ArticleWorld journal of surgery2019
Variation in Classification and Postoperative Management of Complex Appendicitis: A European Survey.
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 7 papers.
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Who cites it
7 citing papers in PubMed, 26 citations in OpenAlex.
- A Prospective Analysis of the Burden of Multi-Drug-Resistant Pathogens in Acute Appendicitis and Their Implication for Clinical Management.Antibiotics (Basel, Switzerland) · 2025Article
- Healing Factors in Perforated and Unperforated Pediatric Appendectomies: A Descriptive Study.Journal of clinical practice and research · 2023Article
- Characteristics of appendicitis after immune checkpoint inhibitor therapy among cancer patients.Journal of cancer research and clinical oncology · 2023Article
- [The importance of microbiological results for the treatment of complicated appendicitis-a monocentric case-control study].Chirurgie (Heidelberg, Germany) · 2022Article
- Risk factors of postoperative adhesive bowel obstruction in children with complicated appendicitis.Pediatric surgery international · 2021Article
- An Evidence-Based Care Protocol Improves Outcomes and Decreases Cost in Pediatric Appendicitis.The Journal of surgical research · 2020Article
- Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines.World journal of emergency surgery : WJES · 2020Review
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundData on common practice in the management of patients with complex appendicitis are scarce, especially for the adult population. Variation in the definition of complex appendicitis, indications for and the type of prolonged antibiotic prophylaxis have not been well studied yet. The aim of this study was to document current practice of the classification and postoperative management of complex appendicitis on an international level.
methodsAn online survey was dispersed among practicing surgeons and surgical residents. Survey questions pertained to the definition of a complex appendicitis, indications for antibiotic prophylaxis after appendectomy, the duration, route of administration and antibiotic agents used.
resultsA total of 137 survey responses were eligible for analysis. Most respondents were from Northern or Western Europe and were specialized in gastrointestinal surgery. Opinion varied substantially regarding the management of appendicitis, in particular for phlegmonous appendicitis with localized pus, gangrenous appendicitis and iatrogenic rupture of appendicitis. The most common duration of postoperative antibiotics was evenly spread over <3, 3, 5 and 7 days. Whereas most respondents indicated a combined intravenous and oral route of administration was common practice, 28% answered a completely intravenous route of administration was standard practice.
conclusionCurrent practice patterns in the classification and postoperative management of complex appendicitis are highly variable.
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