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Topic: Appendectomy

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	appendectomy (Site not responding. Last check: 2007-11-06)
		An appendectomy is surgery to remove the appendix, a small, finger-shaped pouch found at the junction of the small and large intestines.
		In an open appendectomy a cut is made through the wall of the lower belly on the right side.
		In a laparascopic appendectomy three small cuts are made in the belly button and abdomen.
	www.northmemorial.com /healthencyclopedia/content/819.asp (448 words)

	Appendectomy \| AHealthyMe.com
		Appendectomy is the surgical removal of the appendix.
		Appendectomies are performed to treat appendicitis, an inflamed and infected appendix.
		The overall complication rate of appendectomy depends upon the status of the appendix at the time it is removed.
	www.ahealthyme.com /topic/topic100586456 (1633 words)

	Laparoscopic appendectomy (Site not responding. Last check: 2007-11-06)
		During open appendectomy, exposure is obtained via a small incision and visualization of the abdominal cavity is limited.
		During laparoscopic appendectomy, the appendix is mobilized with atraumatic graspers.
		In summary, laparoscopic appendectomy provides an alternative technique that is best used selectively where complete visualization of the entire abdominal cavity and pelvis, and avoidance of a large incision in the abdominal wall are important.
	aboutplastic.surgery.uiowa.edu /appendix.html (618 words)

	BioMed Central \| Full text \| Mini-laparoscopic versus laparoscopic approach to appendectomy
		The purpose of this clinical study is to evaluate the feasibility of using 2-mm laparoscopic instruments to perform an appendectomy in patients with clinically suspected acute appendicitis and compare the outcome of this mini-laparoscopic or "needlescopic" approach to the conventional laparoscopic appendectomy.
		Despite the growing interest in needlescopic appendectomy, published series are currently lacking, and studies have been recommended to validate or refute the potential advantages of this technique [1].
		The objective of this retrospective clinical study is to examine the safety and efficacy of needlescopic appendectomy and compare its outcome with that of the conventional laparoscopic approach.
	www.biomedcentral.com /1471-2482/1/4 (1548 words)

	Medem: Medical Library: Appendectomy (Removal of the Appendix)
		Appendectomy (ap-pen-DECK-toe-me) is the surgical removal of the appendix.
		Therefore, a diagnosis of appendicitis is usually made swiftly and is based primarily on an analysis of your symptoms and a physical examination.
		Today, a surgeon can perform an appendectomy in one of two ways: through what is called an open operation or through the laparoscopic technique.
	www.medem.com /medlb/article_detaillb.cfm?article_ID=ZZZAC37TMWC&sub_cat=553 (1195 words)

	* Abstract * (Site not responding. Last check: 2007-11-06)
		Cholecystectomy and appendectomy utilisation rates in Belgium: trends 1986-1996 and impact of laparoscopic surgery.
		Appendectomy rates per 100.000 showed a remarkably steady decrease from 282,3 in 1986 to 166,4 in 1996 and did not seem to be affected by laparoscopic surgery.
		In particular the increase in cholecystectomy use represents a challenge for public health managers and underlines the need for an in-depth evaluation of the new criteria used for this surgery.
	www.iph.fgov.be /aph/abstr200058233240.htm (112 words)

	Appendectomy (Site not responding. Last check: 2007-11-06)
		Appendectomy can be performed open (old fashioned) or laparoscopically.
		For male patients who are very thin and small frame and no heavy lifting requirement at work, the old fashioned open technique is tried and true with excellent results and scars as small as one inch.
		In the past we have performed both Cholecystectomy and Appendectomy during one operation through three small incisions laparoscopically curing the patient of multiple complaints.
	www.alagsa.com /appendectomy.htm (244 words)

