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The Impact of Surgical Staging on the Prognosis of Mucinous Borderline Tumors of the Ovaries: A Multicenter Study.

BACKGROUND/AIM: The purpose of this study was to prove the effect of complete surgical staging of patients with mucinous borderline ovarian tumors (mBOTs) especially appendectomy on progression-free survival (PFS) and overall survival (OS). PATIENTS AND METHODS: The database of 14 gynecological oncology departments from Turkey and Germany were comprehensively searched for women who underwent primary surgery for an ovarian tumor between January 1, 1998, and December 31, 2015, and whose final diagnosis was mBOT. RESULTS: A total of 364 patients with mBOT with a median age of 43.1 years were in…

A case report describing diverticulosis of the appendix presenting as acute appendicitis.

INTRODUCTION: Diverticulosis of the appendix (DA) is a rare clinical finding which is often confused with acute or chronic appendicitis and is usually only identified during or after appendectomy. The symptoms of DA can last for up to two weeks and laboratory studies tend to reflect a more chronic inflammation. Distinguishing the two entities is important as DA has a higher risk for perforation and may be associated with an underlying malignancy. PRESENTATION OF CASE: A 54--year old African--American male presented with three--days of right sided abdominal pain, nausea, and vomiting. Physical…

Wound classification in pediatric surgical procedures: Measured and found wanting.

PURPOSE: Surgical wound classification has emerged as a measure of surgical quality of care, but scant data exist in the era of minimally invasive procedures, especially in children. The aim of this study is to examine the surgical site infection (SSI) rate by wound classification during common pediatric surgical procedures. METHODS: A retrospective analysis of the 2013 Pediatric-National Surgical Quality Improvement Program (Peds-NSQIP) dataset was conducted. Patients undergoing pyloromyotomy, cholecystectomy, ostomy reversal, and appendectomy were included. Wound classification, SSI rate, r…

Genetic and environmental factors in monozygotic twins with Crohn's disease and their first-degree relatives: a case report.

BACKGROUND/AIMS: Familial Crohn's disease has shown concordance concerning location and clinical type of the disease especially among monozy … in TLR4 and OCTN. They were smokers since the age of 15, used oral contraceptives and had undergone appendectomy. The healthy father and brother were CARD15 R702W positive, were non-smokers and had not undergone appendectomy. CONCLUSION: This case report is the first to describe complete concordance in CARD15 status, phenotypic appearance, and smoking, append …

Oral antibiotics in the management of perforated appendicitis in children.

After appendectomy for perforated appendicitis children have traditionally been managed with intravenous broad-spectrum antibiotics for 5 to 10 days and then until fever and leukocytosis have resolved. We prospectively evaluated a protocol of hospital discharge on oral antibiotics when oral intake is tolerated-regardless of fever or leukocytosis-in a consecutive series of 80 children between one and 15 years of age who underwent appendectomy (38 open and 42 laparoscopic) for perforated appendicitis. At discharge subjects began a 7-day course of oral trimethoprim/sulfamethoxazole and metronidaz…

Spontaneously resolving acute appendicitis: clinical and sonographic documentation.

PURPOSE: To document findings in a subgroup of patients with acute appendicitis that spontaneously resolved. MATERIALS AND METHODS: From February 1989 through December 1995, nine patients were seen with a diagnosis of acute appendicitis that did not necessitate immediate surgery. Clinical, ultrasound (US), and pathologic findings were retrospectively reviewed. RESULTS: Four of the nine patients underwent elective appendectomy 15-84 days (mean, 52 days) after initial presentation, and five did not undergo surgery. Seven patients experienced spontaneous pain relief before admission to the hosp…

Прогресс в исследованиях по изучению воздействия Вермиформального добавления на возникновение и развитие болезней, связанных с осью гута - мозга.

Ось кишечника представляет собой двунаправленный коммуникационный путь, соединяющий центральную нервную систему и желудочно-кишечный тракт, играющий ключевую роль в возникновении и развитии заболеваний, связанных с этой осью. В этом аппендиксе, являющемся частью кишечного кишечника, содержится уникальное анатомическое расположение, богатый микробиом и обширные иммунные клетки.

