which requires scanning according to varied anatomic positions of the appendix based on the widely used... (Review)
Review
This article aims to introduce a novel anatomical scanning method which requires scanning according to varied anatomic positions of the appendix based on the widely used graded compression method. We suggest placing the probe longitudinally in the region of the terminal cecum and moving it laterally to explore the sub-cecal appendix. The probe should be placed transversely on the medial side of the cecum to explore the pre-ileal appendix or post-ileal appendix. Placing the probe perpendicularly along external iliac vessels can help explore the pelvic appendix. The probe should be placed transversely on the paracolic sulci, and moved along the paracolic sulci to observe the extra-peritoneal appendix. Using the cephalic end of the probe as a pivot, push and squeeze the cecum to make it move bilaterally as much as possible, in order to expose the retrocecal appendix behind the air-filled cecum. It is our belief that this anatomical scanning method will greatly improve appendix detection rate and diagnostic accuracy, and provide guidance for surgical localization.
Topics: Appendicitis; Appendix; Humans; Ultrasonography
PubMed: 32898205
DOI: 10.11152/mu-2541 -
Ulusal Travma Ve Acil Cerrahi Dergisi =... Apr 2022Acute appendicitis (AA) is a common cause of abdominal pain in developed countries. In patients with suspected AA, computed tomography (CT) is considered as the gold...
BACKGROUND
Acute appendicitis (AA) is a common cause of abdominal pain in developed countries. In patients with suspected AA, computed tomography (CT) is considered as the gold standard with the highest sensitivity and specificity, and it is also an im-portant modality, especially in patients with complicated AA. In this study, we aimed to evaluate age and laboratory findings, as well as specific CT findings in differentiating between perforated and non-perforated appendicitis.
METHODS
We retrospectively analyzed 252 patients diagnosed with AA and underwent appendectomy between November 2015 and December 2019 in Somalia Mogadishu Recep Tayyip Erdogan Education and Research Hospital. Patients under 18 years of age and those with no pre-operative CT scans were excluded from the study. The demographic, laboratory, CT findings, and pathological data of all patients were evaluated.
RESULTS
This study included 80 patients, 32 (40%) classified as perforated appendicitis (Group-1) and 48 (60%) as non-perforated appendicitis (Group-2). The C-reactive protein value was found to be statistically higher in Group-1 than in Group-2 (177.5±118.9 and 100.2±87.3 mg / L, respectively; p=0.001). The appendix lumen diameter (p=0.002), appendix wall defect (p<0.001), peritoneal thickening and enhancement (p<0.001), ascites (p=0.031), intra-abdominal abscess (p=0.003), jejunal thickening (p=0.019), ileal thick-ening (p=0.008), and ileus (p=0.035) values were significantly higher in Group-1. In the binominal logistic regression analysis performed with statistically significant data, an appendiceal wall defect (OR: 0.069, 95% CI=0.014-0.327, p=0.001) and peritoneal thickening and enhancement (OR: 0.131, 95% CI=0.024-0.714, p=0.019) were identified as independent variables for perforated appendicitis.
CONCLUSION
Among CT findings, appendix wall defects and peritoneal thickening and enhancement play an important role in detecting perforation.
Topics: Acute Disease; Adolescent; Appendectomy; Appendicitis; Appendix; Humans; Retrospective Studies
PubMed: 35485514
DOI: 10.14744/tjtes.2020.58991