Gene/Protein Disease Symptom Drug Enzyme Compound
Pivot Concepts:   Target Concepts:
Query: UMLS:C0085693 (acute appendicitis)
 3,606 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

As experience with laparoscopy increases, new applications in general surgery are being identified. Treatment of acute appendicitis through the laparoscope has been proposed. We present our initial experience with this new technique. Over a 12-month period, laparoscopic appendectomy was attempted in 29 patients. There were no intraoperative complications. Two cases required conversion to the open technique owing to gangrene at the appendiceal base. The average operating time was 64 minutes. Two of nine patients with perforated appendicitis developed a pelvic abscess, and one patient developed wound cellulitis. Pain medication requirements were minimal, bowel function returned rapidly, and half of the patients were discharged on postoperative day one or two and returned to normal activity within one week. Based on our initial experience, it appears that laparoscopic appendectomy is a safe and effective technique for managing acute appendicitis and offers advantages in terms of decreased pain, decreased hospital stay, and a rapid return to normal activities.
Dis Colon Rectum 1993 May
PMID:Initial experience with laparoscopic appendectomy. 848 66

Although 3 retrospective studies from the Netherlands conclude that interval appendectomy should only be performed when indicated, i.e. when patients present with recurrent acute appendicitis or persistent pain, there is still no consensus in the literature regarding the management of these patients. This is probably due to the lack of sound studies needed to change the standard treatment and because surgeons prefer to adhere to the traditional strategy of interval appendectomy, although it is based on even less valid arguments. The risk of recurrent appendicitis is low, especially in adult patients. In this setting, the disease is generally less severe, and performing interval appendectomy only as indicated does not increase the risk ofcomplications. In contrast, routine interval appendectomy is associated with increased morbidity, longer hospital stays and greater costs. Colon malignancy, however, should be ruled out in patients over 40 years. It is still unclear whether the conservative strategy should also be preferred for paediatric patients, who may have a higher risk of recurrence. Faster and better diagnosis may further reduce the incidence ofappendiceal mass or abscess.
 ...
PMID:[Interval appendectomy as routine therapy or only as indicated: the controversy continues]. 1762 67

Colon transit time study with radio opaque markers is a simple method for assessment of colon motility disorder in patients with chronic idiopathic constipation. We report a case of acute appendicitis that was induced by impaction of radio opaque markers after colon transit time study. We think that this case report is first significant complication of colon transit time study until now.
...
PMID:Acute Appendicitis as Complication of Colon Transit Time Study; A Case Report. 2639 23


<< Previous 1 2 3