Совпадение в аннотации оригинала
The gut-brain axis is a bidirectional communication pathway connecting the central nervous system and gastrointestinal tract,playing a key r … cecum,has a unique anatomical location,a rich microbiome,and abundant immune cells.Appendicitis and appendectomy have been found to be associated with the development of diseases related to the gut-brain axis.This review first introduces the anatomy and functions of the vermiform appendix and then expounds the associations of appendicitis and appendectomy with …

Barium Appendicitis 6 Weeks After Upper Gastrointestinal Imaging.

Barium sulfate is widely used for gastroenterology imaging. Retention of barium in the appendix, where it acts as an appendicolith, thereby leading to obstruction and inflammation. Barium-associated appendicitis is a very rare complication of upper gastrointestinal imaging (UGI), especially in children. We present a case involving an 8-year-old girl who was diagnosed with acute appendicitis due to a barolith and required a laparoscopic appendectomy 6 weeks after UGI. After UGI, patients should be informed regarding possible retention of barium in the appendix, which can cause acute appendiciti…

Appendiceal mucinous cystadenoma presenting as abdominal internal hernia: a case report.

Appendiceal mucinous neoplasm is a rare form of appendix disorder of all appendectomies. Patients may present with many non-special symptoms which the right low quadrant pain is the mostly reported. We reported a case of 70-year-old man who was admitted to emergency for abdominal pain and progressive aggravation of peritoneal irritation sign. Computed tomography (CT) revealed incomplete intestinal obstruction with volvulus of partial small intestine in right lower quadrant, and internal hernia was suspected and simple appendectomy was performed followed. The postoperative pathologic diagnosis …

Perforated endometrial appendicitis in pregnancy.

BACKGROUND: Endometriosis is a common disorder in women of reproductive age. A rare localization is the appendix, which, in most cases, is a … th acute peritonitis attributable to advanced appendicitis. She underwent emergency laparotomy with appendectomy. The biopsy specimen was examined by the pathology laboratory of the same hospital. RESULTS: The laparotomy revealed perforated appendicitis. The histopathology report described acute endometrial appendicitis.

[Carcinoid tumors of the appendix and small intestine as unusual secondary findings during gynecologic operations in and outside of pregnancy].

Report is given on 9 patients suffering from a carcinoid observed at the Department of Gynecology of the Medical Academy of Erfurt from 1963 … rength of supervision of the course we think in accordance to the international literature the sole appendectomy will be sufficient. Nevertheless we make demands for a careful investigation and palpation of the appendix in all gynecologic operations and if necessary the appendectomy.

Is the laparoscopic approach appropriate for pediatric subhepatic appendicitis?

INTRODUCTION: Subhepatic appendicitis in children is an unusual condition that can be challenging for the pediatric surgeons to treat. The aim of our study was to compare the outcomes of laparoscopic appendectomies based on the position of the appendix. METHODS: The data of 1736 patients who had undergone laparoscopic appendectomy in our tertiary center were retrospectively reviewed. We compared two groups: subhepatic location (n = 56) and non-subhepatic location (n = 1680). A P-value of less than 0.05 was considered statistically significant. RESULTS: There was no statistically significant …

[Minimally invasive surgery in the Czech Republic].

AIM: The aim of the study was to assess the present status and progress in minimally invasive surgery in the Czech Republic. METHODS: A que … rformed by 99% questioned surgical departaments, 97% of questioned hospitals performed laparoscopic appendectomy, 87% performed laparoscopic hernia repair and 58% practiced laparoscopic colorectal surgery. In the Czech Republic 71% of cholecystectomies, 41% appendectomies, 19% hernia repairs and 15% colorectal cancer procedures were performed laparoscopically …

Environmental and Human Health Impact of Pediatric Appendicitis Management.

