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Query: UMLS:C0085693 (acute appendicitis)
 3,606 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

During the last decade neonatal surgical results have improved considerably. Except for infants born with serious congenital heart disease, diaphragmatic hernia or exomphalos, postoperative mortality rates for infants with single anomalies have fallen to the region of 10%. This dramatic success story has been marred by a corresponding increase in the number of individuals with several anomalies entering late childhood with severe chronic handicaps. During the remainder of this century much effort will be expended in devising programmes of investigation which will attempt to predict which individuals will have a poor long-term prognosis. Such programmes will necessitate very close liaison between obstetricians, radiologists, neonatologists, local paediatricians, paediatric surgeons, general practitioners and parents. Very urgent surgery is necessary for the best results in infants with gastroschisis, intestinal volvulus and irreducible inguinal hernia, but for most other conditions there have been recent trends away from very urgent surgery to operation during daylight hours within the ensuing 24 h. Surgery within a few hours of presentation is necessary for intussusception and for early acute appendicitis, but perforated appendicitis should be treated by aggressive fluid replacement and intravenous antibiotics and surgery should be contemplated only in the rare cases of continued deterioration.
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PMID:Paediatric emergencies. 176 28

Two patients seen in Murtala Muhammed Hospital in Kano, Nigeria in 1989, who developed acute appendicitis after inguinal hernia repair during which the appendices were present in the hernia sacs but not removed, are described. Eleven patients who had an appendectomy during inguinal hernia repair are also described. None had a wound infection or recurrence of their hernia. Because of the possibility that postoperative adhesions in the vicinity of the appendix might subsequently provoke inflammation, it is suggested that an adequately exposed appendix in an inguinal hernia sac be routinely removed.
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PMID:Simultaneous appendectomy and inguinal herniorrhaphy could be beneficial. 200 88

This prospective randomized study included 100 patients with inguinal hernia and 66 patients operated on for acute appendicitis. In half of each group the skin was closed with a continuous subcuticular resorbable suture, and in the other half with a monofilament nylon matress suture. The patients were followed up after three weeks and again after three months. There was no obvious difference in cosmetic result between the two methods of skin closure. In the patients with inguinal hernia or non-perforated appendicitis there was no increase in postoperative infection of the wound after subcuticular suture. In the case of perforated appendicitis there may have been an increase in infection of the wound after subcuticular suture. Continuous, subcuticular resorbable suture used on the right indications can give a good cosmetic result and few complications of the wound. Further more, a separate outpatient visit for removal of skin sutures or staples can be avoided.
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PMID:[Skin closure. A prospective randomized study]. 266 Mar 22

A 50 year old man presented with scrotal pain of 2 weeks' duration. The finding of acute appendicitis as a scrotal abscess due to perforated appendix in an inguinal hernia is rare, and literature on this finding is reviewed.
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PMID:Acute appendicitis presenting as a scrotal abscess. 273 Apr 62

The authors present the case-history of a six-week old boy born during the 30th week of gestation with the coincidence of an incarcerated right-sided inguinal hernia and acute appendicitis. On operation it was found that the appendix was intra-abdominally fixed. The authors draw attention to the difficulty of diagnosis of an inflammatory acute abdomen in neonates and infants.
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PMID:[Concurrent acute appendicitis and incarcerated inguinal hernia in an infant]. 281

The article reports on the case of a 10-week-old male infant with a perforated appendix localised in the hernial sac of a right-sided inguinal hernia. The simultaneous occurrence of an acute appendicitis in infancy with the atypical localisation in the hernial sac presenting as an incarcerated hernia is a rare combination.
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PMID:[Differential diagnosis of incarcerated inguinal hernia in an infant: appendicitis in the hernial sac]. 673 Jul 10

Seven patients are reported with acute appendicitis occurring in an external hernial sac. The average age was 69 years. In 4 cases the site was a right femoral hernia and in 3 a right indirect inguinal hernia. In no case was the correct diagnosis made before operation. Recovery was uneventful apart from wound infection in 3 cases.
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PMID:Appendicitis in external herniae. 706 99

Two neonates with acute appendicitis have been treated at the Paediatric Surgery Clinic, Tygerberg Hospital, during the past 6 months. One presented with red blood in the stool and had had persistent anorexia for 1 week. The second baby presented with a large tender swelling of the scrotum which was indistinguishable from a torsion of the testis or strangulation of an inguinal hernia. Both babies made an uneventful recovery.
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PMID:Unusual presentations of acute appendicitis in the neonate. A report of 2 cases. 714 40

Under the mandate of the Educational Committee of the European Association of Endoscopic Surgery (E.A.E.S.), three consensus development conferences (CDCs) were performed in order to assess the current status of the endoscopic surgical approaches for the treatment of cholelithiasis, appendicitis, and inguinal hernia. Consensus panels for the different disease states (10-13 members each) selected by the education committee on the basis of members' clinical expertise, academic activity, community influence, and geographical location weighed the evidence on the basis of published results according to the criteria for technology assessment: feasibility, efficacy, effectiveness, economy. Draft statements were prepared, discussed by the panels, and presented at plenary sessions of the 2nd European Congress of the E.A.E.S. in Madrid September 15-17, 1994. Following discussions final consensus statements were formulated to provide specific answers for each topic to a minimum of the following questions: 1. What stage of technological development is the endoscopic surgical procedure at (in September 1994)? 2. Is endoscopic surgery safe and feasible? 3. Is it beneficial to the patients? 4. Who should undergo endoscopic surgery? 5. What are the training recommendations? Laparoscopic cholecystectomy is the procedure of choice for symptomatic cholelithiasis. Laparoscopic appendectomy is presently at the efficacy stage of development, because most of the data on feasibility and safety originate from centers with special interest in endoscopic surgery: it is not yet the gold standard for acute appendicitis. Endoscopic hernia repair is presently a feasible alternative for conventional hernia repair if performed by experienced endoscopic surgeons. It appears to be efficacious in the short-term. The full text of the consensus panel's statements is given in this publication.
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PMID:The E.A.E.S. Consensus Development Conferences on laparoscopic cholecystectomy, appendectomy, and hernia repair. Consensus statements--September 1994. The Educational Committee of the European Association for Endoscopic Surgery. 767 85

The value of diagnostic laparoscopy was evaluated in 74 patients who had clinical signs of acute appendicitis. The average age was 27 years (5-67). The laparoscopically determined degree of inflammation was compared with the results of histologic examination, and the results of laparoscopic appendectomy were evaluated. In 6 patients laparoscopic appendectomy was not performed, because of infiltrative disease (twice), twisted ovary, ovulatory bleeding, enteritis and partially incarcerated inguinal hernia. In 2 patients suffering of acute appendicitis conversion to laparotomy was necessary because of obscured anatomy. On 57 out of 68 patients who underwent appendectomy, the laparoscopic findings were in accordance with histologic examination; i.e. 54 times acute appendicitis and 3 times appendix sana. In 7 patients the appendix was classified as inflamed during laparoscopy, histological examination revealing lymphoid hyperplasia or a subacute inflammation. In 4 patients with a laparoscopically normal appendix, inflammation was seen histologically. The average operation time was 29 minutes and the average postoperative hospital stay was 4 days. Three complications occurred: an inflammatory mass developed in 2 patients post-operatively and I patient had a hematoma in the trocar puncture site and a wound abscess developed. Laparoscopy is an aid in diagnosing appendicitis, and may prevent unnecessary appendectomy. If inflammation is established appendectomy can be performed safely and effectively.
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PMID:[Laparoscopy useful in the diagnosis and surgery of acute appendicitis]. 763 34


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