Evidence map›Paper›PMID 32338352›Full record

ArticleUpdates in surgery2020

Risk factors for intra-abdominal abscess following laparoscopic appendectomy for acute appendicitis: a retrospective cohort study on 2076 patients.

Dario Tartaglia, Lorenzo Maria Fatucchi, Alessio Mazzoni, Mario Miccoli, Lorenzo Piccini, Marsia Pucciarelli, Salomone Di Saverio, Federico Coccolini, Massimo Chiarugi

Abstract read
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In one paragraph

Article in Updates in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 26 citations in OpenAlex.

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  12. Development and Validation of a Novel Nomogram to Predict the Risk of Postoperative Intraabdominal Abscess after Laparoscopic Appendectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2021
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 2 countries.

Dario TartagliaEmergency Surgery Unit, New Santa Chiara Hospital, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy. dario.tartaglia@unipi.it.
Lorenzo Maria FatucchiEmergency Surgery Unit, New Santa Chiara Hospital, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy.
Alessio MazzoniEmergency Surgery Unit, New Santa Chiara Hospital, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy.
Mario MiccoliDepartment of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Lorenzo PicciniEmergency Surgery Unit, New Santa Chiara Hospital, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy.
Marsia PucciarelliEmergency Surgery Unit, New Santa Chiara Hospital, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy.
Salomone Di SaverioCambridge University Hospitals, NHS Foundation Trust, Addenbrooke's Hospital, Cambridge, UK.
Federico CoccoliniEmergency Surgery Unit, New Santa Chiara Hospital, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy.
Massimo ChiarugiEmergency Surgery Unit, New Santa Chiara Hospital, University of Pisa, Via Paradisa 2, 56124, Pisa, Italy.
University of Pisa · ITCambridge University Hospitals NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntra-abdominal abscesses (IAA) may develop after laparoscopic appendectomies (LA) for acute appendicitis. The identification of risk factors for postoperative IAA could lead to a decrease in the readmission rate and surgery redoes after LA for acute appendicitis. MATERIALS AND

methodsThe present study retrospectively analyzed patients undergone LA for acute appendicitis during the period 2001-2017. Clinical, intraoperative, and postoperative outcomes were described. Comparison between groups was made via univariate and multivariate analyses.

resultsThe charts of 2076 patients undergone LA were reviewed. Thirty-seven patients (1.8%) developed a postoperative IAA. Male gender (p < 0.05), ASA score ≥ 2 (p < 0.05), a gangrenous or perforated appendicitis (p < 0.0001), abscess or pelvic peritonitis (p < 0.0001), clipping the mesoappendix (p < 0.0001), appendix division by mechanical stapler (p < 0.05), prolonged antibiotic therapy (p < 0.05), and piperacillin/tazocin regimen (p < 0.0001) were significantly more frequent in the group of patients with IAA. In terms of multivariate analysis, only pelvic peritonitis (p = 0.010), perforated appendicitis (p = 0.0002), and clipping the mesoappendix (p = 0.0002) were independent predictive factors for postoperative IAA.

conclusionPatients with peritonitis or a perforated appendicitis, and those who had their mesoappendix clipped showed a higher likelihood of developing an IAA. At risk patients should be provided with careful follow-up for the early detection and management of this complication.

Indexed as

Abdominal AbscessAcute DiseaseAdolescentAdultAppendectomyAppendicitisChildCohort StudiesFemaleHumansLaparoscopyMalePeritonitisPostoperative ComplicationsRetrospective StudiesRisk FactorsAcute appendicitisAppendicular staplingClipping mesoappendixLaparoscopic appendectomyPostoperative intra-abdominal abscess

Identifiers

PMID32338352
OpenAlexW3020742999

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.