211:
390:
Most importantly, it is easy to convert SILS to conventional laparoscopy by adding a few trocars; this conversion to conventional laparoscopy is called 'port rescue'. SILS has been shown to be feasible, reasonably safe, and cosmetically advantageous, compared to standard laparoscopy; however, this newer technique involves specialized instruments and is more difficult to learn because of a loss of triangulation, clashing of instruments, crossing of instruments (cross triangulation), and a lack of maneuverability. The additional problem of decreased exposure and the added financial burden of procuring special articulating or curved coaxial instruments exist. SILS is still evolving, being used successfully in many centres, but with some way to go before it becomes mainstream. This limits its widespread use, especially in rural or peripheral centres with limited resources.
464:
511:
188:
179:
years. After appendicectomy the main difference in treatment is the length of time the antibiotics are administered. For uncomplicated appendicitis, antibiotics should be continued up to 24 hours post-operatively. For complicated appendicitis, antibiotics should be continued for anywhere between 3 and 7 days. An interval appendectomy is generally performed 6–8 weeks after conservative management with antibiotics for special cases, such as perforated appendicitis. Delay of appendectomy 24 hours after admission for symptoms of appendicitis has not shown to increase risk of perforation or other complications.
195:
447:. This causes an increase in the intra-abdominal pressure, leading to decreased venous return and therefore, decreased cardiac output. The decreased cardiac output may lead to fetal acidosis and cause distress. However, an animal pregnancy model demonstrated that a 10-12mmHg insufflation pressure demonstrated no adverse effects on the fetus. SAGES (Society of American Gastrointestinal and Endoscopic Surgeons) currently recommends an insufflation pressure of 10-15mmHg during pregnancy.
350:
585:
appendicitis" that involved "visits for patients 18 to 59 years old with hospitalization that lasted fewer than four days with routine discharges to home." The lowest charge for removal of an appendix was $ 1,529 and the highest $ 182,955, almost 120 times greater. The median charge was $ 33,611. While the study was limited to
California, the researchers indicated that the results were applicable anywhere in the United States. Many, but not all, patients are covered by some sort of
203:
399:
411:
40:
456:
492:
Patients with complicated appendicitis (perforated appendicitis) are more likely to develop a SSI, abdominal abscess, or pelvic abscess during the post-operative period. Placement of an abdominal drain was originally thought to reduce the risk of these post-operative complications. However, abdominal
423:
Appendicitis is the most common emergent general surgery related problem to arise during pregnancy. There is a natural elevation in white blood cell count in addition to anatomical changes of the appendix that occur during pregnancy. These findings, in addition to non-specific abdominal symptoms make
226:
are seen (in appendicitis, sepsis and bacteremia usually only occurs at some point after rupture, once peritonitis has begun), or if there is reasonable suspicion that the appendix has ruptured (e.g., on imaging) or if the onset of peritonitis - which will lead to full sepsis if not quickly treated-
484:
One of the most common post-operative complications associated with an appendectomy is the development of a surgical site infection (SSI). Signs and symptoms indicative of a superficial SSI are redness, swelling, and tenderness surrounding the incision and are most likely to arise on post-operative
475:
Recovery time from the operation varies from person to person. Some take up to three weeks before being completely active; for others, it can be a matter of days. In the case of a laparoscopic operation, the patient has three stapled scars of about an inch (2.5 cm) in length, between the navel
389:
Also, a trend is increasing towards single-incision laparoscopic surgery (SILS), using a special multiport umbilical trocar. With SILS, a more conventional view of the field of surgery is seen compared to NOTES. The equipment used for SILS is familiar to surgeons already doing laparoscopic surgery.
