Current trends in the management of acute appendicitis

S. Ng; F. J. Fleming; J. Drumm; D. Waldron; P. A. Grace

doi:10.1007/s11845-008-0116-4

Current trends in the management of acute appendicitis

S. Ng, F. J. Fleming, J. Drumm, D. Waldron, P. A. Grace

School of Medicine

University Hospitals Limerick

Research output: Contribution to journal › Article › peer-review

Abstract

Background: While laparoscopic appendectomy (LA) has become established in the diagnosis and treatment of acute appendicitis, its utilisation compared to open appendectomy (OA) is variable. Aim: To compare the utilisation and outcome of laparoscopic (LA) versus OA in an Irish regional hospital setting. Method: Retrospective review of OA and LA performed from 2003 to 2005. Results: Intention-to-treat analysis of 787 patients in this study revealed that 149 patients (19%) had LA and 638 patients (81%) had OA. Consultants were significantly more likely than trainees to undertake a LA (P < 0.0001). Twenty-two complications (2.8%) were recorded in the post-operative period. The overall negative appendectomy rate by histopathology was 17% with no significant difference between the rate in the LA group (19%) and the OA (17%) group. Conclusion: Mean length of stay and complication rate were comparable between the LA and OA groups.

Original language	English
Pages (from-to)	121-125
Number of pages	5
Journal	Irish Journal of Medical Science
Volume	177
Issue number	2
DOIs	https://doi.org/10.1007/s11845-008-0116-4
Publication status	Published - Jun 2008

Keywords

Appendicitis
Laparoscopic
Negative appendectomy

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10.1007/s11845-008-0116-4

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title = "Current trends in the management of acute appendicitis",

abstract = "Background: While laparoscopic appendectomy (LA) has become established in the diagnosis and treatment of acute appendicitis, its utilisation compared to open appendectomy (OA) is variable. Aim: To compare the utilisation and outcome of laparoscopic (LA) versus OA in an Irish regional hospital setting. Method: Retrospective review of OA and LA performed from 2003 to 2005. Results: Intention-to-treat analysis of 787 patients in this study revealed that 149 patients (19%) had LA and 638 patients (81%) had OA. Consultants were significantly more likely than trainees to undertake a LA (P < 0.0001). Twenty-two complications (2.8%) were recorded in the post-operative period. The overall negative appendectomy rate by histopathology was 17% with no significant difference between the rate in the LA group (19%) and the OA (17%) group. Conclusion: Mean length of stay and complication rate were comparable between the LA and OA groups.",

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AU - Fleming, F. J.

AU - Drumm, J.

AU - Waldron, D.

AU - Grace, P. A.

PY - 2008/6

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N2 - Background: While laparoscopic appendectomy (LA) has become established in the diagnosis and treatment of acute appendicitis, its utilisation compared to open appendectomy (OA) is variable. Aim: To compare the utilisation and outcome of laparoscopic (LA) versus OA in an Irish regional hospital setting. Method: Retrospective review of OA and LA performed from 2003 to 2005. Results: Intention-to-treat analysis of 787 patients in this study revealed that 149 patients (19%) had LA and 638 patients (81%) had OA. Consultants were significantly more likely than trainees to undertake a LA (P < 0.0001). Twenty-two complications (2.8%) were recorded in the post-operative period. The overall negative appendectomy rate by histopathology was 17% with no significant difference between the rate in the LA group (19%) and the OA (17%) group. Conclusion: Mean length of stay and complication rate were comparable between the LA and OA groups.

AB - Background: While laparoscopic appendectomy (LA) has become established in the diagnosis and treatment of acute appendicitis, its utilisation compared to open appendectomy (OA) is variable. Aim: To compare the utilisation and outcome of laparoscopic (LA) versus OA in an Irish regional hospital setting. Method: Retrospective review of OA and LA performed from 2003 to 2005. Results: Intention-to-treat analysis of 787 patients in this study revealed that 149 patients (19%) had LA and 638 patients (81%) had OA. Consultants were significantly more likely than trainees to undertake a LA (P < 0.0001). Twenty-two complications (2.8%) were recorded in the post-operative period. The overall negative appendectomy rate by histopathology was 17% with no significant difference between the rate in the LA group (19%) and the OA (17%) group. Conclusion: Mean length of stay and complication rate were comparable between the LA and OA groups.

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Current trends in the management of acute appendicitis

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Keywords

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