Bladder injury during laparoscopic appendectomy: Detection, management, and learning point for surgical trainees

Xavier, Joseph; Pham, Cecile T.; Cheah, Hock Ping; Wong, Kenneth C.; Lernia, Shannon Di

doi:10.1016/j.sipas.2022.100075

Cited by 2 publications

(3 citation statements)

References 9 publications

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“…Xavier et al found, in a recent study, that iatrogenic bladder injuries occurred in two of 1147 cases, with a resampling rate of 0.17% that was consistent with the current study. Additionally, both incidents occurred during laparoscopic appendectomies [ 32 ]. One potential explanation for this complication could be the multifaceted nature of our hospital, which serves not only as a tertiary care facility but also as a prominent teaching center.…”

Section: Discussionmentioning

confidence: 99%

Surgical and Pre-surgical Factors Affecting Appendectomy Outcomes in Jeddah, Saudi Arabia: A Retrospective Record Review

Alkhalifah,

Aljehani,

Algethami

et al. 2024

Cureus

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Background: Appendectomy is the preferred treatment for acute uncomplicated appendicitis and the most common emergency abdominal surgery. While previous studies have investigated variables affecting post-appendectomy complications, local research is limited, and data on complication rates are scarce. Therefore, this study aimed to investigate appendectomy outcomes and the factors influencing them. Methods: This retrospective record review included all patients who underwent appendectomies at our center between 2013 and 2023, excluding those who underwent appendectomies as part of other procedures. Data were retrieved from the hospital database and recorded on predesigned Google Forms. Results: A total of 556 patients were included. Complications occurred in 60 patients (10.8%); the most common included intra-abdominal collections (n=19, 3.4%), postoperative fever (n=13, 2.3%), and surgical site infections (n=11, 2.0%). The most frequently documented histopathological diagnoses included acute appendicitis (n=402, 72.3%), perforated appendicitis (n=109, 19.6%), and gangrenous appendicitis (n=19, 4.4%). Surgical site infection rates were higher after open appendectomies (6.0% vs. 0.9%, P=0.006), while intra-abdominal collections were more frequent after laparoscopic appendectomies (4.1% vs. 0.0%, P=0.095). Additionally, histopathology results showing complicated or chronic appendicitis were associated with higher complication rates (P<0.001, odds ratio=3.793, 95% confidence interval=1.957-7.350). Conclusion: To the best of our knowledge, this is the largest retrospective review of appendectomy cases in Saudi Arabia. However, this study was conducted in a tertiary care center, which may have caused the rates of complications to appear lower than those in primary centers. We recommend a multi-center study be conducted to establish more accurate results.

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Section: Discussionmentioning

confidence: 99%

Surgical and Pre-surgical Factors Affecting Appendectomy Outcomes in Jeddah, Saudi Arabia: A Retrospective Record Review

Alkhalifah,

Aljehani,

Algethami

et al. 2024

Cureus

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“…Another important aspect that has been noted is the rare but significant complication of bladder injury from port placement. 12 When developing a learning/assessment tools, efficiency and acceptability also needs consideration. 4,13 How a tool is implemented will influence its utility.…”

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confidence: 99%

“…These are often placed in the direction of placement ease, facing away from the appendix, and result in the operator fighting with the port throughout the case. Another important aspect that has been noted is the rare but significant complication of bladder injury from port placement 12 …”

mentioning

confidence: 99%

Measuring performance for technical skills: how should rating scales be utilized in learning and assessment?

Rennie

Rudland

2022

ANZ Journal of Surgery

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Bladder injury during laparoscopic appendectomy: Detection, management, and learning point for surgical trainees

Cited by 2 publications

References 9 publications

Surgical and Pre-surgical Factors Affecting Appendectomy Outcomes in Jeddah, Saudi Arabia: A Retrospective Record Review

Surgical and Pre-surgical Factors Affecting Appendectomy Outcomes in Jeddah, Saudi Arabia: A Retrospective Record Review

Measuring performance for technical skills: how should rating scales be utilized in learning and assessment?

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