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

The mortality from acute appendicitis has been reduced, but the sharp difference in the morbidity and complications associated with perforation demands a policy that will minimize the possibility of delay in operation or failure to diagnose acute appendicitis. The decrease in mortality is largely due to the quality of care within the hospital, and possibly to the less frequent use of cathartics, but not to a decreased incidence of perforation. The suggestion is made that the failure to decrease the incidence of perforation of the appendix may be related to the nature of pediatric practice.
Pediatrics 1982 Sep
PMID:Appendicitis. 705 Aug 76

Primary carcinoma of the appendix, though rare, occurs often enough to warrant its inclusion in diagnostic possibilities when the symptoms of acute appendicitis, without leukocytosis, are present in geriatric patients. A case of mucinous adenocarcinoma of the appendix in an 88-year-old white woman is presented. The substantial relief following right hemicolectomy has persisted for several months of follow-up.
J Am Geriatr Soc 1982 Sep
PMID:Adenocarcinoma of the vermiform appendix. 710 90

Laparotomy with a preoperative diagnosis of acute appendicitis disclosed a normal appendix in 105 children (22.1 percent). In less than half of these, another condition was found or later identified, which explained the symptoms leading to operation. Ovarian lesions, acute ileocolitis, and serositis were the most frequently identified abnormalities. Twelve patients (11 percent) underwent definitive procedures in addition to appendectomy. Among patients in whom no abnormality was identified at laparotomy, peritoneal cultures yielded a broad range of organisms in 42 percent of those who had cultures. This may represent a mild form of acute primary peritonitis and may explain the symptoms which were confused with acute appendicitis.
Am J Surg 1982 Sep
PMID:Appendectomy in childhood. Analysis of 105 negative explorations. 711 74

In a prospective study of 230 patients followed up for 5 years after hospital admission for acute non-specific abdominal pain, 21 patients (9 patients) could not be traced, and 11 (5 percent) had died. Only one death was related to symptoms from the first admission. Of the remaining 198 patients, 77 percent were healthy and free of any symptoms during the observation period. Fourteen patients (7 percent) had been hospitalized once more due to acute abdominal pain; 5 had acute appendicitis. The others had diagnosed recurrences of nonspecific abdominal pain. Sixteen percent complained of continuing of intermittent abdominal symptoms, mainly of benign colonic or gynecologic origin, while malignant disease developed in 1 percent (or 4 percent of patients over 50 years of age). It is concluded that control of these patients is generally unnecessary, but when symptoms recur further examinations, especially for colonic or gynecologic disease, should be carried out. In patients over 50 years old, the possibility of malignant disease should be kept in mind.
Am J Surg 1982 Sep
PMID:Prognosis of acute nonspecific abdominal pain. A prospective study. 711 75

In 1978, acute appendicitis care was reviewed by studying 2,375 cases from 74% of all hospitals in Wisconsin outside the greater Milwaukee area. The mortality was 0.17% and the wound complication rate was 5.3%. A normal appendix report was noted in 14% of all cases; female patients accounted for 60% of these cases, and only 44.5% of the total study population. The rupture or perforation rate was 13.4%; 62% of these problems occurred in male patients. The mean hospital stay was 5.4 days; for perforated cases, it was 10.2 days. An analysis that compared hospitals by their individual ratios of normal appendices to perforations favors the conclusion that a small but real decrease in negative appendectomy rates could be achieved without producing more ruptures or perforations.
JAMA 1981 Sep 18
PMID:Regional results of acute appendicitis care. 719 64

Infarction of the greater omentum is an uncommon entity in children. The etiology of this disease is unknown. It is difficult to differentiate this condition from acute appendicitis in children. Two cases from the pediatric age group are reported.
Dis Colon Rectum 1980 Sep
PMID:Infarction of the greater omentum. 741 84

Between September 1990 and December 1993, 283 consecutive patients were admitted with clinical symptoms of acute appendicitis. These patients underwent primary laparoscopic approach so that an appendicectomy could be performed by this method. In 49 cases (17.3%), primary laparoscopic examination corrected the preoperative diagnosis and the appendix was left in situ. Appendicectomy was performed in 234 cases (149 women, 85 men) with a mean age of 30 years. Requirement for open surgery occurred in 29 cases. The main cause of unsuccessful procedures was inflammation due to local or generalized peritonitis. Median operative time for a successful procedure was 60 min (range, 25-160). Four postoperative complications (one related to laparoscopic procedure), one case of wound infection, and no mortality resulted. After laparoscopic appendicectomy, the median hospital stay was 3 days (range, 1-16). These results suggest that a laparoscopic approach for suspected appendicitis is reliable, allowing abdominal exploration and safe appendicectomy.
Surg Endosc 1995 Sep
PMID:Laparoscopic procedure for suspected appendicitis. A prospective study in 283 consecutive patients. 748 12

The article deals with the results of clinical use of a laparoscopic suturing instrument in appendectomy in 2 patients with acute appendicitis. The authors describe the techniques of laparoscopic appendectomy with application of a mechanical suture to the mesentery and stump of the process. The advantages of this operation over the traditional interventions in acute appendicitis are shown: the absence of the pain syndrome after the operation, shorter duration of in-patient treatment, and the best cosmetic effect.
Khirurgiia (Mosk) 1994 Sep
PMID:[Use of laparoscopic suturing devices in abdominal surgery]. 783 43

We investigated the influence of insurance status on the frequency of negative appendectomy. Over 5 years 820 patients underwent surgery with the diagnosis of acute appendicitis. Private and semi-private rated patients had statistically significantly more appendectomies without inflammation in the pathological specimen than ward patients (p < 0.04). This difference arose only from a statistically highly significant difference in patients aged over 40 years (p < 0.001); there was no difference between patients aged under 40 years. Possible reasons for this phenomenon are discussed. The most important finding from our data seems that financial reasons are not at all a major factor influencing the surgeon's decision for operation.
Schweiz Med Wochenschr 1994 Sep 17
PMID:[Does insurance status have an effect on frequency of appendectomies?]. 793 29

We compared the predictive value of determining group II phospholipase A2 (PLA2) in serum for diagnosing acute appendicitis with the predictive values of white blood cell count (WBC) and measurement of C-reactive protein (CRP). In this prospective study, we included 186 patients who were undergoing appendectomy after clinical diagnoses of acute appendicitis. The performance of each test was measured by receiver-operating characteristic curves. WBC was the test of choice in diagnosing uncomplicated acute appendicitis. However, in contrast to CRP and PLA2, which increased in patients with protracted inflammation, there was not a concomitant increase in WBC. Therefore, especially CRP, but also PLA2, were better indicators of appendiceal perforation or abscess formation than was WBC. Increased WBC, CRP, and PLA2 values did not unequivocally corroborate the clinical suspicion of appendicitis, but if all three values were within normal limits, acute appendicitis could be excluded with a 100% predictive value. PLA2 values showed a highly significant correlation with CRP but not with WBC values, which supports the view that PLA2 represents an acute-phase reactant.
Clin Chem 1994 Sep
PMID:Phospholipase A2, C-reactive protein, and white blood cell count in the diagnosis of acute appendicitis. 807 88


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