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.
A review of the available medical literature suggests that data on experience-related outcomes in children's surgery are limited and vary widely in methodologic quality, according to a report published Online First by JAMA Pediatrics, a JAMA Network publication.
Patients report “unexpectedly high” levels of pain after some relatively minor surgical procedures, including some laparoscopic procedures, say researchers.
When researchers from UCLA Medical Center investigated the link between racial disparities and appendicitis outcomes in children, they found that the type of hospital in which black, Hispanic and other minority patients receive care-community, children's or county-affects their odds of developing a perforated appendix. The study published in the January issue of the Journal of the American College of Surgeons is a first-of-its-kind look at the role hospital type plays in race-based treatment variances among this patient subset.
Children suspected of having appendicitis are more likely to receive CT scans, which involve radiation, if they are evaluated at a general hospital, a new study by Washington University School of Medicine in St. Louis has shown.
An acute care surgery model led to improvement in the quality of surgical patient care and reduced the cost of emergency surgical care at Loma Linda University Medical Center, report researchers who published their findings in the November issue of the Journal of the American College of Surgeons.
Irrigating the peritoneal cavity during appendectomy for perforated appendicitis offers no advantage over suction alone, with similar rates of postoperative abscess in children treated using both approaches, according to the findings of a US study.
A syndrome called "post-operative cognitive decline" has been coined to refer to the commonly reported loss of cognitive abilities, usually in older adults, in the days to weeks after surgery. In fact, some patients time the onset of their Alzheimer's disease symptoms from a surgical procedure.
NHS hospitals have substantial scope to improve their efficiency by adopting best practice, according to research published today by Professor Andrew Street and colleagues at the Centre for Health Economics (CHE) at the University of York.
Obese patients with appendicitis have fewer postoperative complications, a shorter stay in hospital, and shorter operative times when treated with laparoscopic appendectomy rather than open appendectomy, study findings show.
Obese patients who need to have their appendixes removed fare better after a minimally invasive surgical procedure rather than an open operation, according to a new study published in the July issue of the Journal of the American College of Surgeons.
Using a pediatric appendicitis score may help to identify true cases of appendicitis among children who present to emergency departments with acute abdominal pain, researchers report.
Removing a child's ruptured appendix sooner rather than later significantly lowers hospital costs and charges, according to a recently published study.
The Value of Clinical Practice Guidelines As Malpractice "Safe Harbors" -- Overspending on health care has frequently been attributed to doctors practicing defensive medicine -- ordering extra tests, for example -- so that they avoid malpractice lawsuits. The authors of this brief write that while some have said clinical guidelines "should give caregivers a liability 'safe harbor,' shielding them from any malpractice claim for failing to provide services not included in the guideline."
You're enjoying a quiet weekend at home when suddenly you double over in pain. You need emergency appendectomy surgery. How much should it cost? And how much price shopping are you able to do?
Pediatric surgeons can lower health care costs if they remove a young patient's perforated appendix sooner rather than later, according to new study results published in the April issue of the Journal of the American College of Surgeons.
Surgeons at Valley Presbyterian Hospital (VPH) recently performed the hospital's first-ever single-port laparoscopic appendectomy, a minimally invasive surgical procedure for removing an infected appendix, which reduces scarring and healing time because it requires only one incision, Gustavo Valdespino, VPH president and CEO, announced today.
The results from AspenBio Pharma's 503-patient pilot study of AppyScore will be presented from the podium the upcoming West Region meeting of the Society for Academic Emergency Medicine (SAEM) being held in Las Vegas, March 16-17.
The International Federation of Health Plans today released its 2011 Comparative Price Report detailing its annual survey of medical costs per unit. Designed to showcase the variation in healthcare costs around the world, the report examines the costs of medical procedures, tests, scans and treatments in nine countries.
Researchers at Wake Forest Baptist Medical Center in Winston-Salem, NC, have successfully created and implemented an emergency general surgery registry (EGSR) that will advance the science of acute surgical care by allowing surgeons to track and improve surgical patient outcomes, create performance metrics, conduct valid research and ensure quality care for all emergency general surgery (EGS) patients.
An in-hospital delay of appendicitis treatment beyond two days was linked to an increased likelihood of complications, including perforation and abscess formation; longer hospitalization; increased costs; and more rarely, death, according an abstract presented Saturday, Oct. 15 at the American Academy of Pediatrics (AAP) National Conference and Exhibition in Boston.