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About - Appendectomy

Surgery to remove the appendix (small finger-shaped pouch at the end of the first part of the large intestine).

Results: 7

Currently there is no evidence available from randomised control trials to determine whether Single Incision Laparoscopic Surgery provides any better effect than Conventional Multi‐incision Laparoscopic Surgery for appendicectomy.

Laparoscopic appendicectomy is used in treating appendicitis and can be achieved using several skin incisions in the abdominal wall, or more recently with a single skin incision through which instruments are introduced into the peritoneal cavity. Since no randomised control trials of single incision versus conventional multi‐incision laparoscopic surgery for appendicectomy could be found, the efficacy and safety of the two approaches could not be analysed in this review. There is a need for randomised control trials of single incision laparoscopic appendicectomy for appendicitis.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2011

Antibiotic therapy compared to appendectomy in the treatment of acute appendicitis.

Acute appendicitis is one of the most common surgical causes of acute abdominal pain. Appendectomy is the treatment of choice, however surgical complications are inherent to operative treatment. Recent research on primary antibiotic therapy (without surgery) reported good results.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2012

Drain use after an open appendectomy for complicated appendicitis

Appendicitis refers to inflammation of the appendix. Appendectomy, the surgical removal of the appendix, is performed primarily in patients who have acute appendicitis. Patients undergoing an appendectomy for complicated appendicitis, which is defined as gangrenous (soft‐tissue death) or perforated (burst) appendicitis, are more likely to suffer from postoperative complications. The routine placement of a surgical drain to prevent intra‐peritoneal abscess (a localised collection of pus in the abdomen or pelvis) after an appendectomy for complicated appendicitis is controversial.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2015

Managing acute lower abdominal pain in women of childbearing age

Review question: Cochrane authors reviewed available evidence on the use of laparoscopy to manage acute lower abdominal pain, non‐specific lower abdominal pain or suspected appendicitis in women of childbearing age. We found 12 studies.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2014

Laparoscopic ("key‐hole") surgery for appendicitis

In the right lower part of the abdomen there is a small blind ending intestinal tube, called appendix. Inflammation of the appendix is called appendicitis and is usually acute in onset. Appendicitis is most frequent in children and young adults. Most cases require emergency surgery, in order to avoid rupture of the appendix into the abdomen. During the operation, called appendectomy, the inflamed appendix is surgically removed. The traditional surgical approach involves a small incision (about 5 cm or 2 inches) in the right lower abdominal wall. Alternatively, it is possible to perform the operation by laparoscopy. This operation, called laparoscopic appendectomy, requires 3 very small incisions (each about 1 cm or 1/2 inch). The surgeon then introduces a camera and some instruments into the abdomen and removes the appendix as in the conventional operation.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2010

Antibiotic prophylaxis could be considered for routine in emergency appendectomies.

Appendicitis is the most common cause of acute abdominal pain requiring surgical intervention. This is associated with increased risk of postoperative complications, wound infection being the most commonly reported. Standard prophylaxis is an anti‐bacterial treatment. In order to reduce cost, toxicity and the risk of developing bacterial resistance, it is desirable to establish the shortest and most effective prophylaxis for postoperative complications.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2008

Early or delayed surgical removal of appendix in people with symptomatic complicated appendicitis

The human appendix is a tube at the connection of the small and the large intestines. Possible functions of the appendix may be to protect the body against infection and to maintain healthy levels bacteria in the gut when recovering from diarrhoea. Appendicitis covers a variety of clinical conditions resulting from inflammation of the appendix.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2017

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