No abstract available.
Appendectomy

No abstract available.
Appendectomy*

Objective: The objective of the study is to determine the survival rate, recurrence rate, and complication rate among patients diagnosed with borderline and malignant mucinous ovarian tumor (MOT) who underwent complete surgical staging with appendectomy. Methodology: Eligibility criteria – A search of published literature was conducted in the electronic databases of MEDLINE (PubMed), Cochrane, and Google Scholar through 2000–2022, using a search strategy based on the PIO framework. Information of sources – The citations were identified with the use of a combination of the following text words: “mucinous ovarian tumors,” “MOT,” “appendectomy,” and “pseudomyxoma peritonei.” All retrospective studies with histopathologic diagnosis of borderline or malignant MOTs with patients who underwent appendectomy during primary surgery, including encompassing data on survival rate, recurrence rate, and/or incidence of complications (postoperative infections, appendectomy site leakage, hemorrhage, abscess, peritonitis, bowel perforation, and intestinal obstruction) that matched the terms set by the researchers were retrieved. Risk of bias – For the methodological quality of the individual clinical trials, the Jadad scale was used, which is based on the three following subscales: randomization (2, 1, or 0), blinding (2, 1, or 0), and dropouts/withdrawals (1 or 0). Guidelines for Cochrane collaboration were used to assess the risk bias. Synthesis of results – Review Manager version 5.3 (RevMan 5.4.1) was used by the researcher to perform the systematic review and meta-analysis of included studies. Results: There were eight retrospective studies included in this study. The random interval for survival rate is 64.9%–99.7% with a P < 0.1. The prediction interval for recurrence rate is 0%–100% with 95% confidence interval. The odds of complications occurring are <0.69–2.99 times with 95% confidence interval, with mean effect size is 0.083, and with a 95% confidence interval is 0.027–0.23. Conclusion The mean prevalence of abnormal histology of the appendix in patients diagnosed with borderline and malignant MOTs and underwent appendectomy during primary surgery is 3%–13%. There is no statistically significant difference in survival rate of patients who were diagnosed with borderline and malignant MOTs with or without appendectomy during primary surgery. The prediction interval for recurrence rate is 0%–100% with 95% confidence interval. There is no significant difference between the rate of complications in patients who underwent appendectomy and those without.
Appendectomy

OBJECTIVE: To compare the efficacy of short-course versus longcourse antibiotic therapy among patients undergoing appendectomy for complicated appendicitis. METHODS: The authors conducted an electronic search of PubMed, Cochrane Library, and EBSCOHost for studies from 2000 to January, 2000 to September, 2018 comparing short-course versus long-course antibiotic therapy in adults undergoing appendectomy for complicated appendicitis. The outcomes considered were the incidence of superficial surgical site infection and intra-abdominal abscess, and duration of hospital stay. Meta-analysis was performed using Review Manager software. RESULTS: A total of 360 patients in two studies were analyzed. Superficial surgical site infection was identified in 5 out of 123 patients in the short-course antibiotic group (4%), and 5 out of 237 patients in the long-course antibiotic group (2.1%) (95% CI 0.38, 5.51, p=0.58). There was a decrease in the incidence of intra-abdominal abscess in the short-course antibiotic group (6.5%), but the difference was not statistically significant (95% CI 0.32, 1.77, p=0.52). The duration of hospital stay was significantly less in the short-course antibiotic group (3.95 days) compared to the long-course antibiotic group (4.6 days) (95% CI -0.66, -0.21; p<0.001). CONCLUSION No difference between the <5-day and ≥5-day antibiotic course in terms of surgical site infection and intra-abdominal abscess was detected. However, the hospital stay of the <5-day group was shorter.
Appendectomy

No abstract available.
Appendectomy*

No abstract available.
Appendectomy* ; Cholecystectomy*

Appendicitis is the most frequent indication for emergent surgery in children. Appendectomies are increasingly done laparoscopically, minimizing tissue trauma and enabling earlier recovery, but the added costs remain prohibitive in resource constrained settings. An open approach, but from a less conspicuous inguinal incision, provides similar advantages without additional resource requirements. The operative technique is described and the profile of patients, including their clinical course and operative findings, are summarized. The differences in short-term outcomes for non-perforated and perforated cases are compared. The trans-inguinal approach was utilized in 26 patients. It provided adequate surgical access even for ruptured cases and had suitable wound outcomes. Ruptured cases had significantly longer operative time, but were not associated with differences in the patients' length of stay.
Appendectomy ; Appendicitis

Study on 523 patients with acute appendicitis (269 females, 254 males) underwent laparoscopic appendectomy at Hue Central Hospital between January 1999 and September 2004. Results: 3.25% patients had history of laparotomy, 74% of appendices was on normal locations. The rate of laparotomy conversion was 0.19%. The time of operation was relative long (mean time: 43 minutes), especially in cases of appendices was on difficult locations. The advantages of laparoscopic appendectomy are less post-operative pain; patients can eat and move early after operation, duration of hospital stay is short, no post-operative infection, etc.
Appendectomy ; Laparoscopy ; Epidemiology

Background: Laparoscopicappendectomyisasafeandeffectiveprocedureforacute appendicitis. This surgeryhasashorterdurationofhospitalstayandatrendtowardless postoperative infectious complications. Objectives: To evaluate advantages and disadvantages of laparoscopic appendectomy with one navel trocar. Subjects and method: Subjects included 38 cases diagnosed acute appendicitis in Cho Ray hospital, from October 2006 to September 2007. The subjects treated by laparoscopic appendectomy with one navel trocar. Results: The subjects included were 14 males (36.8%) and 24 females (63.2%). The subjects\ufffd?average age was 28.82 years (ranged from 14-68 years). The average time of abdominal pain was 18.39 hours (ranged from 8 to 24 hours). The average operative time was 28.34 minutes (ranged from 15 to 65 minutes). The average time of hospital stay was 2.9 days (ranged 1 to 5 days). 36/38 patients (94.7%) had appendix\u2019s location in right iliac fossa. There were 68.4% of patients who reexamined at postoperation. Conclusions: Laparoscopic appendectomy with one navel trocar is a useful method for reducing hospital stay, complications and return to normal activity.
Appendectomy/methods ; Appendicitis/surgery ;

Background: Since January 2004, laparoscopic appendectomy is performed in Department of Surgery in Hue College of Medicine and Pharmacy Hospital and having fully satisfactory results. Objective: To review the applying laparoscopic appendectomy in Hue College of Medicine and Pharmacy Hospital. Subjects and method: A study included 1,765 patients with acute or chronic appendicitis, who operated in Hue College of Medicine and Pharmacy Hospital. This was a clinical, descriptive, retrospective, intervention, non-comparison, longitudinal follow-up study. Results: The patients\ufffd?average age was 41\xb125 years (ranged from 5 to 78 years). 61.5% of patients were females, 38.5% were males. The over 20 to 40 year-old group made up 54.4%, following 5-20 year-old group (19.5%), over 40 to 60 year-old group (18.6%). Most patients were operated within 24 hours from the onset of disease. 48.6% of patients had normal appendix location. Only eight cases (0.45%) had peri- and post-operative infections at Trocar hole. The average time of hospital stay was 3\xb11.7 days (ranged from 2 to 7 days). Conclusion: Laparoscopic appendectomy was a safe and effective selective method for appendicitis with many remarkable advantages.
Appendectomy ; Appendicitis/ therapy ;