373:
described moving laparoscopic incisions to hide them in the natural camouflages like the suprapubic hairline to improve cosmesis. Additionally, reports in the literature indicate that minilaparoscopic appendectomy using 2– or 3-mm or even smaller instruments along with one 12-mm port minimizes pain
178:
Complicated (perforated) appendicitis should undergo prompt surgical intervention. There has been significant recent trial evidence that uncomplicated appendicitis can be treated with either antibiotics or appendicectomy, with 51% of those treated with antibiotics avoiding an appendectomy after 3
435:
There has been debate regarding which surgical approach is preferred during pregnancy. Overall, there is no increased risk of fetal loss or preterm delivery with the laparoscopic approach (LA) as compared to the open approach (OA). However, the LA was associated with shorter length of stay in the
406:
Pediatric patients have a mobile cecum, which allows externalization of the cecal appendix through the umbilicus in most cases. This has led to the development of surgical techniques such as laparoscopic-assisted transumbilical appendectomy, which allows the entire surgery to be performed with a
584:
While appendectomy is a standard surgical procedure, its cost has been found to vary considerably in the United States. A 2012 study analyzed 2009 data from nearly 20,000 adult patients treated for appendicitis in
California hospitals. Researchers examined "only uncomplicated episodes of acute
439:
Patient positioning is of utmost importance to ensure safety of the fetus during the procedure. This is especially important during the third trimester due to the potential of compression of the inferior vena cava leading by the enlarged uterus. Placing the patient in a 30-degree left lateral
170:
over 95% of adult appendicectomies are planned as laparoscopic procedures. Laparoscopy is often used if the diagnosis is in doubt, or in order to leave a less visible surgical scar. Recovery may be slightly faster after laparoscopic surgery, although the laparoscopic procedure itself is more
366:(NOTES); however, numerous difficulties need to be overcome before a wider clinical application of NOTES is adopted, including complications such as the opening of hollow viscera, failed sutures, a lack of fully developed instrumentation, and the necessity of reliable cost-benefit analyses.
328:
The standardization of an incision is not best practice when performing an appendectomy given that the appendix is a mobile organ. A physical exam should be performed prior to the operation and the incision should be chosen based on the point of maximal tenderness to palpation.
357:
Over the past decade, the outcomes of laparoscopic appendectomies have compared favorably to those for open appendectomies because of decreased pain, fewer postoperative complications, shorter hospitalization, earlier mobilization, earlier return to work, and better
596:
found that in 2010, the average cost for a stay in the United States involving appendicitis was $ 7,800. For stays where the appendix had ruptured, the average cost was $ 12,800. The majority of patients seen in the hospital were covered by private insurance.
1368:
Cheng, Yao; Zhou, Shiyi; Zhou, Rongxing; Lu, Jiong; Wu, Sijia; Xiong, Xianze; Ye, Hui; Lin, Yixin; Wu, Taixiang; Cheng, Nansheng (2015-02-07). "Abdominal drainage to prevent intra-peritoneal abscess after open appendectomy for complicated appendicitis".
210:
432:. The risk of premature delivery is about 10%. The risk of fetal death in the perioperative period after an appendectomy for early acute appendicitis is 3 to 5%. The risk of fetal death is 20% in perforated appendicitis.
1919:
1907:
471:
A study from 2010 found that the average hospital stay for people with appendicitis in the United States was 1.8 days. For people with a perforated (ruptured) appendix, the average length of stay was 5.2 days.
501:
About 327,000 appendectomies were performed during U.S. hospital stays in 2011, a rate of 10.5 procedures per 10,000 population. Appendectomies accounted for 2.1% of all operating-room procedures in 2011.
1238:
485:
day 4 or 5. These symptoms oftentimes precede fluid drainage from the incision. Tenderness extending beyond the redness that surrounds the incision, in addition to the development of cutaneous
1835:
522:
The first recorded successful appendectomy was performed in
September 1731 by English surgeon William Cookesley on Abraham Pike, a chimney sweep. The second was on December 6, 1735, at
1742:
534:
sac of an 11-year-old boy. The organ had apparently been perforated by a pin the boy had swallowed. The patient, Hanvil
Andersen, made a recovery and was discharged a month later.
362:; however, despite these advantages, efforts are still being made to decrease abdominal incision and visible scars after laparoscopy. Recent research has led to the development of
493:
drains have not been found to play a significant role in reducing SSIs and have led to increased length of stay in the hospital in addition to increased cost of the operation.
1425:
1803:
545:
described the presentation and pathogenesis of appendicitis accurately and developed the teaching that an early appendectomy was the best treatment to avoid perforation and
1169:
Sekioka, Akinori; Takahashi, Toshiaki; Yamoto, Masaya; Miyake, Hiromu; Fukumoto, Koji; Nakaya, Kengo; Nomura, Akiyoshi; Yamada, Yutaka; Urushihara, Naoto (December 2018).
