Management of Acute Appendicitis in Children during Coronavirus Disease-2019 - Perspective of Pediatric Surgeons from South Asia: a survey finding (Preprint)

Management of Acute Appendicitis in Children during Coronavirus Disease-2019, a Perspective of Pediatric Surgeons from South Asia

10.1101/2020.10.27.20220442 ◽

2020 ◽

Author(s):

Md Jafrul Hannan ◽

Mosammat Kohinoor Parveen ◽

Md Mozammel Hoque ◽

Tanvir Kabir Chowdhury ◽

Md Samiul Hasan ◽

...

Keyword(s):

Acute Appendicitis ◽

South Asia ◽

Operative Treatment ◽

Entire Cohort ◽

Great Debate ◽

Time Periods

ABSTRACTBackgroundNon-operative treatment (NOT) of pediatric appendicitis as opposed to surgery elicits great debate and is potentially influenced by physician preferences. Owing to the effects of the COVID pandemic on healthcare, the practice of NOT has generally increased by necessity and may, in a post-COVID world, change surgeons’ perceptions of NOT.ObjectiveThe objective was to determine whether the use of NOT has increased in usage in South Asia and whether these levels of practice would be sustained after the pandemic subside.MethodsA survey was conducted by pediatric surgeons regarding their position, institute, country, number of appendicitis cases managed, and their mode of treatment between identical time periods in 2019 and 2020 (April 1 to August 31). It also directly posed the question as to whether they would continue with the COVID imposed level of NOT after the effect of pandemic diminishes.ResultsA total of 134 responses were collected. A significant increase in the practice of NOT was observed for the entire cohort, although no effect was observed when grouped by country or institute. When grouped by position, seniors increased the practice of NOT the most, while juniors reported the least change. The data suggests that only professors would be inclined to maintain the COVID level of NOT practice after the pandemic.ConclusionsIncreased practice of NOT during the COVID pandemic was observed in South Asia, particularly by senior surgeons. Only professors appear inclined to consider maintaining this increased level of practice in the post-COVID world.

Management of Acute Appendicitis in Children during Coronavirus Disease-2019, a Perspective of Pediatric Surgeons from South Asia (Preprint)

10.2196/preprints.26613 ◽

2020 ◽

Author(s):

Md Jafrul Hannan ◽

Mosammat Kohinoor Parveen ◽

Md Mozammel Hoque ◽

Tanvir Kabir Chowdhury ◽

Md Samiul Hasan ◽

...

Keyword(s):

Acute Appendicitis ◽

South Asia ◽

Operative Treatment ◽

Entire Cohort ◽

Great Debate ◽

Time Periods

BACKGROUND Non-operative treatment (NOT) of pediatric appendicitis as opposed to surgery elicits great debate and is potentially influenced by physician preferences. Owing to the effects of the COVID pandemic on healthcare, the practice of NOT has generally increased by necessity and may, in a post-COVID world, change surgeons’ perceptions of NOT. OBJECTIVE The objective was to determine whether the use of NOT has increased in usage in South Asia and whether these levels of practice would be sustained after the pandemic subside. METHODS A survey was conducted by pediatric surgeons regarding their position, institute, country, number of appendicitis cases managed, and their mode of treatment between identical time periods in 2019 and 2020 (April 1 to August 31). It also directly posed the question as to whether they would continue with the COVID imposed level of NOT after the effect of pandemic diminishes. RESULTS A total of 134 responses were collected. A significant increase in the practice of NOT was observed for the entire cohort, although no effect was observed when grouped by country or institute. When grouped by position, seniors increased the practice of NOT the most, while juniors reported the least change. The data suggests that only professors would be inclined to maintain the COVID level of NOT practice after the pandemic. CONCLUSIONS Increased practice of NOT during the COVID pandemic was observed in South Asia, particularly by senior surgeons. Only professors appear inclined to consider maintaining this increased level of practice in the post-COVID world.

Angiocentric lymphoma masquerading as acute appendicitis

Histopathology ◽

10.1046/j.1365-2559.1999.0669f.x ◽

1999 ◽

Vol 34 (4) ◽

pp. 378-380 ◽

Cited By ~ 2

Author(s):

Huh ◽

S-M Hong ◽

Kim ◽

B-S Kim ◽

K-H Lee ◽

...

Keyword(s):

Acute Appendicitis ◽

Angiocentric Lymphoma

Abstract #130: A Patient with Undiagnosed Paraganglioma Presenting with Acute Appendicitis

Endocrine Practice ◽

10.1016/s1530-891x(20)44304-6 ◽

2017 ◽

Vol 23 ◽

pp. 18

Author(s):

Roja Fallah

Keyword(s):

Acute Appendicitis

Conflict and Peace in South Asia

10.1016/s1572-8323(2008)5 ◽

2008 ◽

Cited By ~ 1

Keyword(s):

South Asia

Surgery for Acute Appendicitis May Be Delayed

Hospitalist News ◽

10.1016/s1875-9122(10)70250-9 ◽

2010 ◽

Vol 3 (10) ◽

pp. 10

Author(s):

MARY ANN MOON

Keyword(s):

Acute Appendicitis

Democracy and Authoritarianism in South Asia

10.1017/cbo9780511559372 ◽

1995 ◽

Cited By ~ 180

Author(s):

Ayesha Jalal

Keyword(s):

South Asia

Environmental Valuation in South Asia

10.1017/cbo9780511843938 ◽

2009 ◽

Cited By ~ 5

Author(s):

A. K. Enamul Haque ◽

M. N. Murty ◽

Priya Shyamsundar

Keyword(s):

South Asia ◽

Environmental Valuation

The Cold War in South Asia

10.1017/cbo9781139022071 ◽

2013 ◽

Cited By ~ 16

Author(s):

Paul M. McGarr

Keyword(s):

Cold War ◽

South Asia ◽

The Cold War

Schistosomal Appendicitis in Pregnancy

Swiss Surgery ◽

10.1024/1023-9332.8.3.121 ◽

2002 ◽

Vol 8 (3) ◽

pp. 121-122 ◽

Cited By ~ 9

Author(s):

Halkic ◽

Abdelmoumene ◽

Gintzburger ◽

Mosimann

Keyword(s):

Acute Appendicitis ◽

Schistosoma Haematobium ◽

Acute Inflammation ◽

The Body ◽

Parasitic Infections ◽

Common Complication ◽

Surgical Infection ◽

High Prevalence ◽

Potential Challenge ◽

In Pregnancy

Acute appendicitis is the most common acute surgical infection during pregnancy. Although usually pyogenic in origin, parasitic infections account for a small percentage of cases. Despite the relatively high prevalence of acute appendicitis in our environment, it is not commonly associated with schistosomiasis. We report here the association of pregnancy and appendicitis caused by Schistosoma haematobium. Schistosomiasis is very common complication of pregnancy in hyperendemic areas. Schistosome egg masses can lodge throughout the body and cause acute inflammation of the appendix, liver and spleen. Congestion of pelvic vessels during pregnancy facilitates passage of eggs into the villi and intervillous spaces, causing an inflammatory reaction. Tourism and immigration make this disease a potential challenge for practitioners everywhere.