ArticleWorld journal of surgery2019
The Unacceptable Morbidity of Negative Laparoscopic Appendicectomy.
Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
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Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- Varying negative appendectomy rates after laparoscopic appendectomy: a systematic review and meta-analysis.Langenbeck's archives of surgery · 2023Pooled it
- Outcomes of laparoscopic appendectomy of a normally appearing appendix in children with suspected acute appendicitis: a tertiary care center experience.BMC pediatrics · 2025Article
- Retrospective Cohort Study to Determine the Effect of Socioeconomic Status and Distance to Hospital on Negative Appendicectomy Rates in a Rural Setting.The Australian journal of rural health · 2025Article
- Risk Factors Associated With Negative Appendicectomy Rates: A Retrospective Cohort Study.Cureus · 2024Article
- Poor Compliance to Clinical Guidelines in the Diagnosis of Acute Appendicitis: Insights from a National Survey.Journal of clinical medicine · 2024Article
- Ultrasound vs. clinical diagnosis-which is better in diagnosing acute appendicitis?: a cohort study.Annals of medicine and surgery (2012) · 2023Article
- Is it possible to predict the severity of acute appendicitis? Reliability of predictive models based on easily available blood variables.World journal of emergency surgery : WJES · 2023Article
- Diagnosis of Acute Appendicitis: A Cross-sectional Study on Alvarado's Score from a Low Income Country.Open access emergency medicine : OAEM · 2023Article
- The Diagnostic Differentiation Challenge in Acute Appendicitis: How to Distinguish between Uncomplicated and Complicated Appendicitis in Adults.Diagnostics (Basel, Switzerland) · 2022Review
- Outcomes of the Macroscopically Normal Appendix Left in Situ in Patients with Suspected Appendicitis.World journal of surgery · 2022Article
- COVID-19 opens the door for right iliac fossa pain treatment pathway.Annals of the Royal College of Surgeons of England · 2022Article
- Lipomatosis of appendix in a teenager.Clinical case reports · 2021Article
- Where have all the appendicectomies gone?Annals of the Royal College of Surgeons of England · 2021Observational
- Endoscopic Retrograde Appendicography: An Alternative Diagnostic Method for Acute Appendicitis.International journal of general medicine · 2021Article
- Quality Outcomes in Appendicitis Care: Identifying Opportunities to Improve Care.Life (Basel, Switzerland) · 2020Article
- Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines.World journal of emergency surgery : WJES · 2020Review
- Early Laparoscopic Washout may Resolve Persistent Intra-abdominal Infection Post-appendicectomy.World journal of surgery · 2019Article
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOne of the most common acute conditions managed by general surgeons is acute appendicitis. Laparoscopic appendicectomy (LA) is the surgical technique used by many surgeons. The aims of this study were to define our unit's negative appendicectomy rate and compare the outcomes associated with removal of a normal appendix with those for acute appendicitis in patients having LA.
methodsA single-centre retrospective case note review of patients undergoing LA for suspected acute appendicitis was performed. Patients were divided into positive and negative appendicectomy groups based on histology results. The positive group was subdivided into uncomplicated and complicated (perforated and/or gangrenous) appendicitis. Outcomes were compared between groups.
resultsThere were 1413 patients who met inclusion criteria, 904 in the positive group and 509 in the negative group, an overall negative appendicectomy rate of 36.0%. Morbidity rates (6.3% vs. 6.9%; P = 0.48) and types of morbidity were the same for negative appendicectomy and uncomplicated appendicitis. There was no significant difference in complication severity (all P > 0.17) or length of stay (2.3 vs. 2.6 days; P = 0.06) between negative appendicectomy and uncomplicated appendicitis groups. Patients with complicated appendicitis had a significantly higher morbidity rate compared to negative and uncomplicated groups (20.1% vs. 6.3% and 20.1% vs. 6.9%; both P < 0.001).
conclusionThe morbidity of negative LA is the same as LA for uncomplicated appendicitis. The morbidity of LA for complicated appendicitis is significantly higher. The selection criteria for LA in our unit needs to be reviewed to address the high negative appendicectomy rate and avoid unnecessary surgery and its associated morbidity.
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