	Appendectomy \| Principal Health News
		After the surgeon makes an incision in the lower right section of the abdomen, he/she pulls the appendix up, separates it from the surrounding tissue and its attachment to the cecum, and then removes it.
		When the surgeon conducts a laproscopic appendectomy, four incisions, each about 1 in (2.5 cm) in length, are made.
		Occasionally, if the patient has been ill for a prolonged period of time or has had protracted vomiting, a delay of few to several hours may be necessary to give the patient fluids and antibiotics.
	www.principalhealthnews.com /topic/topic100586456 (1594 words)

	Appendicectomy - Wikipedia, the free encyclopedia
		An appendicectomy (or appendectomy) is the surgical removal of the vermiform appendix.
		An inflamed appendix can be life-threatening, particularly if the patient is out of reach of medical care.
		History records a number of appendectomies carried out by unskilled ad-hoc surgeons, communicating with a base hospital by telephone or even telegraph.
	en.wikipedia.org /wiki/Appendectomy (355 words)

	American Family Physician: Laparoscopic appendectomy vs. open appendectomy - Tips from Other Journals (Site not responding. Last check: 2007-11-06)
		As the use of laparoscopy increases in appendectomy, data are needed comparing the safety, efficacy and cost of the new approach with that of traditional open appendectomy.
		The appendix was reported as "normal" in 38.3 percent of patients undergoing laparoscopic appendectomy and in 25 percent of patients undergoing open appendectomy, compared with only 6.7 percent of patients who had laparoscopy followed by open appendectomy.
		Perforated appendix was present in 10 (66 percent) of the patients who underwent laparoscopy followed by open appendectomy, compared with three (6.4 percent) of the patients who had laparoscopic appendectomy and nine (16.7 percent) of the patients who had open appendectomy.
	www.findarticles.com /p/articles/mi_m3225/is_n6_v48/ai_14658189 (511 words)

	CT Predictors of Failed Laparoscopic Appendectomy -- Siewert et al. 229 (2): 415 -- Radiology
		appendectomy: from 33% of patients in 1997 to 59% in 2000 (12).
		Initial attempt to perform laparoscopic appendectomy resulted in conversion to open procedure because the large appendix was filled with pus.
		Laparoscopic appendectomy was not possible, and conversion to an open procedure was necessary.
	radiology.rsnajnls.org /cgi/content/full/229/2/415 (3950 words)

	Appendicitis - Wikipedia, the free encyclopedia
		Ultrasounds are especially useful to assess for gynecologic causes of right lower quadrant abdominal pain in women as the CT scan is not the imaging modality of choice in this circumstance.
		Appendicitis can be treated by removal of the appendix through a surgical procedure called an appendicectomy (also known as an appendectomy).
		Antibiotics are often given intravenously to help kill remaining bacteria and thus reduce the inflammation.
	en.wikipedia.org /wiki/Appendicitis (648 words)

	Laparoscopy Hospital - How to do laparoscopic appendectomy? (Site not responding. Last check: 2007-11-06)
		Laparoscopic appendectomy in expert hands is now quite safe and effective, and is an excellent alternative for patients with acute appendicitis.
		During conventional appendectomy through a laparotomy incision, the caecum and the appendix are easily palpated, and an obvious mass can be detected and properly managed at the time of appendectomy.
		The absence of wound infections after laparoscopic appendectomy can be attributed to the practice of placing the appendix in a sterile bag or into the trocar sleeve prior to removal from the abdomen.
	www.laparoscopyhospital.com /lap%20app.htm (1776 words)

	Appendix rupture in children associated with race and health insurance status
		The researchers found that the average negative appendectomy rate was 3 percent and the average appendix rupture rate was 35 percent.
		The negative appendectomy rate improved as the hospital appendectomy volume increased.
		The low negative appendectomy rates and the relationship between hospital volume and negative appendectomy rate suggest potential opportunities for improvement at the hospital level.
	www.eurekalert.org /pub_releases/2004-10/jaaj-ari102004.php (511 words)

