Results 51 to 60 of about 2,079,550 (188)

Complicated Acute Appendicitis Conservatively Treated in Two Patients With Crohn's Disease: The Role of Intestinal Ultrasound and Contrast‐Enhanced Ultrasound

Journal of Clinical Ultrasound, EarlyView.
Intestinal ultrasound and contrast‐enhanced ultrasound were used to diagnose, monitor, and guide conservative treatment of complicated acute appendicitis in two patients with Crohn's disease. Serial imaging enabled early identification of treatment response, allowing long‐term surgery‐free outcomes.
Cataletti Giovanni, Gridavilla Daniele, Nylund Kim, Colombo Francesco, Danelli Piergiorgio, Maconi Giovanni   +5 more
wiley   +1 more source

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

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

Leveraging Machine Learning for Pediatric Appendicitis Diagnosis: A Retrospective Study Integrating Clinical, Laboratory, and Imaging Data

Health Science Reports
Background and Aims Appendicitis is the most common surgical emergency in pediatric patients, requiring timely diagnosis to prevent complications. This study introduces an innovative approach by integrating clinical, laboratory, and imaging features with
Mahdi Navaei, Zohre Doogchi, Fatemeh Gholami, Moein Kermanizadeh Tavakoli   +3 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

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

The CHANSE score: a novel clinical tool incorporating the heel drop test for the diagnosis of pediatric appendicitis

Frontiers in Pediatrics
BackgroundAcute appendicitis is one of the most common abdominal surgical emergencies in children presenting to the emergency department. Although clinical guidelines emphasize combining symptom characteristics, physical examination findings, and ...
Min Kyo Chun, Min Kyo Chun, Jun Sung Park, Jun Sung Park, Dahyun Kim, Dahyun Kim, Jeeho Han, Jeeho Han, Jeong-Yong Lee, Jeong-Yong Lee, Jong Seung Lee, Seung Jun Choi, Seung Jun Choi   +12 more
doaj   +1 more source

Depth and Procedure Specific Effects of Antimicrobial Versus Conventional Sutures on Surgical Site Infection: A Systematic Review and Meta‐Analysis

ANZ Journal of Surgery, EarlyView.
Antimicrobial sutures may be particularly beneficial in colorectal and abdominal procedures, where reductions in deep SSI may offset the additional suture cost. Several studies also reported favorable wound‐healing outcomes. ABSTRACT Background Surgical site infections (SSIs) are common postoperative complications that delay wound healing and increase ...
Ryan Muakkassa, Andrew Roach, Ahmed Adham R. Elsayed, Marc D. Basson   +3 more
wiley   +1 more source

RIPASA versus Alvarado score in the assessment of suspected appendicitis in children: a prospective study

, 2021
© 2021, The Author(s).Background: Diagnosis of acute appendicitis remains a problem in children with right lower quadrant pain. Challenging diagnosis and fears of missing an inflamed appendix may lead to a negative appendectomy. Many scoring systems have
Asena, Muhammet, Öztaş, Tülin
core   +1 more source

Postoperative Outcomes After Single or Multiple Visits for Paediatric Appendicitis

Acta Paediatrica, EarlyView.
ABSTRACT Aim To compare the postoperative outcomes in children with appendicitis diagnosed at the first visit versus after multiple visits overall and among children with complicated appendicitis. Methods We identified children aged < 15 years diagnosed with appendicitis between 2018 and 2023.
Ioannis Orfanos, Carl Ekelund, Amadeus Sund, Martin Salö, Jorge Sotoca Fernandez   +4 more
wiley   +1 more source