PURPOSE This study was aimed to evaluate the effect of time of surgery for acute appendicitis on surgical outcomes to optimize the timing of appendectomies. METHODS Medical records of patients who underwent an appendectomy were reviewed to obtain data on time of symptom onset, time of hospital presentation, and start times of surgery. Surgical findings were used to define appendicitis as eith...

Acute appendicitis remains one of the most frequent reasons for emergency hospital admissions and common cause an 'acute abdomen' in young adults. The risk is 8.6% men 6.7% women throughout a lifetime, with frequency peaking second decade life. In 19% acute cases, there perforation, it has bimodal distribution. Appendiceal gangrene perforation appear to be caused by appendiceal lumen being bloc...

BACKGROUND The aim of the study was to construct a new scoring system for more accurate diagnostics of acute appendicitis. Applying the new score into clinical practice could reduce the need of potentially harmful diagnostic imaging. METHODS This prospective study enrolled 829 adults presenting with clinical suspicion of appendicitis, including 392 (47%) patients with appendicitis. The collec...

abstract background: acute appendicitis is the most common cause of acute surgical abdomen. inspite of the introduction of ultrasonography, computed tomography scanning and laparoscopy in the years 1987-1997 the difficulty in accurate diagnosis of acute appendicitis has remained the same. our way of reaching a decision for operating in a patient suspected of having acute appendicitis (which wil...

OBJECTIVE We evaluated the outcomes of routine laparoscopy and laparoscopic appendectomy (LA) in patients with suspected appendicitis. This is a retrospective study of the outcomes of patients undergoing laparoscopic appendectomy compared with outcomes for patients undergoing open appendectomy (OA) during the time that LA came into use. METHOD Results of patients managed with routine laparosc...

Background: Laparoscopic appendectomy is the most frequent on-call surgery done as an emergency. We evaluated the outcome of extending the period from admission till surgery for uncomplicated acute appendicitis in adults. Methods: A retrospective study of all patients who underwent laparoscopic appendectomy in our department between 2000 and 2010 was conducted. The patients were operated upon b...

Acute appendicitis is the most common cause of the acute abdomen requiring surgery with life time risk of ~7% which is maximal in childhood and declines steadily with age as the lymphoid tissue and vascularity atrophy [1,2]. Surgery for the acute abdomen caused by Appendicitis only evolved when the mortality associated with perforated appendicitis was found to be high. Conservative treatment wi...