Appendectomy
Annals of SurgeryPublished 1 March 1997
Douglas A. Hale, Mark P. Molloy, Richard H. Pearl, David C. Schutt, David P. Jaques
Citations357
SJR quartileQ1
SJR score2.59
SNIP2.41
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TL;DR
Despite a marked decline in associated mortality over the past 50 years, rates of perforation and negative appendectomy remain unchanged because they are influenced strongly by factors untouched by the intervening technologic advances.
Abstract
Despite a marked decline in associated mortality over the past 50 years, rates of perforation and negative appendectomy remain unchanged because they are influenced strongly by factors untouched by the intervening technologic advances.
Keywords
Medicine
Archives of SurgeryAppendicitis
507 Citations1975Frank R. Lewis
One thousand cases of appendicitis seen from 1963 to 1973 were reviewed and negative appendectomy rate was 20%, but in women between ages 20 and 40 it exceeded 40%, and two thirds of the negative appendectomies were due to nonsurgical lesions.
Annals of SurgeryThe Natural History of Appendicitis in Adults A Prospective Study
334 Citations1995Claire Temple, Shirley A. Huchcroft +1 more
It is identified that delay in presentation accounts for the majority of perforation of appendicitis, and in-hospital delay to surgery influences the incidence ofperforation.
Annals of SurgeryA Prospective Randomized Trial Comparing Open Versus Laparoscopic Appendectomy
295 Citations1994Richard C. Frazee, John W. Roberts +6 more
Patients who underwent laparoscopic appendectomy have a shorter duration of analgesic use and return to full activities sooner postoperatively when compared with patients who underwent open appendectomies, and are considered to be the procedure of choice in patients with acute appendicitis.
PubMedA prospective randomized trial of laparoscopic versus open appendectomy.
288 Citations1992SE Attwood, Arnold Hill +3 more
This prospective randomized study shows that laparoscopic appendectomy is superior to open appendectomy in terms of hospital stay, postoperative complications, and return to normal activities and is recommended as the approach of choice in the management of acute appendicitis.
PubMedDiagnostic accuracy and perforation rate in appendicitis: association with age and sex of the patient and with appendicectomy rate.
263 Citations1992Roland E. Andersson, Anders Hugander +1 more
A low diagnostic accuracy is a problem mainly at extremes of age and in females, while the perforation rate is unaffected and a conservative attitude to exploration seems justified.
PubMedAcute appendicitis: a clinical study of 1018 cases of emergency appendectomy.
173 Citations1982R Pieper, Liesbeth M. Kager +1 more
This thesis shall let risk stand for the combination of random or uncertain events with negative consequences for human health, life and welfare and for the environment together with some measures of the likelihood of such events.
Annals of SurgeryLaparoscopic Versus Conventional Appendectomy
148 Citations1993Van L. Vallina, Josè M. Velasco +1 more
Laroscopy is a useful adjunct to the management of patients with a presumed clinical diagnosis of acute appendicitis and can be objectively defined and compared to that of conventional management.
Archives of SurgeryAcute Appendicitis During Pregnancy
114 Citations1985Michael D. Horowitz
The clinical presentation of acute appendicitis is altered during gestation, and diagnosis becomes increasingly difficult when close to term, and early surgical intervention is indicated if acute appendicitis is suspected.
Southern Medical JournalAppendicitis Complicating Pregnancy
98 Citations1992S Mahmoodian
In this series, nine pregnant patients had appendectomy; pyuria and symptoms suggesting urinary tract infection delayed diagnosis in one whose appendix perforated, and there were five maternal deaths, all in the group of patients with perforation.
The American Journal of SurgeryAppendectomy in a large metropolitan hospital
76 Citations1981Victor A. Silberman
The finding of a normal appendix on appendectomy should occur in no more than 15 percent of patients, and in half of these some other cause of the abdominal pain will probably be found, most often gynecologic in origin.
PubMedAppendicitis. Improvements in diagnosis and treatment.
40 Citations1991J. Matthew Maxwell, J J Ragland
The results of therapy in cases of suspected acute appendicitis were reviewed and excellent results were routinely obtainable employing early operative intervention, perioperative antibiotics, and a systematic surgical approach.
PubMedAppendectomy during pregnancy.
37 Citations1985Doberneck Rc
The concept that peritonitis rather than appendectomy is the cause of fetal and maternal death and complication in pregnant women suspected of having appendicitis is supported and arguments for early appendectomy in such patients are argued.
Australian and New Zealand Journal of SurgeryTHE INFLUENCE OF AGE AND GENDER ON NORMAL APPENDICECTOMY RATES*
17 Citations1987Slava Agafonoff, I. Hawke +5 more
There was a significant difference in normal appendicectomy rates for the young and reproductive female groups when compared with the elderly and the rest of the population, and the perforation rate was significantly higher in the elderly group.
PubMedSome factors affecting perforation in acute appendicitis.
8 Citations1983Einar Arnbjörnsson
Perforation of the appendix was slightly more frequent among men, and among patients with concomitant chronic or malignant diseases, but the difference was not statistically significant.