818:
1465:
Selley, Peter (2016). "William
Cookesley, William Hunter and the first patient to survive removal of the appendix in 1731 – a case history with 31 years' follow up".
915:
1171:"Outcomes of Transumbilical Laparoscopic-Assisted Appendectomy and Conventional Laparoscopic Appendectomy for Acute Pediatric Appendicitis in a Single Institution"
476:
and pubic hair line. When an open appendectomy has been performed, the patient has a 2– to 3-inch (5–7.5 cm) scar, which will initially be heavily bruised.
369:
Many surgeons have attempted to reduce incisional morbidity and improve cosmetic outcomes in laparoscopic appendectomy by using fewer and smaller ports. Kollmar
166:) or as an open operation. Over the 2010s, surgical practice has increasingly moved towards routinely offering laparoscopic appendicectomy; for example in the
1997:
889:
2898:
1656:"Kurt Semm and the Fight against Skepticism: Endoscopic Hemostasis, Laparoscopic Appendectomy, and Semm's Impact on the "Laparoscopic Revolution""
1825:
363:
206:
Hasson Entry: The two red lines mark the sites of the 5mm laparoscopic ports. The blue line above the umbilicus marks the site of the camera port
2669:
1928:
665:"Laparoscopic appendectomy versus open appendectomy for suspected appendicitis during pregnancy: a systematic review and updated meta-analysis"
1091:
781:"Antibiotics as first-line alternative to appendicectomy in adult appendicitis: 90-day follow-up from a prospective, multicentre cohort study"
2630:
171:
expensive and resource-intensive than open surgery and generally takes longer. Advanced pelvic sepsis occasionally requires a lower midline
151:(a portion of the intestine) is removed. Appendectomy is normally performed as an urgent or emergency procedure to treat complicated acute
2695:
1738:
2273:
2033:
593:
2700:
1990:
1409:
2436:
1602:
1304:
890:"Comparing Surgery versus Antibiotics for Treating Adults with Uncomplicated Appendicitis - Evidence Update for Clinicians | PCORI"
2593:
424:
appendicitis difficult to diagnose. Appendicitis develops most commonly in the second trimester. If appendicitis develops in a
780:
1510:"Of an inguinal rupture, with a pin in the appendix caeci, incrusted with stone; and some observations on wounds in the guts"
1266:
1027:
1002:
922:, Sell N, O'Donnell T, Saillant N. Laparoscopic Appendectomy and Open Umbilical Hernia Repair. J Med Ins. 2019;2019(270) doi:
586:
2934:
2148:
1983:
1881:
1329:
523:
1632:
913:
2197:
414:
Laparoscopic-assisted transumbilical appendectomy scar on a pediatric patient. Anesthetic result one month after surgery.
1885:(either requires Windows Media Player and will not load in Firefox 1.5; or use with any player that can play .wmv files)
2635:
1214:
463:
2944:
2893:
2888:
1549:
956:
227:
is suspected; otherwise, a single dose of prophylactic intravenous antibiotics is given immediately before surgery.
2426:
1865:
510:
1871:
2133:
2084:
1860:
17:
2515:
2259:
2107:
260:
1975:
1261:
560:, who in 1961 had to perform the operation on himself as he was the only doctor on a remote Antarctic base.
2781:
2500:
2327:
2204:
2024:
1765:
926:
407:
single umbilical incision and has significant advantages in terms of both recovery and aesthetic outcome.
2690:
2525:
2069:
2598:
2520:
2388:
2247:
542:
163:
721:
2786:
2576:
2490:
2398:
2317:
2089:
2079:
606:
527:
1311:. HCUP Statistical Brief #159. Agency for Healthcare Research and Quality, Rockville, MD. July 2013.
2939:
2880:
2735:
2393:
2074:
2016:
1934:
1051:
187:
2829:
2745:
2370:
2128:
2859:
2674:
2138:
2007:
1876:
255:
If a mass is present, the incision is made over the mass. Otherwise, the incision is made over
1963:
1446:"A considerable share of the intestines cut off after a mortification in a hernia and cured".
571:
appendectomy, opening up the path for a much wider application of minimally invasive surgery.
2834:
2764:
2620:
2214:
2175:
946:
486:
303:
Some surgeons choose to bury the stump of the appendix by inverting it so it points into the
2903:
2431:
611:
553:
159:
722:
RIFT Study Group on behalf of the West
Midlands Research Collaborative (3 December 2019).
