Intraabdominal abscess following open and laparoscopic appendectomy in the pediatric population

2003 ◽  
Vol 17 (5) ◽  
pp. 730-733 ◽  
Author(s):  
R. McKinlay ◽  
S. Neeleman ◽  
R. Klein ◽  
K. Stevens ◽  
J. Greenfeld ◽  
...  
Author(s):  
Grith Laerkholm Hansen ◽  
Jakob Kleif ◽  
Christian Jakobsen ◽  
Anders Paerregaard

Abstract Introduction Recent studies suggest that the epidemiology and management of appendicitis have changed during the last decades. The purpose of this population-based study was to examine this in the pediatric population in Denmark. Materials and Methods Data were retrieved from the Danish National Patient Registry, the Danish Civil Registration System, and the Statbank Denmark. Patients aged 0 to 17 years diagnosed with appendicitis and appendectomized during the period 2000 to 2015 were included. The primary outcome was the annual incidences of appendicitis. Secondary outcomes were the annual percent of patients with appendicitis having a laparoscopic appendectomy, delay from admission to surgery, length of postoperative hospital stay, and 30-day postoperative mortality. Results A total of 24,046 pediatric cases of appendicitis were identified. The annual incidence steadily declined until 2008 (–29%, all ages) and then remained stable. The surgical approach of choice changed from being open appendectomy in 2000 (97%) to laparoscopic appendectomy in 2015 (94%). Simultaneously, the duration of postoperative hospital stay declined from 41 hours (median) to 17 hours. Delay from admission until surgery did not change during the period. Only one child died within the 30-day postoperative period. Conclusion In accordance with other recent studies from Western countries, we found significant changes in the incidence of acute appendicitis including a decline in all age groups except those below 5 years of age, a shift toward laparoscopic appendectomy, and decreasing time spent in the hospital during the years 2000 to 2015.


2000 ◽  
Vol 180 (6) ◽  
pp. 456-461 ◽  
Author(s):  
Namir Katkhouda ◽  
Melanie H Friedlander ◽  
Steven W Grant ◽  
Kranthi K Achanta ◽  
Rahila Essani ◽  
...  

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Andrej Nikolovski ◽  
Aleksandar Otljanski ◽  
Rexhep Seljmani ◽  
Svetozar Antovic ◽  
Nikola Jankulovski

Laparoscopic appendectomy is the preferred operative method for acute appendicitistreatment. In terms of complicated appendicitis it can be effective in hands of an experiencedlaparoscopist that overwhelmed the learning curve for the method. Aim: Тhis retrospectivestudy examines whether the operative time for laparoscopic appendectomy for complicatedappendicitis is shortened after mastering the learning curve. Material and methods: A totalnumber of 196 patients were operated for the diagnosis of acute appendicitis, of whom 77were diagnosed with complicated appendicitis. They were subsequently divided in two groups(laparoscopic and open). Operative time in both groups was measured and the conversionand postoperative complications were noted. Results: Conversion rate was 2.3%. Operativetime was shorter in the laparoscopic group (67.4 ± 22.9 vs. 77.9 ± 17.9 minutes; p = 0.033).Overall postoperative morbidity was 25.97% with wound infection present only in the opengroup (p = 0.018). Intraabdominal abscess occurred in one patient from the laparoscopicgroup (0.38%). Length of hospital stay was shorter in the laparoscopic group (4.3 ± 2.2 vs. 5.7 ± 2.1, p = 0.0052).  


2012 ◽  
Vol 22 (8) ◽  
pp. 834-839 ◽  
Author(s):  
Ciro Esposito ◽  
Andres Ignacio Calvo ◽  
Marco Castagnetti ◽  
Francesca Alicchio ◽  
Carlos Suarez ◽  
...  

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