BACKGROUND: Surgical care is resource intensive, but the environmental consequences of treatment strategies for common pediatric surgical conditions are poorly characterized. We compared environmental emissions and environmentally mediated human health impacts of operative and nonoperative management of pediatric uncomplicated appendicitis. STUDY DESIGN: A process-based life cycle assessment compared laparoscopic appendectomy with nonoperative management using antibiotic therapy. Environmental impacts were modeled using Ecoinvent databases within CarbonGraph EcoScan and quantified with the Re…

Incidental Amyand's Hernia During Enhanced-View Totally Extraperitoneal (eTEP) Repair of Recurrent Inguinal Hernia: A Case Report and Technical Rationale for a Posterior Approach.

Incidental Amyand's hernia is a rare intraoperative finding during inguinal hernia repair and may pose a management dilemma, particularly in recurrent cases where prior anterior repair limits surgical options. In these settings, careful consideration is required for optimal plane selection and the safety of mesh placement after appendectomy. A 67-year-old man with a history of prior anterior Lichtenstein repair presented with a recurrent right inguinal hernia. A posterior laparo-endoscopic repair using the enhanced-view totally extraperitoneal (eTEP) technique was performed in accordance with …

Prevalence and clinical significance of appendiceal diverticulosis: An 11-year retrospective study.

BACKGROUND: Appendiceal diverticulosis is a rare and often underdiagnosed entity with significant clinical implications. Limited data are available regarding its incidence, clinicopathological features, and optimal management strategies. METHODS: We retrospectively reviewed 6836 appendectomy specimens at our institution between January 2013 and December 2024. Cases diagnosed with appendiceal diverticulosis were identified, and their demographic, clinical, radiological, and pathological data were analyzed. The incidence, presentation, complications, and association with neoplasms were assessed…

Appendiceal neoplasms: Suspected findings and reports of 14 cases.

BACKGROUND: Neoplastic lesions of the vermiform appendix are still considered to be rare, some studies suggest that appendix cancer may be on the rise, with an estimated incidence of 0.08-0.1% of all appendiceal specimens. The lifetime incidence of malignant appendiceal tumors ranges from 0.2 to 0.5%. PATIENTS AND METHODS: Our study is applied at the Department of General Surgery at tertiary training and research hospital; 14 patients who had appendectomy or right hemicolectomy between December 2015 and April 2020 were evaluated. RESULTS: The mean age of the patients was 52.3 ± 15.1 (range, …

Clinical features, treatments and prognosis of appendiceal bleeding: a case series study.

BACKGROUND: Appendiceal bleeding is a rare cause of lower gastrointestinal bleeding, could be overlooked and diagnosed as obscure gastrointe … zia was the most common symptom. The etiology included appendiceal angiodysplasia, appendicitis and appendectomy associated bleeding. Hemostasis was achieved by appendectomy, endoscopic therapy or medication according to different cases. One patient did not receive any treatment because of self-limiting bleeding. CONCLUSIONS: The diagnosis of appendiceal blee …

Parasites in surgically removed appendices as a neglected public health concern: a systematic review and meta-analysis.

The role of various parasitic infections in the occurrence of appendicitis is illustrated through cases recorded all over the world. The purpose of the current study was to estimate the global prevalence of parasite infestation (other than E. vermicularis) in appendectomy specimens.In the setting of the PRISMA guidelines, multiple databases (Science Direct, Scopus, Web of Science, PubMed, and Google Scholar) were explored in articles published until 28 September 2020. Totally, 62 studies (106 datasets) with 77, 619 participants were included in the analysis.The pooled prevalence of parasites i…

Pay for obesity? Pay-for-performance metrics neglect increased complication rates and cost for obese patients.

BACKGROUND: Rates of surgical complications are increasingly being used for pay-for-performance reimbursement structures. We hypothesize that morbid obesity has a significant effect on complication rates and costs following commonly performed general surgical procedures. METHODS: We studied 30,502 patients who underwent cholecystectomy for cholecystitis and 6,390 patients who underwent appendectomy for acute appendicitis using administrative claims data from seven Blue Cross and Blue Shield Plans over a 7-year period (2002-2008). We compared 30-day complications as well as total 30-day direct…