8:
2806:
2730:
2625:
2530:
2505:
2421:
2416:
2360:
2155:
1923:
1052:"Two-port vs. three-port laparoscopic appendicectomy: A bridge to least invasive surgery"
724:"Evaluation of appendicitis risk prediction models in adults with suspected appendicitis"
297:
256:
230:
1566:
1301:
541:
for appendicitis in 1848, but he did not remove the appendix. In 1889 in New York City,
383:
2300:
2143:
1790:
1720:
1672:
1655:
1594:
1490:
1206:
1146:
1113:
1078:
871:
805:
756:
723:
699:
664:
148:
2866:
2750:
2712:
2558:
2468:
2290:
2182:
2123:
1795:
1712:
1677:
1586:
1545:
1482:
1417:
1390:
1382:
1321:
1198:
1190:
1151:
1133:
1083:
1023:
998:
952:
875:
863:
810:
761:
743:
704:
686:
538:
286:
285:
muscle. As the two run at right angles to each other, this reduces the risk of later
234:
58:
1781:
1724:
1598:
1210:
2870:
2707:
2113:
1785:
1777:
1704:
1667:
1578:
1521:
1494:
1474:
1378:
1374:
1182:
1141:
1125:
1073:
1063:
1050:
Ashwin, Rammohan; Paramaguru, Jothishankar; Manimaran, A. B.; Naidu, R. M. (2012).
853:
800:
792:
751:
735:
694:
676:
515:
444:
282:
275:
132:
1322:"Surgery 2 | PDF | Percutaneous Coronary Intervention | Mastectomy"
194:
2908:
2685:
2681:
2664:
2659:
2446:
2342:
2332:
2307:
2295:
2282:
2234:
1939:
1308:
930:
919:
531:
242:
238:
140:
63:
1544:(9 ed.). New York: McGraw-Hill, Medical Pub. Division. 2010. p. 1075.
2913:
2740:
2603:
2548:
2254:
2224:
2118:
2059:
2042:
1624:
1454:(1). Edinburgh: Society for the Improvement of Medical Knowledge: 427–31. 1742.
616:
557:
271:
167:
681:
663:
Lee, Seung Hwan; Lee, Jin Young; Choi, Yoon Young; Lee, Jae Gil (2019-04-25).
386:
sling-based single-port laparoscopic appendectomy with good clinical results.
2928:
2824:
2553:
2483:
2219:
2054:
2005:
1830:
1478:
1386:
1194:
1137:
1068:
842:"A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis"
747:
690:
1764:
Hsia, Renee Y.; Kothari, Abbas H.; Srebotnjak, Tanja; Maselli, Judy (2012).
349:
2801:
2615:
2510:
2495:
1799:
1708:
1590:
1526:
1509:
1486:
1421:
1394:
1202:
1170:
1155:
1087:
867:
814:
765:
708:
568:
152:
91:
73:
1716:
1681:
1186:
858:
841:
796:
2791:
2647:
2610:
2478:
2473:
2458:
2322:
2209:
2192:
2170:
2160:
2064:
1958:
546:
440:
decubitus position alleviates this pressure and prevents fetal distress.
278:
267:), which represents the most common position of the base of the appendix.
202:
556:
in 1921, but the operation was completed by his assistants. Another was
2854:
2796:
2773:
2540:
2408:
2187:
2165:
293:
172:
1899:
1582:
1410:"Characteristics of Operating Room Procedures in U.S. Hospitals, 2011"
1175:
739:
398:
274:
are opened. In order to preserve the integrity of abdominal wall, the
198:
Four incisions for an appendectomy, corresponding to the order listed.
117:
2651:
2454:
2365:
2355:
2312:
2242:
2046:
1407:
564:
552:
Some cases of autoappendectomies have occurred. One was attempted by
425:
428:
woman, an appendectomy is usually performed and should not harm the
2722:
2463:
359:
1416:(170). Rockville, MD: Agency for Healthcare Research and Quality.
