Title |
Acute appendicitis: position paper, WSES, 2013
|
---|---|
Published in |
World Journal of Emergency Surgery, April 2014
|
DOI | 10.1186/1749-7922-9-26 |
Pubmed ID | |
Authors |
Ferdinando Agresta, Luca Ansaloni, Fausto Catena, Luca Andrea Verza, Daniela Prando |
Abstract |
Appendectomy is one of the most frequently performed operative procedures in general surgery departments of every size and category. Laparoscopic Appendectomy - LA - as compared to Open Appendectomy - OA - was very controversial at first but has found increasing acceptance all over the World, although the percentage of its acceptance is different in the various single National setting. Various meta-analyses and Cochrane reviews have compared LA with OA and different technical details. Furthermore, new surgical methods have recently emerged, namely, the single-port/incision laparoscopic appendectomy and NOTES technique. Their distribution among the hospitals, however, is unclear. Using laparoscopic mini-instruments with trocars of 2-3.5 mm diameter is proposed as a reliable alternative due to less postoperative pain and improved aesthetics. How to proceed in case of an inconspicuous appendix during a procedure planned as an appendectomy remains controversial despite existing study results. But the main question still is: operate or not operate an acute appendicitis, in the meaning of an attempt of a conservative antibiotic therapy. Therefore, we have done a literature survey on the performance of appendectomies and their technical details as well as the management of the intraoperative finding of an inconspicuous appendix in order to write down - under the light of the latest evidence - a position paper. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Netherlands | 1 | 2% |
Unknown | 49 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 8 | 16% |
Student > Bachelor | 8 | 16% |
Other | 7 | 14% |
Student > Master | 6 | 12% |
Student > Doctoral Student | 5 | 10% |
Other | 12 | 24% |
Unknown | 4 | 8% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 39 | 78% |
Social Sciences | 2 | 4% |
Computer Science | 1 | 2% |
Arts and Humanities | 1 | 2% |
Nursing and Health Professions | 1 | 2% |
Other | 1 | 2% |
Unknown | 5 | 10% |