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Irish Journal of Medical Science (1971 -)

Published in:

01-06-2008 | Original Article

Current trends in the management of acute appendicitis

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

Published in: Irish Journal of Medical Science (1971 -) | Issue 2/2008

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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Title: Current trends in the management of acute appendicitis
Authors: S. Ng
F. J. Fleming
J. Drumm
D. Waldron
P. A. Grace
Publication date: 01-06-2008
Publisher: Springer-Verlag
Published in: Irish Journal of Medical Science (1971 -) / Issue 2/2008
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI: https://doi.org/10.1007/s11845-008-0116-4

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Abstract

Background

Aim

Method

Results

Conclusion

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