ArticleEuroasian journal of hepato-gastroenterology
Surgeon's Definition of Complicated Appendicitis: A Prospective Video Survey Study.
Article in Euroasian journal of hepato-gastroenterology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.
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Who cites it
23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 45 citations in OpenAlex.
- Postoperative antibiotic strategies in acute complicated appendicitis: a systematic review.Updates in surgery · 2025Pooled it
- Feasibility of Same-Day Discharge After Appendectomy in Pediatric Patients: A Systematic Review and Meta-Analysis.Frontiers in pediatrics · 2022Pooled it
- Global practices and attitudes in acute appendicitis management: the PAMAP-W international survey and Delphi consensus study on the WSES appendicitis grading system.World journal of emergency surgery : WJES · 2026Article
- Article
- Can Artificial Intelligence Revolutionise Surgical Decision-Making for Appendectomy? A Narrative Review.Surgical innovation · 2026Review
- Complicated versus uncomplicated acute appendicitis: clinical characteristics, diagnostic scores, surgical management, and outcomes in a tertiary hospital in Mogadishu, Somalia.Frontiers in surgery · 2026Article
- The Role of Hyponatremia in Identifying Complicated Cases of Acute Appendicitis in the Pediatric Population.Diagnostics (Basel, Switzerland) · 2025Article
- Phlegmonous appendicitis as a variant of uncomplicated appendicitis.Scientific reports · 2025Article
- Tryptase in Acute Appendicitis: Unveiling Allergic Connections through Compelling Evidence.International journal of molecular sciences · 2024Article
- Association of the Bacteria of the Vermiform Appendix and the Peritoneal Cavity with Complicated Acute Appendicitis in Children.Diagnostics (Basel, Switzerland) · 2023Article
- Eosinophil Granule Proteins Involvement in Acute Appendicitis-An Allergic Disease?International journal of molecular sciences · 2023Article
- Glucose indices as inflammatory markers in children with acute surgical abdomen: a cross-sectional study.Annals of medicine · 2023Article
- Review
- Article
- Predictors of complicated appendicitis among patients presented to public referral hospitals in Harari region, Eastern Ethiopia: a case-control study.Surgery in practice and science · 2022Article
- The impact of COVID-19 pandemic lockdown on the incidence and outcome of complicated appendicitis.Surgical endoscopy · 2022Article
- Characteristics of Patients Presented with Complicated Appendicitis in Adama, Ethiopia: A Cross-Sectional Study.Open access emergency medicine : OAEM · 2022Article
- A comparison of patients who have appendectomy during the COVID-19 pandemic period with the period before the pandemic.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2022Article
- Cost-Utility Analysis of Antibiotic Therapy versus Appendicectomy for Acute Uncomplicated Appendicitis.International journal of environmental research and public health · 2021Article
- Pattern and Outcome of Acute Appendicitis: Observational Prospective Study from a Teaching Hospital, Addis Ababa, Ethiopia.Open access emergency medicine : OAEM · 2021Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimDefinition of the type of appendicitis is based on examination of the peritoneum and appendix. Gomes et al. proposed a laparoscopic grading system of acute appendicitis (grades 1 and 2, noncomplicated appendicitis, grade 3-5 complicated appendicitis). The aim of this study was to evaluate the reproducibility of this score. PATIENTS AND
methodsAll patients managed for acute appendicitis between January 2016 and June 2016 were included in this single-center prospective study. Laparoscopic appendectomy procedures were filmed by analogy to Sugerbaker's peritoneal carcinomatosis score (9 quadrants, all of the abdomen was filmed). The videos were then analyzed by seven staff surgeons blinded to each other and the operative report. The primary endpoint was to determine the concordance between staff surgeons for grading of appendicitis using the laparoscopic grading system of acute appendicitis described by Gomes et al.
resultsA total of 40 patients were included in this study. A concordance was observed between the seven staff surgeons in 85% of cases. For regional peritonitis, the mean ± (SD) number of quadrants in which the staff surgeons reported signs of peritonitis was 1.44 ± 0.63. For diffuse peritonitis, the mean (SD) number of quadrants in which the staff surgeons reported signs of peritonitis was 2.59 ± 0.51. On ROC curve analysis, two quadrants was the best cut-off between grade 4B (local peritonitis) and five (diffuse peritonitis) acute appendicitis (AUC = 0.92, Se = 100%, Sp = 92%,
conclusionThe classification used to determine the type of appendicitis is reproducible. CLINICAL SIGNIFICANCE: To give a definition of complicated appendicitis. HOW TO CITE THIS ARTICLE: Mariage M, Sabbagh C, et al. Surgeon's Definition of Complicated Appendicitis: A Prospective Video Survey Study. Euroasian J Hepatogastroenterol 2019;9(1):1-4.
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