Appendectomy News and Research

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An appendicectomy (or appendectomy) is the surgical removal of the vermiform appendix. This procedure is normally performed as an emergency procedure, when the patient is suffering from acute appendicitis. In the absence of surgical facilities, intravenous antibiotics are used to delay or avoid the onset of sepsis; it is now recognized that many cases will resolve when treated non-operatively. In some cases the appendicitis resolves completely; more often, an inflammatory mass forms around the appendix. This is a relative contraindication to surgery.

Single dose of antibiotics may be just as effective as multiple doses in preventing infections after an appendectomy

The review found that antibiotic injections do work no matter how diseased the appendix was or whether it was diseased at all. This is significant, because some surgeons contend that antibiotics should be used only when the appendix is at a more advanced stage of disease.

20 Jul 2005

CT screening lowers negative appendectomy rate from 20% to 3% at urban hospital

Five years ago, the negative appendectomy rate at Massachusetts General Hospital (MGH) in Boston was 20%, but since the advent of CT screening, it has dropped to 3%, say MGH researchers. The negative appendectomy rate measures how often patients with symptoms of appendicitis have their appendix removed and then are diagnosed as not having acute appendicitis.

8 Jun 2005

Asian children and black children experience higher rates of ruptured appendixes than white children

Asian children and black children experience higher rates of ruptured appendixes than white children, as do uninsured or Medicaid-insured children, compared to children covered by private insurance, according to a study in the October 27 issue of JAMA.

28 Oct 2004

Rabies infections in organ donor and transplant recipients

On June 30, 2004, CDC confirmed diagnoses of rabies in three recipients of transplanted organs and in their common donor, who was found subsequently to have serologic evidence of rabies infection.

2 Jul 2004