	Laparoscopic Appendectomy
		The appendix is a narrow, small, finger-shaped portion of the large intestine that generally hangs down from the lower right side of the abdomen.
		The infected appendix then must be surgically removed (emergency appendectomy) before a hole develops in the appendix and spreads the infection to the entire abdominal space.
		Laparoscopic appendectomy may also be more difficult in patients who have had previous lower abdominal surgery and for obese patients.
	www.umm.edu /general_surgery/lap_appendectomy.html (510 words)

	Laparoscopic Appendectomy
		The advent of high definition video-laparoscopy has transformed the laparoscopic appendectomy into an elegant, reliable procedure which can be easily performed.
		The patient can resume a diet within a few hours after the "lap-appy" and in most cases can be discharged within 24 to 36 hours.
		The indications for a laparoscopic appendectomy are simple.
	www.laparoscopy.net /appy/appy1.htm (217 words)

	appendectomy
		In "Cheatin," astronauts, an appendectomy and a horse ride in the desert provide a lesson about cheating....35 min.
		Earlier in 1961 she had suffered a miscarriage (SPJ 6 Feb. 1961); and she had undergone an appendectomy, notes of which she included in her journal as source material for her writing.
		Antibiotic Prophylaxis; Appendectomy Produced and published oninformation on the clinical procedure appendectomy.
	www.searcheverywhere.co.uk /search/for/appendectomy (366 words)

	[No title] (Site not responding. Last check: 2007-11-06)
		The study compared people who had had an appendectomy with those who had not, and found that those who had undergone the surgery were 47 percent more likely to develop Crohn’s disease, not only soon after surgery but also 10 years later, than those who had not.
		An appendectomy can save your life if you need it, but unnecessary surgery is clearly something that needs to be avoided.
		A recent study with nearly 500 patients who underwent appendectomy determined that in women if a CT scan or ultrasound was done before the surgery, a healthy appendix was removed 7 percent of the time compared to 28 percent if a scan was not done.
	www.mercola.com /2003/feb/1/crohn_disease.htm (674 words)

	Appendectomy in the surgical treatment of endometriosis -- Pittaway 61 (4): 421 -- Obstetrics & Gynecology (Site not responding. Last check: 2007-11-06)
		To address the question of when to perform an appendectomy in the surgical treatment of endometriosis, a series of 500 consecutive appendectomies was reviewed.
		In 104 patients with pelvic endometriosis who were undergoing appendectomy, the appendix was a relatively common (13%) extragenital site of endometriosis.
		No increased postoperative morbidity was demonstrated in 65 patients who had an appendectomy when compared with a similar group of 60 patients who did not have an appendectomy.
	www.greenjournal.org /cgi/content/abstract/61/4/421 (219 words)

	SAGES Primary Care Physician Information: Laparoscopic Appendectomy (Site not responding. Last check: 2007-11-06)
		Laparoscopic appendectomy may be advantageous in young females with abdominal pain, when the diagnosis is in doubt, in obese individuals, or in young athletic individuals.
		Appendectomy in young fertile females, in whom the diagnosis of acute appendicitis is difficult, can be negative for appendicitis in up to 50% of cases.
		A diagnosis is established in 96% of these patients who undergo laparoscopic appendectomy, as compared with 72% of those who undergo open appendectomy, thus in the young female population, laparoscopic appendectomy is helpful to gain a precise diagnosis.
	www.sages.org /primarycare/chapter25.html (1035 words)

	Appendectomy
		For a laparoscopic appendectomy to be part of a surgical armamentarium, it should: 1) decrease hospital stay, 2) lessen narcotic requirement, 3) speed return to normal activity, 4) be cost effective, and 5) have fewer complications.
		We performed a randomized controlled trial to compare results of laparoscopic and open appendectomy in patients with signs and symptoms suggesting acute appendicitis who were seen by one surgical team.
		This prospective randomized study shows that laparoscopic appendectomy is superior to open appendectomy in terms of hospital stay, postoperative complications, and return to normal activities and is recommended as the approach of choice in the management of acute appendicitis.
	www.foxhall.com /lapappy.htm (2568 words)

