Objective: To compare the post-operative use of analgesics in closure and non-closure of peritoneum in appendectomy. Material and Methods: One hundred patients undergoing an appendectomy divided in two groups, each group having fifty patients were analyzed in this study. The patients were randomly allocated in two groups; group A (appendectomy with peritoneum closed) and group B (appendectomy w...

We describe a case of right ilio-psoas abscess caused by stump appendicitis 14 years after open appendectomy. Stump appendicitis is a rare complication of appendectomy. Right ilio-psoas abscess was diagnosed in an immune-competent patient and treated by ultrasound guided percutaneous drainage twice without identifying the cause of the abscess. The patient did not improve until diagnostic laparo...

BACKGROUND Acute appendicitis is the commonest nonobstetric surgical emergency during pregnancy. The aim of the study was to compare perioperative outcomes of acute appendicitis in pregnant and nonpregnant patients. METHODS A retrospective review of medical records of 56 pregnant patients between 2011 and 2016 who were compared with 164 nonpregnant women of reproductive age who underwent open...

Open appendectomy is the ‘gold standard’ for the treatment of acute appendicitis. Laparoscopic appendectomy though widely practiced has not gained universal approval. Although it is a generally safe operation, postoperative complications occur in few patients. Laparoscopic appendectomy was first described in 1983. Reports of early studies were equivocal with few studies evaluating analgesic req...

BACKGROUND We investigated the value of 5-hydroxyindolacetic acid (5-HIAA) levels in spot urine in the diagnosis of acute appendicitis. METHODS Forty-three patients (11 females, 32 males; mean age 26.3 years; range 16 to 73 years) who were admitted to the emergency room with acute abdominal pain and suspected acute appendicitis were evaluated by means of physical examination, leukocyte counts...

BACKGROUND Is the patient really suffering from acute appendicitis? Right lower quadrant pain is the most common sign of acute appendicitis. However, many other bowels pathologies might mimic acute appendicitis. Due to fear of the consequences of delayed or missed diagnosis, the indication for emergency appendectomy is liberally made. This has been shown to be associated with high rates of nega...

BACKGROUND The purpose of this clinical study is to evaluate the feasibility of using 2-mm laparoscopic instruments to perform an appendectomy in patients with clinically suspected acute appendicitis and compare the outcome of this mini-laparoscopic or "needlescopic" approach to the conventional laparoscopic appendectomy. METHODS Two groups of patients undergoing appendectomy over 24 months w...

considering the structure of appendix,its great blood supply and lymphatic tissue,and its anatomical location it seems to have an immunologic role.there are no clear studies regarding the relation between appendectomy and cancer of digestive system.therefore,this stuty proposed for to clarify the relation between previous appendectomy and present gastrointestinal (GI)adenocarcinoma.the cancer g...