Evidence map›Paper›PMID 32642539›Full record

ArticleInternational journal of pediatrics & adolescent medicine2020

Pediatric appendectomy in developing countries: How does it differ from international experience?

Rezkalla Akkary, Smart Zeidan, Reva Matta, Chantal Lakis, Nabil Diab

Open access · diamondAbstract read
In one paragraph

Article in International journal of pediatrics & adolescent medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 90% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

5 authors at 3 institutions in 2 countries.

Rezkalla AkkaryPediatric Surgery and Urology, 20A avenue de la liberté, Colmar, 68000, France.
Smart ZeidanFaculty of Medicine, University of Balamand, Lebanon.
Reva MattaFaculty of Medicine, University of Balamand, Lebanon.
Chantal LakisAmerican University of Beirut, Lebanon.
Nabil DiabFaculty of Medicine, University of Balamand, Lebanon.
University of Balamand · LBAmerican University of Beirut · LBHopitaux Civils de Colmar · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA review of the English literature indicates the faint superiority of laparoscopic (LA) over open appendectomy (OA) in the pediatric population; however, a developing-country's experience in the field is not available yet. This study presents our experience in LA versus OA over the last 7 years in one university hospital in Lebanon and compares our results to the international ones.

methodA single center retrospective study was done including all patients aged less than 15 years who underwent appendectomy. A description of each operative technique is presented. Patients' characteristics, intraoperative finding, operative timing (OT), length of stay (LOS) and short term postoperative complications including surgical site infection (SSI) rate, intra-abdominal abscess formation (IAA) rate and reoperation rate were all studied. Statistical analysis was done using Chi-square or Fisher's exact test, as for continuous, Student's t test was used or one-way ANOVA in case of more than 2 categories.

resultAppendectomy was performed in 84 patients. 52 patients underwent OA through a Rocky Davis incision, and 32 patients underwent a LA. We found an advantage of LA over OA in reducing SSI, otherwise both approaches were similar.

conclusionIn accordance with international results, in our experience, LA is superior to OA only with regards to SSI.

Identifiers

PMID32642539
PMCPMC7335814
OpenAlexW2954370326

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LicenceCC BY-NC-ND
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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.