Ligadura simples ou ligadura com confecção de bolsa e sepultamento para tratamento do coto apendicular: estudo comparativo prospecivo randomizado

Neves, Lauro José Victor Avellán; Wainstein, Alberto Julius Alves; Mathias, Wallace Ceoto; Costa, Fabrizio Parreira Dias; Castro, Judson Henrique de; Avassi-Rocha, Paulo Roberto

doi:10.1590/s0102-67202011000100004

Cited by 10 publications

(11 citation statements)

References 12 publications

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“…Regarding post-operative length of stay, Neves et al 16 found a higher average time when the chosen technique was the burial of the appendiceal stump compared to conventional technique. This study showed a contrary result to these findings, though the difference in average time was only 0,2 days.…”

Section: Discussionmentioning

confidence: 99%

“…Some randomized trials in humans show superiority of simple ligation (due to its faster time of execution and diminished capacity to cause adherences and anatomical deformities), though without statistically significant results 5 , 7 , 11 . Other studies concluded that these techniques are similar and lead to the same clinical results 2 , 16 .…”

Section: Introductionmentioning

confidence: 87%

“…Most of them are retrospective, and there are few clinical trials on this subjetc 7 , 11 . Among those that emphasize surgical technique, medical literature compare only two techniques for the treatment of acute apendicitis 2 , 3 , 5 , 7 , 9 , 11 , 13 , 16 , 17 .…”

Section: Introductionmentioning

confidence: 99%

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Hospitalization time after open appendectomy by three different surgical techniques

Ximenes

Mello

Lima-Júnior

et al. 2014

ABCD, arq. bras. cir. dig.

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BackgroundThe choice of surgical technique to approach the appendicular stump depends mostly on skill and personal preference of the surgeon or on the protocol used in the service, and the influence of this choice in hospitalization time is not evaluated.AimTo evaluate the relation between surgical technique and postoperative hospitalization time in patients presenting with acute appendicitis.MethodsRetrospective analysis of 180 patients who underwent open appendectomy. These where divided into three groups according to surgical technique: conventional appendectomy (simple ligation of the stump), tobacco pouch suture and Parker-Kerr suture. Data where crossed with hospitalization time (until three days, from four to six days and over seven days).ResultsA hundred and eighty patients with age from 15 to 85 years where included. From these, 95 underwent conventional technique, had an average hospitalization time of 3,9 days and seven had complications (surgical site infection, seroma, suture dehiscence and evisceration). In 67 patients, tobacco pouch suture was chosen and had average hospitalization time of 3,7 days and two complications (infection and seroma). In 18 Parker-Kerr suture was made, with average hospitalization time of 2,6 days, with no complication. Contingency coefficient between the variables hospitalization time and technique was 0,255 and Cramér's V was 0,186.ConclusionThere was tendency to larger hospitalization time and larger number of complications in conventional appendectomy, whereas in patients where Parker-Kerr suture was performed, hospitalization time was significantly smaller.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 87%

See 1 more Smart Citation

Hospitalization time after open appendectomy by three different surgical techniques

Ximenes

Mello

Lima-Júnior

et al. 2014

ABCD, arq. bras. cir. dig.

View full text Add to dashboard Cite

show abstract

“…The appendiceal stump can either be sutured with 2-0 cotton and left exposed. Comparative studies of simple ligation and invagination did not show differences between the two methods of stump treatment 20 . In the technique described here, it takes place an invaginating suture in the cecum around the appendiceal stump.…”

Section: Discussionmentioning

confidence: 79%

Three port laparoscopic appendectomy technique with low cost and aesthetic advantage

Domene

Volpe

Heitor

2014

ABCD, arq. bras. cir. dig.

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IntroductionDespite dating more than 30 years after the first laparoscopic appendectomy, ileocecal appendix resection is still performed by laparotomy in more than 90% of cases, in our country.AimTo describe a technique for laparoscopic removal of the ileocecal appendix with three portals, at low cost and very good aesthetic appearance.TechniqueThree incisions, one umbilical and two suprapubic are made; permanent material used comprises: grasping forceps, hook, scissors, needle holders, three metal trocars and four other usual instruments, and a single strand of cotton. There is no need to use of operative extractors bags, clips, endoloops, staples or bipolar or harmonic energy instruments. Allows triangulation and instrumentation in the conventional manner.ConclusionThe proposed technique is safe and reproducible, easily teachable, at very low cost and can be applied in general hospitals with conventional laparoscopic equipment.

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“…This situation carries with it an important responsibility since both a wrong approach in negative cases and a delayed diagnosis in positive cases can have deleterious effects on the patient, besides generating avoidable costs for the health services. 14,[18][19][20] It is known that the greater the number of days of evolution of acute appendicitis, the greater the inflammatory process. 13,19,21 In the present study, in those subjects with more days of abdominal pain, higher macroscopic degrees of inflammation in the vermiform appendix were observed, which was supported by a robust and statistically significant correlation.…”

Section: Discussionmentioning

confidence: 99%

Correlation of clinical data and the Alvarado's Score as predictors of acute appendicitis

Cunha

Neto

Brasil

et al. 2018

Journal of Coloproctology

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Objective To correlate the patient's clinical data and the Alvarado's Score as predictors of acute appendicitis. Methods This is an observational, descriptive and prospective study performed at a public urgency and emergency hospital in the city of Fortaleza, Ceará, between July and December 2016, with 34 patients undergoing open appendectomy with ages between 18 and 70 years. Statistical analysis was performed using the SPSS program. Results The following statistical correlations were performed: number of days with abdominal pain until the operative event and degree of inflammation according to a macroscopic analysis of the appendix, Alvarado's Score and number of days with abdominal pain until the operative event, Alvarado's Score and degree of inflammation according to a macroscopic analysis of the appendix, number of days with abdominal pain until the operative event, and number of days of hospitalization in the postoperative period, degree of inflammation according to amacroscopic analysis of the appendix, number of days of hospitalization in the postoperative period and Alvarado's Score, and number of days of hospitalization in the postoperative period; the first five correlations were statistically significant ( p < 0.05). Conclusion The use of this Alvarado's Score in health services emerges as a tool for the diagnosis of acute appendicitis.

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Ligadura simples ou ligadura com confecção de bolsa e sepultamento para tratamento do coto apendicular: estudo comparativo prospecivo randomizado

Cited by 10 publications

References 12 publications

Hospitalization time after open appendectomy by three different surgical techniques

Hospitalization time after open appendectomy by three different surgical techniques

Three port laparoscopic appendectomy technique with low cost and aesthetic advantage

Correlation of clinical data and the Alvarado's Score as predictors of acute appendicitis

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