	PakMediNet Print Area (Site not responding. Last check: 2007-11-06)
		Laparoscopic appendectomy is a new procedure as compared to laparoscopic cholecystectomy.
		Laparoscopic cholecystectomy is now considerd a standard method of performing cholecystectomy and has replaced the old method generally throughout the world, while appendectomy could not achieve the similar popularity.
		In this paper a prospective study was done to see the merits and demerits of both laparoscopic and open appendectomy.
	www.pakmedinet.com /printit.php?id=4278&choice=a (70 words)

	Appendectomy - Surgerychannel.com
		Appendectomy is the surgical removal of the appendix, a small, finger-shaped pouch that is located at the cecum (the junction between the large and small intestines).
		The surgery is the standard treatment for appendicitis (inflammation and infection of the appendix) and patients usually recover from appendectomy without experiencing complications.
		Open appendectomy is the traditional method and the standard treatment for appendicitis.
	www.surgerychannel.com /appendectomy (616 words)

	Laparoscopic appendectomy [Dec 1998; 58-5]
		This criticism cannot be levelled at laparoscopic appendectomy, and a new meta-analysis has pulled together all the studies to give us a pretty good picture of the results of this new technique [1].
		On average 8% of operations which started as laparoscopy were converted to open appendectomy (range 0% to 27%).
		Wound infections were significantly less frequent with laparoscopic techniques; 36/1309 (2.8%) of laparoscopies had a wound infection compared with 93/1187 (7.8%) in conventional surgery.
	www.jr2.ox.ac.uk /bandolier/band58/b58-5.html (408 words)

	Appendectomy
		Since only the smallest fraction of information dealing with appendectomy is indexed in search engines, such as www.google.com or others, a non-systematic approach to Internet research can be not only time consuming, but also incomplete.
		This book was created for medical professionals, students, and members of the general public who want to conduct medical research using the most advanced tools available and spending the least amount of time doing so.
		In addition to offering a structured and comprehensive bibliography, this medical reference on appendectomy will quickly direct you to resources and reliable information on the Internet, from the essentials to the most advanced areas of research.
	www.icongrouponline.com /health/Appendectomy_Ph.html (395 words)

	SSAT - 1999 Abstract: 2182 INCIDENTAL APPENDECTOMY IN THE ERA OF LAPAROSCOPY (Site not responding. Last check: 2007-11-06)
		The goal of this study is to evaluate the cost-effectiveness of incidental appendectomy both by age and by type of surgery (open versus laparoscopic).
		The following assumptions were made: incidental appendectomy patients would have had a similar incidence of acute appendicitis as the general population had their appendix not been taken out; and, complications related to incidental appendectomy were the same or less when compared to the acute situation and did not significantly change cost.
		Conclusions: Open incidental appendectomy at low or no surgeon reimbursement is a cost-effective procedure for patients under 25-35 years of age (depending on billing practices).
	www.ssat.com /cgi-bin/abstracts/99ddw/ddw112.cgi?affiliation=other (537 words)

	RSNA: Availability of Computed Tomography Greatly Decreases Rate of Nontherapeutic Appendectomy (Site not responding. Last check: 2007-11-06)
		Prior to introduction of CT scanning in 1996, rates of appendectomy at Massachusetts General Hospital where the organ turned out to be non-diseased were approximately 20 percent.
		In 2001, with CT available, there were 327 appendectomies, with 241 patients receiving CT scans and 86 patients not receiving them.
		The rate of non-inflamed appendices found at surgery was 2.5 percent in patients who had a scan and 5.8 percent in those who didn't, a difference that was not significant.
	www.pslgroup.com /dg/2246ea.htm (447 words)

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