Results 51 to 60 of about 525,562 (211)

Clinical progress note: The evolving role of nonoperative management in uncomplicated pediatric appendicitis

Journal of Hospital Medicine, EarlyView.
Abstract Appendicitis is the most common pediatric surgical emergency across the globe. The historical approach emphasized early operation to prevent perforation, accepting negative appendectomies as an inevitable consequence. However, appendectomy comes with risk for postsurgical complications, and with improvements in imaging, early studies began to ...
Krustina Lal, David D'Arienzo, Sophie Biyu Sun, Patricia Tran   +3 more
wiley   +1 more source

The APpendicitis PEdiatric (APPE) score: a new diagnostic tool in suspected pediatric acute appendicitis

La Pediatria Medica e Chirurgica, 2019
Our aim was to develop an APpendictis-PEdiatric score (APPE score) in quantifying risk of acute appendicitis based on combination of clinical and laboratory markers. 1025 patients were classified in: acute appendicitis (AA) and non-appendicitis. Demographic/clinical features, and laboratory were collected.
Mario Lima, Dora Persichetti-Proietti, Neil Di Salvo, Claudio Antonellini, Michele Libri, Beatrice Randi, Michela Maffi, Tommaso Gargano, Giovanni Ruggeri, Vincenzo Davide Catania   +9 more
openaire   +5 more sources

Continuous Respiratory Oscillometry in Pediatric Laparoscopic Surgery—The COMET Study

Pediatric Anesthesia, EarlyView.
ABSTRACT Background Laparoscopic appendectomy is the accepted surgical approach for appendicitis in centers worldwide. Laparoscopic surgery requires the creation of a pneumoperitoneum to facilitate surgical access. Laparoscopic surgery affects the respiratory mechanics of patients under general anesthesia.
Neil Hauser, Emanuela Zannin, Julie Nguyen, Anwen Taplin, Sara Vigevani, David Sommerfield, Raffaele Dellaca, R. Nazim Khan, Aine Sommerfield, Britta S. von Ungern‐Sternberg   +9 more
wiley   +1 more source

Can Ultrasound Spot the Culprit – Evaluating the Effectiveness of Ultrasonography in Precisely Diagnosing Acute Appendicitis in Children

Journal of Indian Association of Pediatric Surgeons
Introduction: Acute appendicitis is a common surgical emergency in children, often requiring imaging for confirmation due to diverse presentations. While computed tomography scan is favored in many centers for its sensitivity, it comes with radiation ...
Ayushi Vig, Arvind Sinha, Taruna Yadav, Shreyas Krishnamurthy, Somya Bhatt, Kirtikumar J. Rathod, Manish Pathak, Rahul Saxena, Pushpinder Singh Khera   +8 more
doaj   +1 more source

Reconceptualizing Pediatric Surgery for the Adult Surgeon: A New Era of Integrated Surgical Care

World Journal of Surgery, EarlyView.
ABSTRACT Background Despite major advances in global surgery, children remain insufficiently represented within surgical system strengthening efforts, particularly in low‐ and middle‐income countries where specialist pediatric surgical capacity is limited. This article reflects on a decade of work by the Global Initiative for Children's Surgery and its
Cassandra Mbanje, Kokila Lakhoo
wiley   +1 more source

Nationwide management of perforated pediatric appendicitis: Interval versus same-admission appendectomy

, 2023
Although conservative management followed by readmission for interval appendectomy is commonly used to manage perforated appendicitis, many studies are limited to individual or noncompeting pediatric hospitals.
Sola, Juan E., Ribieras, Antoine J., Ramsey, Walter A., Saberi, Rebecca A., Parreco, Joshua P., Gilna, Gareth P., Courel, Steve C., Perez, Eduardo A., Huerta, Carlos Theodore, Thorson, Chad M., Carlos Theodore Huerta, Antoine J. Ribieras, Rebecca A. Saberi, Walter A. Ramsey, Chad M. Thorson, Eduardo A. Perez, Gareth P. Gilna, Steve C. Courel, Juan E. Sola, Joshua P. Parreco   +19 more
core   +1 more source

Diagnosing acute appendicitis in children with neutrophil–lymphocyte ratio: a cross-sectional study

Frontiers in Pediatrics
BackgroundDiagnosing acute appendicitis (AA) in children can be challenging due to atypical symptoms and the difficulty in obtaining a comprehensive history. This study aimed to evaluate the value of the neutrophil-to-lymphocyte ratio (NLR) in diagnosing
Mohamed Mahmoud Shalaby, Ahmed Alawi, Bayan Mohammed Fatani, Ameen Alsaggaf, Mohammed Awad   +4 more
doaj   +1 more source

Hyponatremia—A New Diagnostic Marker for Complicated Acute Appendicitis in Children: A Systematic Review and Meta-Analysis

Children, 2022
Background: Acute appendicitis in the pediatric population remains a diagnostic challenge for clinicians. Despite many biochemical markers, imaging modalities and scoring systems, initial misdiagnosis and complication rates are high in children.
Sachit Anand, Nellai Krishnan, Jana Ròs Birley, Goran Tintor, Minu Bajpai, Zenon Pogorelić   +5 more
doaj   +1 more source

Interobserver Variability in Intraoperative Classification of Acute Appendicitis and Postoperative Antibiotic Management

World Journal of Surgery, EarlyView.
During laparoscopy for suspected acute appendicitis (AA), surgeons classify the appendix as normal, phlegmonous, gangrenous, or perforated, with or without abscess. The surgeon's assessment directly influences postoperative antibiotic treatment and length of hospitalization. There is currently no objective gold standard for this classification.
Miranda Elisabeth Krusmynta Ocklind, Kathrine Holte, Niels Henrik Bruun, Rasmus Virenfeldt Flak   +3 more
wiley   +1 more source

Safety and Efficacy of Laparoscopic appendectomy with Stump Ligation Versus Polymer Clipping [PDF]

Al-Azhar International Medical Journal
Background: Acute Appendicitis is the most frequent abdominal condition requiring operation in the pediatric age group. Aim: This research aimed to evaluate the surgical outcomes of laparoscopic appendectomy by stump ligation versus polymer clipping ...
Refaat Ibrahim EL Badawy, Mohammad AL Sayed Daboos, Ahmad Mohammad Salama, Abdullah Ashraf Abdelgawad Ahmad   +3 more
doaj   +1 more source