BACKGROUND Appendectomy is one of the most commonly performed emergency operations in children. The diagnosis of appendicitis can be quite challenging, particularly in children. We set out to determine the accuracy of diagnosis of appendicitis by analyzing the trends in the negative appendectomy rate (NAR) using a national database. MATERIALS AND METHODS Analysis of the Kids Inpatient Databas...

BACKGROUND/PURPOSE: Laparoscopic treatment of pediatric appendicitis remains controversial especially in cases of complications including perforated and gangrenous appendicitis and their attendant overall postoperative outcomes. This study evaluates the comparison of various outcomes in open (OA) and laparoscopic appendectomy (LA). METHODS: A retrospective chart reviewed was performed on 382 co...

Background: Acute appendicitis has historically been considered a clinical diagnosis, necessitating a CT scan only in the face of equivocal signs and symptoms. The purpose of this study is to determine whether or not the liberal use of CT in the work up of acute appendicitis results in a decreased negative appendectomy rate (NAR). Methods: The medical records of 940 consecutive patients who und...

Background/Aims: Although standard treatment typically consists of an early appendectomy, there has recently been an increase in the use of antibiotic therapy as primary treatment for acute appendicitis (AA). The aim of this analysis is to systematically evaluate the evidence available in relevant literature in order to compare the relative effectiveness of antibiotic therapy as a viable altern...

Background/Aims: Although standard treatment typically consists of an early appendectomy, there has recently been an increase in the use of antibiotic therapy as primary treatment for acute appendicitis (AA). The aim of this analysis is to systematically evaluate the evidence available in relevant literature in order to compare the relative effectiveness of antibiotic therapy as a viable altern...

A 67-year-old woman with a history of myelodysplastic syndrome (MDS) was on holiday in another country when abdominal pain developed. Her MDS had been stable over the previous 2 decades, and her outpatient monitoring had been cancelled. She went to the local emergency department with pain in the right lower quadrant. Laboratory results showed elevated C-reactive protein (CRP) and white blood ce...

BACKGROUND Despite increased utilization of laboratory, radiologic imaging, and scoring systems, negative appendectomy (NA) rates in children remain above 3% nationwide. We reviewed the clinical data of patients undergoing appendectomy to further reduce our NA rate. METHODS A retrospective review was conducted of all appendectomies performed for suspected appendicitis at a tertiary children's...

Background: The most prevalent diagnosis needing urgent surgery is acute appendicitis, and patients are usually treated by young physicians. Aim objectives: to ascertain the use of preoperative computed CT US in examination with suspected appendicitis if variations usage were related negative appendectomy rate. Subjects methods: This prospective research was carried out on 100 from emergency ro...

Background: Emergency appendectomy is among the most common emergency surgical procedures performed worldwide. The current study looks at local data on how appendectomies are in a district general hospital England. Aim: aim of was to assess state practice single center UK and compare with international appendicectomy. Methods: A center, retrospective between May 2018 October 2019. Data collecte...