The influence of underweight and obesity on the diagnosis and treatment of appendicitis in children

Timmerman, Marjolijn E W; Groen, Henk; Heineman, Erik; Broens, Paul M. A.

doi:10.1007/s00384-016-2614-6

Cited by 19 publications

(30 citation statements)

References 22 publications

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“…Many studies have reported that laparoscopic procedure is a better choice in patients with diabetes or hypertension [10][11][12][13][14][15][16][17] as also reported in present study, however there is still some literature which debate on no effect of laparoscopic method on wound infection formation in diabetic patients. 18 Wound infection is the major complexity of diabetic patients.…”

Section: Discussionsupporting

confidence: 65%

Association of Wound Infection with Various Surgical Technique Applied for Appendectomy in Diabetic and Hypertensive Patients

Armughan¹,

Sadiq²,

Mukhtar³

et al. 2021

PJMHS

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Background: Perforated appendix in diabetic as well as hypertensive patients is associated with elevated risks of postoperative infectious complications such as wound infection and intra-abdominal abscess. Objective: To identify better appendectomy procedure for diabetic and hypertensive patients. Study Design: Randomized Controlled Trial Place and Duration of Study: Department of Surgery, Unit l, Bahawal Victoria Hospital Bahawalpur from 10th October 2020 to 9th April 2021. Methodology: Ninety eight patients meeting the criteria of perforated appendix were divided in two groups; one group consisted of 49 patients who were managed by open surgical procedure. Second group was consisted of 49 patients who were managed by laparoscopic surgical procedure. Patient outcomes in-terms of wound infections, operative time and duration of surgery was assessed. Results: Mean age of patients was 25.49±6.03 years. There were 17 hypertensive while 15 diabetic patients. Wound infection was seen in 21% and 28% open surgery diabetic and hypertensive patients respectively in comparison to 10%and 8% in laparoscopic appendectomy diabetic and hypertensive patients respectively (p<0.001). Conclusion: Laparoscopic appendectomy (LA) is associated with significantly lower rates of post-operative wound infections and shorter hospital stay in comparison to open appendectomy in diabetic and hypertensive patients of perforated appendicitis. Key Words: Perforated appendix, laparoscopic, open appendectomy

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Section: Discussionsupporting

confidence: 65%

Association of Wound Infection with Various Surgical Technique Applied for Appendectomy in Diabetic and Hypertensive Patients

Armughan¹,

Sadiq²,

Mukhtar³

et al. 2021

PJMHS

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“…This conversion was indicated in front of a large adipose panicle interfering with the research of the appendix through the collar of an umbilical hernia. Some authors [10] performed 3 conversions on 70 laparoscopic appendectomies in obese children, while others [11] reported in their study that laparoscopic appendectomy was the treatment of choice in obese children. In our study, two patients had intraoperative bleeding, and hemostasis was done only after conversion in one patient.…”

Section: Resultsmentioning

confidence: 99%

Acute Uncomplicated Appendicitis and Umbilical Hernia in Children: Open Umbilical Appendectomy an Alternative to the Laparoscopic Approach

Tembély¹,

Silvia²,

Gaudens³

2018

Pediatr Ther

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Introduction: Due to the lack of popularization of laparoscopy in our context, we performed umbilical appendectomies, when the diagnosis of acute appendicitis was done on patients presenting an umbilical hernia. The aim of our study was to describe this umbilical approach and to report treatment outcomes in comparison with laparoscopic appendectomy in the literature. Patients and method: This was a prospective and analytical study taking place over 18 months. The study took place in two private hospitals in Abidjan (Côte d'Ivoire). Studied parameters were: the size of the umbilical hernia collar, the localization of the appendix, the duration of the intervention, the food recovery, the hospital stay, and the postoperative complications. Results: Mean collar size was 24.2 ± 16.9 mm [extreme 5-65 mm]. The appendix was in the iliac position in (n=57; 80.2%) patients. Umbilical appendectomy (UA) was performed in all patients. All patients had an umbilical hernia cure. The mean duration of the procedure was 46 ± 9.7 minutes [range 34-72 minutes]. Food recovery occurred on day one postoperative in (n=68, 95%). Mean hospital stay was 2 ± 0.2 days [range 1-3 days]. Conclusion: Umbilical appendectomy has many advantages. It could thus be an alternative to laparoscopy in our context.

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“…The weight difference between the two groups was 6.66 kg. Timmerman et al [ 27 ] also reported that weight has a significant influence on the diagnosis of appendicitis in children, especially in those who were underweight (OR, 3.00; p =0.008). However, the difference was not significant after adjusting for age, as weight is heavily dependent on age.…”

Section: Discussionmentioning

confidence: 99%

Pre-Coronavirus Disease 2019 Pediatric Acute Appendicitis: Risk Factors Model and Diagnosis Modality in a Developing Low-Income Country

Salim

Agustina

Maker

2022

Pediatr Gastroenterol Hepatol Nutr

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Purpose Pediatric acute appendicitis has a stable incidence rate in Western countries with an annual change of -0.36%. However, a sharp increase was observed in the Asian region. The Indonesian Health Department reveals appendicitis as the fourth most infectious disease, with more than 64,000 patients annually. Hence, there is an urgent need to identify and evaluate the risk factors and diagnostic modalities for accurate diagnosis and early treatment. This study also clarifies the usage of pediatric appendicitis score (PAS) for children <5 years of age. Methods The current study employed a cross-sectional design with purposive sampling through demographic and PAS questionnaires with ultrasound sonography (USG) results. The analysis was performed using the chi-square and Mann–Whitney tests and logistic regression. Results This study included 21 qualified patients with an average age of 6.76±4.679 years, weighing 21.72±10.437 kg, and who had been hospitalized for 4.24±1.513 days in Siloam Teaching Hospital. Compared to the surgical gold standard, PAS and USG have moderate sensitivity and specificity. Bodyweight and stay duration were significant for appendicitis ( p <0.05); however, all were confounders in the multivariate regression analysis. Incidentally, a risk prediction model was generated with an area under the curve of 72.73%, sensitivity of 100.0%, specificity of 54.5%, and a cut-off value of 151. Conclusion PAS outperforms USG in the sensitivity of diagnosing appendicitis, whereas USG outperforms PAS in terms of specificity. This study demonstrates the use of PAS in children under 5 years old. Meanwhile, no risk factors were significant in multivariate pediatric acute appendicitis risk factors.

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The influence of underweight and obesity on the diagnosis and treatment of appendicitis in children

Cited by 19 publications

References 22 publications

Association of Wound Infection with Various Surgical Technique Applied for Appendectomy in Diabetic and Hypertensive Patients

Association of Wound Infection with Various Surgical Technique Applied for Appendectomy in Diabetic and Hypertensive Patients

Acute Uncomplicated Appendicitis and Umbilical Hernia in Children: Open Umbilical Appendectomy an Alternative to the Laparoscopic Approach

Pre-Coronavirus Disease 2019 Pediatric Acute Appendicitis: Risk Factors Model and Diagnosis Modality in a Developing Low-Income Country

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