A prospective study of safety and satisfaction with same-day discharge after laparoscopic appendectomy for acute appendicitis

2012 ◽  
Vol 47 (2) ◽  
pp. 313-316 ◽  
Author(s):  
Fuad Alkhoury ◽  
Cathy Burnweit ◽  
Leopoldo Malvezzi ◽  
Colin Knight ◽  
Jeannette Diana ◽  
...  
2021 ◽  
Vol 8 (24) ◽  
pp. 2034-2039
Author(s):  
Janni Laxman ◽  
Patnala Mohan Patro ◽  
Janardana Rao K.V.

BACKGROUND We wanted to determine the various pre-operative and intra-operative factors responsible for conversion to open technique of appendectomy and compare the clinical outcomes of hospital-stay and operating time between open appendectomy and laparoscopic appendectomy. METHODS Patients presented to General surgery Department of GITAM Institute of Medical Sciences and Research with features suggestive of acute appendicitis from September 2017 to November 2019 were included in this study. This is a prospective study which included a total of 100 patients. These patients were divided into two groups of 50 each. One group of patients with early presentation with symptoms of less than 3 days of duration, another group with late presentation of 3 or more days of onset of symptoms were included. In this study we wanted to compare the clinical outcomes of hospital stay and operating time between open appendectomy and laparoscopic appendectomy. RESULTS In this study, majority of patients belong to age group 20 - 44 years who had delayed presentation to hospital, in contrast to patients who presented early involved the age group of 21 – 30 years. In this study, pain abdomen was the commonest symptom (100 %) with which patient presented. The other symptoms were nausea/vomiting (72 %), fever (63 %). Seven patients presented with diarrhea. CONCLUSIONS Our data suggest that laparoscopic appendectomy is associated with improved clinical outcomes even in patients who had late presentation. KEYWORDS Appendicitis, Laparoscopic, Gangrenous


Cureus ◽  
2018 ◽  
Author(s):  
Thangadurai Ramasamy Ramu ◽  
Sakthivel Chinnakkulam Kandhasamy ◽  
Anandi Andappan ◽  
Bavani Sankar T

2019 ◽  
Vol 229 (3) ◽  
pp. 277-285 ◽  
Author(s):  
Charles Sabbagh ◽  
Loréna Masseline ◽  
Gérard Grelpois ◽  
Alexandre Ntouba ◽  
Jeanne Dembinski ◽  
...  

1995 ◽  
Vol 2 (3) ◽  
pp. 205-209 ◽  
Author(s):  
Piero Gimondo ◽  
Paoletta Mirk ◽  
Agostino La Bella ◽  
Glauco Messina ◽  
Caterina Pizzi

2017 ◽  
Vol 6 (01) ◽  
pp. 52-55
Author(s):  
Thangamani Thangamani ◽  
Raghupathy Raghupathy ◽  
Ravi S ◽  
Sathish Kailasam ◽  
Arikrishnan Vaithiswaran

2021 ◽  
pp. 1-3
Author(s):  
Madhu B S ◽  
Shraddha Shenoy

Aim- To assess the role of TLC and NLR and serum creatinine in diagnosing acute appendicitis. Background-Acute appendicitis being the most common surgical emergency globally can lead to varied consequences if not detected and treated accurately. Early and precise biochemical detectors affect the severity of acute appendicitis. Materials and methodology- A prospective study was conducted in K R Hospital, Mysore from 2019-2020. All cases of acute appendicitis during this period were assessed for severity. TLC, NLR and serum creatinine were assessed and correlated with severity of acute appendicitis. Results- A total of 96 patients were included in the study, 72 patients had SAA and 24 had CAA. This was classified in accordance to the cut off values. TC cut off point was 15,050 cells/cumm ,Sn 91.7 %, Sp 74.6%. The NLR cutoff value was 4.56, Sn of 83.3%, Sp of 66.2%. The cutoff value for neutrophil count was 77.6%, Sn 91.7% , Sp 71.18%. The cutoff value for lymphocyte count was 18.2%, Sn was 91.7%, Sp 65.8%. The cutoff value of creatinine was 0.73, Sn of 83.3%, Sp 80.03%. Conclusion- TC, TLC, NLR and Serum creatinine combinedly help distinguishing between the simple acute appendicitis and complicated acute appendicitis and is a very economical measure for the prediction


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