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Acute appendicitis: position paper, WSES, 2013
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, althou...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3984433/ https://www.ncbi.nlm.nih.gov/pubmed/24708651 http://dx.doi.org/10.1186/1749-7922-9-26 |
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author | Agresta, Ferdinando Ansaloni, Luca Catena, Fausto Verza, Luca Andrea Prando, Daniela |
author_facet | Agresta, Ferdinando Ansaloni, Luca Catena, Fausto Verza, Luca Andrea Prando, Daniela |
author_sort | Agresta, Ferdinando |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3984433 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-39844332014-04-13 Acute appendicitis: position paper, WSES, 2013 Agresta, Ferdinando Ansaloni, Luca Catena, Fausto Verza, Luca Andrea Prando, Daniela World J Emerg Surg Review 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. BioMed Central 2014-04-07 /pmc/articles/PMC3984433/ /pubmed/24708651 http://dx.doi.org/10.1186/1749-7922-9-26 Text en Copyright © 2014 Agresta et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Review Agresta, Ferdinando Ansaloni, Luca Catena, Fausto Verza, Luca Andrea Prando, Daniela Acute appendicitis: position paper, WSES, 2013 |
title | Acute appendicitis: position paper, WSES, 2013 |
title_full | Acute appendicitis: position paper, WSES, 2013 |
title_fullStr | Acute appendicitis: position paper, WSES, 2013 |
title_full_unstemmed | Acute appendicitis: position paper, WSES, 2013 |
title_short | Acute appendicitis: position paper, WSES, 2013 |
title_sort | acute appendicitis: position paper, wses, 2013 |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3984433/ https://www.ncbi.nlm.nih.gov/pubmed/24708651 http://dx.doi.org/10.1186/1749-7922-9-26 |
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