Recent Advances in the Surgical Management of Acute Appendicitis: A Review | Medical Science: Updates and Prospects Vol. 3

 

The management of acute appendicitis typically involves performing an appendectomy, which can be executed using either an open or laparoscopic approach. Since its inception, laparoscopic appendectomy has been utilised for both uncomplicated and complicated cases of appendicitis. It has become the preferred method of performing an appendectomy in most Western countries. This minimally invasive technique is associated with reduced postoperative complications, earlier ambulation, and expedited recovery. Recent advancements in minimally invasive surgery include single-incision laparoscopic appendectomy and natural orifice transluminal appendectomy, both of which are employed in the treatment of acute appendicitis. In this review, we will examine the role of laparoscopic appendectomy, single incision laparoscopic appendectomy, and natural orifice transluminal appendectomy in the management of acute appendicitis.

 

 

Author(s) Details

Kumar H.R.
Taylor’s University School of Medicine Clinical Campus, 4700 Sg Buloh, Selangor, Malaysia.

 

Please see the book here :- https://doi.org/10.9734/bpi/msup/v3/6826

Negative Appendectomy Rates: An Update on Current Incidence Trends, Contributing Factors and Management Strategies| Chapter 7 | Medical Science: Recent Advances and Applications Vol. 7

The negative appendectomy rate is defined as the rate of a normal appendix, which is confirmed by histopathological diagnosis and generally accepted in the treatment of acute appendicitis to prevent complications like perforation. This rate varies according to countries in the western and eastern regions of the world. This study reviews current incidence trends, contributing factors, and strategies to reduce the negative appendectomy rate. A literature review was conducted using databases including PubMed, the Cochrane Database of clinical reviews, and Google Scholar, focusing on original articles, clinical trials, observational and cohort studies, and clinical reviews published between 1996 and 2023. In these studies, clinical scoring systems, inflammatory markers, and imaging were used to reduce the negative appendectomy rate. The introduction of computerised tomography has improved the diagnostic accuracy of acute appendicitis. As this rate has been progressively decreasing over the past few years, with better diagnosis of acute appendicitis, but the increased use of conservative treatment of acute appendicitis and laparoscopic appendectomy may have an impact on this rate.

 

Author(s) Details

Kumar H.R.
Department of Surgery, Taylor’s University School of Medicine and Health Science, 47500 Subang Jaya, Selangor, Malaysia.

 

Please see the book here:- https://doi.org/10.9734/bpi/msraa/v7/5766

Complicated Appendicitis: An Update | Chapter 11 | New Visions in Medicine and Medical Science Vol. 6

 

Complicated appendicitis is often used to indicate perforated appendicitis, but it is also used to include an appendicular mass and abscess. There is a lot of controversy from the definition of complicated appendicitis to its management. The management of complicated appendicitis was conservative treatment with intra-venous antibiotics and fluids followed by an interval appendectomy in 8 weeks’ time. With the introduction of laparoscopic appendectomy there has been a shift towards immediate appendectomy. There is no consensus on what the best management of complicated appendicitis is and often its management is decided upon by the operating surgeon. In this chapter, after reviewing the literature, we will discuss the definition, the role of conservative therapy, percutaneous drainage, the role of interval appendectomy and immediate appendectomy.

Author(s) Details:

Kumar Hari Rajah
Taylors University School of Medicine and Health Science, Malaysia.


Please see the link here: https://stm.bookpi.org/NVMMS-V6/article/view/14287

Study on Preoperative Predictive Factors for Difficult Laparoscopic Appendectomy | Chapter 19 | Recent Developments in Medicine and Medical Research Vol. 6

 The surgical removal of the appendix is referred to as an appendectomy. The appendectomy procedure can be performed laparoscopically or openly. It must be done right away, or the organ would burst, allowing bacteria and faecal particles to spread throughout the abdomen. Patients can resume normal activity in less time with laparoscopy than they can with open appendectomy. Patients experienced much less postoperative discomfort and had a better cosmetic outcome.

In this study, we used history and clinical evaluations, preoperative laboratory data, ultrasonography findings, and intraoperative findings to try to determine predictors of difficult appendectomy.

Materials and Procedures: The study was conducted at the Sarojini Naidu Medical College in Agra.

All patients who had a laparoscopic appendectomy between January 1st, 2016 and June 30th, 2017 were included in the study.

Patient history, physical examination, laboratory data, ultrasonography (USG) findings, and intra-operative information were all recorded on a thorough Performa.

A difficult appendectomy was defined as a laparoscopic appendectomy that took more than 120 minutes and was converted to an open surgery due to difficulty rather than complications during the procedure. Severe adhesion was thought to be a tough appendectomy case.

Results: We discovered that age > 60 years, history of previous lower abdominal surgery, time from onset to operation > 24 hours, acute appendicitis, and periappendicular collection can all be used to predict the difficulty of a laparoscopic appendectomy prior to surgery.

Conclusion: Few studies have been conducted to determine the predictors of difficult appendectomy, and further study is needed to do so.

Author(S) Details

Anubhav Goel
Department of Surgery, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.

Ankur Bansal
Department of Surgery, S. R. Hospital, Agra, Uttar Pradesh, India.

Anil Baliyan
Department of Surgery, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.

View Book:- https://stm.bookpi.org/RDMMR-V6/article/view/4545