Hybrid Appendectomy in Pediatric Appendicitis: A Comparative Analysis of Single-Port and Multiport Laparoscopic Appendectomy

Han, Jeonghee; Kim, Hanbaro; Han, Seungyeup; Kang, Byung Mo

doi:10.1089/lap.2021.0625

Cited by 2 publications

(3 citation statements)

References 23 publications

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“…They found that wound-related complications such as wound infection and wound seroma were higher in the HA and SPLA groups than in the MPLA group 50 . However, it did not meet statistical significance (p=0.245) 50 . Similarly, one patient in the HA group has SSI, while no patients developed SSIs in a study that compared the intracorporeal hybrid single port vs. conventional laparoscopic appendectomy 53 .…”

Section: Surgical Approachmentioning

confidence: 98%

“…Han et al compared the hybrid appendectomy (HA), single port laparoscopic appendectomy (SPLA), and multiport laparoscopic appendectomy (MPLA). They found that wound-related complications such as wound infection and wound seroma were higher in the HA and SPLA groups than in the MPLA group 50 . However, it did not meet statistical significance (p=0.245) 50 .…”

Section: Surgical Approachmentioning

confidence: 98%

“…Other surgical modalities, such as single-port, multi-port laparoscopic appendectomy, and transumbilical laparoscopic assisted appendectomy, were also studied [50][51][52] . Han et al compared the hybrid appendectomy (HA), single port laparoscopic appendectomy (SPLA), and multiport laparoscopic appendectomy (MPLA).…”

Section: Surgical Approachmentioning

confidence: 99%

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Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

Hebballi,

Sutyak,

Broussard

et al. 2024

Preprint

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Objective: Surgical site infections (SSIs), especially deep/organ-space SSIs, are common and serious complications following appendectomy. This review aimed to explore the interventions that have been implemented to reduce the risk of SSIs in pediatric appendicitis patients. Methods: A literature search was performed using PubMed, Cochrane, and Embase databases of studies in English published between January 01, 1973, and April 30, 2023. Studies on pediatric patients (≤ 18 years) with appendicitis that described any interventions aimed at reducing SSIs and reported SSIs as an outcome were included. Results: A total of 56 studies were included in the final scoping review. The interventions included antibiotic stewardship, clinical practice guidelines/pathways, different surgical approaches, timing of appendectomy, irrigation or lavage, use of peritoneal drains, timing of wound closure and management, parenteral nutrition, pain management, and outpatient management. Conclusion: A wide variety of interventions have been studied in pediatric appendicitis patients to reduce the SSI rates. Very few publications have studied low-cost, widely available intraoperative interventions to reduce deep/organ-space SSIs.

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Section: Surgical Approachmentioning

confidence: 98%

Section: Surgical Approachmentioning

confidence: 98%

See 1 more Smart Citation

Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

Hebballi,

Sutyak,

Broussard

et al. 2024

Preprint

View full text Add to dashboard Cite

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Definition, Documentation, and Classification of Complications in Pediatric Surgical Literature—A Plea for Standardization

et al. 2023

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Severity grading systems for complications in surgical patients have been used since 1992. An increasing assessment of these instruments in pediatric surgery is also noticed, without their validation in children. To analyze the current practice, we performed a literature review with focus on the assessment and grading of complications. The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines. Studies reporting on postoperative complications as a primary or secondary endpoint using a severity grading system were included. Definition for simple adverse events, classification systems used, and the time horizon of postoperative documentation were analyzed. A total of 566 articles were screened, of which 36 met the inclusion criteria. About 86.1% of the papers were retrospective and 13.9% prospective analyses. None of the studies were prospective-randomized trials. Twenty (55.6%) studies did not include a definition of adverse events, whereas the remaining 16 (44.4%) showed variations in their definitions. All studies applied the Clavien-Dindo classification, whereas five (13.9%) additionally used the Comprehensive Complication Index. One study compared alternative grading instruments with the Clavien-Dindo classification, without demonstrating the superiority of any classification in pediatric surgery. Twenty-two studies (61.1%) did not report the time horizon of perioperative complication documentation, while 8 studies (22.2%) used 30 days and 6 studies (16.7%) used 3 months of postoperative documentation. Definition and classification of postoperative complications are inconsistent in the pediatric surgical literature. Establishment of a standardized protocol is mandatory to accurately compare outcome data.

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Hybrid Appendectomy in Pediatric Appendicitis: A Comparative Analysis of Single-Port and Multiport Laparoscopic Appendectomy

Cited by 2 publications

References 23 publications

Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

Implemented Interventions in Preventing Surgical Site Infection in Pediatric Appendicitis Patients: A Scoping Review

Definition, Documentation, and Classification of Complications in Pediatric Surgical Literature—A Plea for Standardization

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