Appendectomy Skin Closure Technique, Randomized Controlled Trial: Changing Paradigms (ASC)

Andrade, Luis Angel Medina; Muñoz, Franz Yeudiel Pérez; Báez, María Valeria Jiménez; Collazos, Stephanie Serrano; Ferretiz, Maria de los Angeles Martinez; Ruiz, Brenda Consuelo; Montes, Óscar Requena; Woolf, Stephanie; Noriega, Jessica Gonzalez; Aparicio, Uriel Maldonado; González, Isaías Vicente Lugo

doi:10.1007/s00268-016-3607-x

Cited by 12 publications

(6 citation statements)

References 43 publications

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“…In the RCT by Andrade et al comparing skin closure with a unique absorbable intradermal stitch and traditional closure technique (non-absorbable separated stitches), OA skin closure with the former has shown to be safe, with a reduced seroma and abscess incidence and an equivalent dehiscence and superficial SSI incidence. Furthermore, the relative risk of complications with traditional skin closure was 2.91 higher, compared to this new technique [ 181 ].…”

Section: Resultsmentioning

confidence: 99%

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

et al. 2020

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Background and aims: Acute appendicitis (AA) is among the most common causes of acute abdominal pain. Diagnosis of AA is still challenging and some controversies on its management are still present among different settings and practice patterns worldwide. In July 2015, the World Society of Emergency Surgery (WSES) organized in Jerusalem the first consensus conference on the diagnosis and treatment of AA in adult patients with the intention of producing evidence-based guidelines. An updated consensus conference took place in Nijemegen in June 2019 and the guidelines have now been updated in order to provide evidence-based statements and recommendations in keeping with varying clinical practice: use of clinical scores and imaging in diagnosing AA, indications and timing for surgery, use of nonoperative management and antibiotics, laparoscopy and surgical techniques, intra-operative scoring, and perioperative antibiotic therapy.

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Section: Resultsmentioning

confidence: 99%

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

et al. 2020

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Section: Q411: Is the Use Of Abdominal Drains Recommended After Appendectomy For Complicated Acute Appendicitis In Pediatric Patients?mentioning

confidence: 81%

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2020

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науково-практичний спеціалізований журнал ХИРУРГИЯ ДЕТСКОГО ВОЗРАСТА научно-практический специализированный журнал ГОЛОВНИЙ РЕДАКТОР Котенко О.Г., доктор мед. наук, професор, керівник Центру хірургії печінки та підшлункової залози (Київ, Україна) ШЕФ-РЕДАКТОР Толстанов О.К., доктор мед. наук, професор, проректор з навчальнопедагогічної роботи НМАПО імені П.Л. Шупика (Київ, Україна) Русак П.С., доктор мед. наук, професор кафедри дитячої хірургії НМАПО імені П.Л. Шупика, завідувач хірургічним відділенням №1 Житомирської обласної дитячої клінічної лікарні (Житомир, Україна) Шевчук Д.В. (Житомир, Україна)відповідальний секретар Горєлік В.В. (Київ, Україна) Доманський О.Б. (Київ, Україна) Мельниченко М.Г. (Одеса, Україна) Пономаренко О.П. (Київ, Україна) Рибальченко В.Ф. (Київ, Україна) Талько М.О. (Київ, Україна) Чаварга М.І. (Ужгород, Україна) Чеканов Д.Ю. (Миколаїв, Україна) Видавець ТОВ «Група компаній «Мед Експерт» Свідоцтво про державну реєстрацію ЗМІ КВ № 22500-12400ПР від 13.01.2017 р. Видається з 2003 р. Періодичність виходу -4 рази на рік Наказом МОН України №612 від 07.05.2019 р. журнал «Хірургія дитячого віку» включено до Переліку наукових фахових видань України, категорія Б, в яких можуть публікуватися результати дисертаційних робіт на здобуття наукових фахових ступенів доктора і кандидата наук Затверджено Вченою радою Національної медичної академії післядипломної освіти імені П.Л. Шупика Протокол №7 від 09.09.2020 р. Підписано до друку 27.09.2020 р. Журнал «Хірургія дитячого віку» реферується Інститутом проблем реєстрації інформації НАН України

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“…Appendectomy, performed open or laparoscopically, are surgical procedures with manageable perioperative risk and low mortality ( 15 ). Bleeding, stump insufficiency, or intraabdominal abscess are rather rare complications ( 16 ).…”

Section: Introductionmentioning

confidence: 99%

“…Bleeding, stump insufficiency, or intraabdominal abscess are rather rare complications ( 16 ). Surgical site infections (SSIs) appear in up to 9% of appendectomies and therefore present the most frequent complication after appendectomy ( 15 , 17 ).…”

Section: Introductionmentioning

confidence: 99%

Surgical Site Infection Following Single-Port Appendectomy: A Systematic Review of the Literature and Meta-Analysis

et al. 2022

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IntroductionSurgical site infections (SSIs) are one of the most common postoperative complications after appendectomy leading to recurrent surgery, prolonged hospital stay, and the use of antibiotics. Numerous studies and meta-analyses have been published on the effect of open versus conventional laparoscopic appendectomy (CLA) reporting faster postoperative recovery and less postoperative pain for CLA. A development from CLA has been the single-port appendectomy (SPA), associated with a better cosmesis but seemingly having a higher risk of wound infections. The aim of this systematic literature review and meta-analysis is to investigate whether reduced port or SPA alters the ratio of SSIs.MethodsPubmed, Embase, and Cochrane databases were screened for suitable articles. All articles published between January 1, 2002, and March 23, 2022, were included. Articles regarding children below the age of 18 were excluded as well as manuscripts that investigated solemnly open appendectomies. Articles were screened for inclusion criteria by two independent authors. Incidence of SSI was the primary outcome. Duration of operation and length of hospital stay were defined as secondary outcomes.ResultsA total of 25 studies were found through a database search describing 5484 patients. A total of 2749 patients received SPA and 2735 received CLA. There was no statistical difference in the rate of SSI (P = 0.98). A total of 22 studies including 4699 patients reported the duration of operation (2223 SPA and 2476 CLA). There was a significantly shorter operation time seen in CLA. The length of hospital stay was reported in 23 studies (4735 patients: 2235 SPA and 2500 CLA). A shorter hospital stay was seen in the SPA group (P < 0.00001). Separately performed analysis of randomized controlled trials could not confirm this effect (P = 0.29).DiscussionSPA is an equally safe procedure considering SSI compared to CLA and does not lead to an increased risk of SSI. A longer operation time for SPA and a minor difference in the length of stay does lead to the use of SPA in selected patients only.

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Appendectomy Skin Closure Technique, Randomized Controlled Trial: Changing Paradigms (ASC)

Cited by 12 publications

References 43 publications

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

Untitled

Surgical Site Infection Following Single-Port Appendectomy: A Systematic Review of the Literature and Meta-Analysis

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