1129:
410:
2099:
249:
144:
2816:
2380:
1911:
923:
304:
223:
39:
1766:"Health Care as a 'Market Good'? Appendicitis as a Case Study"
1739:"Health Care as a 'Market Good'? Appendicitis as a Case Study"
1049:
2585:
429:
264:
218:
In general terms, the procedure for an open appendectomy is:
1763:
1168:
1408:
Weiss A. J.; Elixhauser A.; Andrews R. M. (February 2014).
530:
described the presence of a perforated appendix within the
1114:"Single-incision laparoscopy surgery: a systematic review"
443:
One area of concern related to the LA during pregnancy is
353:
Wound healing - ten days after a laparoscopic appendectomy
1514:
310:
Each layer of the abdominal wall is then closed in turn.
252:
is prepared and draped and is examined under anesthesia.
455:
1826:"Study finds appendectomy could cost as much as house"
374:
and improves cosmesis. More recently, studies by Ates
436:
hospital as well as reduced risk of wound infection.
336:
McBurney's incision, also known as grid iron incision
222:
Antibiotics are given immediately if signs of actual
1889:
1653:
778:
1564:
1296:
1294:
1045:
1043:
1041:
1039:
1872:Open & Laparoscopic appendectomy, appendectomy
839:
296:, the appendix is identified, mobilized, and then
1754:JournalistsResource.org, retrieved April 25, 2012
1567:"Auto-appendectomy in the Antarctic: case report"
1302:Trends in Rates of Perforated Appendix, 2001–2010
281:is split along the line of its fibers, as is the
2926:
1695:Semm K (March 1983). "Endoscopic Appendectomy".
1291:
1112:Far, Sasan Saeed; Miraj, Sepide (October 2016).
1036:
313:The skin may be closed with staples or stitches.
1367:
364:natural orifice transluminal endoscopic surgery
2631:Transjugular intrahepatic portosystemic shunt
2032:
1991:
944:
662:
332:These incisions are placed for appendectomy:
214:Surgeons perform a laparoscopic appendectomy.
1861:Open Appendectomy: Operative procedure video
779:Javanmard-Emamghissi, Hannah (Sep 3, 2021).
319:The patient is brought to the recovery room.
1371:The Cochrane Database of Systematic Reviews
489:or bullae may be indicative of a deep SSI.
2281:
1998:
1984:
1300:Barrett M. L., Hines A. L., Andrews R. M.
772:
594:Agency for Healthcare Research and Quality
514:An appendectomy at the French Hospital in
38:
27:Surgical removal of the vermiform appendix
2772:
1789:
1671:
1525:
1145:
1077:
1067:
1017:
992:
951:. Springer Science & Business Media.
945:Yelon, Jay A.; Luchette, Fred A. (2013).
857:
804:
755:
698:
680:
2437:Transanal hemorrhoidal dearterialization
1817:
1647:
1352:
1111:
1020:Zollinger's Atlas of Surgical Operations
995:Zollinger's Atlas of Surgical Operations
509:
462:
454:
409:
397:
348:
209:
201:
193:
186:
2594:Artificial extracorporeal liver support
1622:
14:
2927:
1823:
1694:
1625:"The man who cut out his own appendix"
1507:
1464:
1262:Factors That Develop During Pregnancy
997:. McGraw-Hill Education. p. 162.
640:
459:Scar and bruise 2 days after operation
1979:
1348:
1346:
1267:Merck Manual of Diagnosis and Therapy
1233:
1231:
1022:. McGraw-Hill Education. p. 49.
988:
821:from the original on 8 September 2021
393:
2149:Vertical banded gastroplasty surgery
986:
984:
982:
980:
978:
976:
974:
972:
970:
968:
940:
938:
658:
656:
654:
652:
636:
634:
632:
2198:Percutaneous endoscopic gastrostomy
2006:Tests and procedures involving the
1834:. Melbourne, Florida. pp. 6A.
846:The New England Journal of Medicine
645:. Wolters Kluwer. pp. 198–203.
24:
2636:Distal splenorenal shunt procedure
1838:from the original on April 1, 2019
1824:Tanner, Lindsey (April 24, 2012).
1635:from the original on July 28, 2019
1357:. Elsevier, Inc. pp. 241–280.
1343:
1288:Sabiston Textbook of Surgery 2007.
1228:
948:Geriatric Trauma and Critical Care
840:CODA Collaborative (Oct 5, 2020).
537:Harry Hancock performed the first
25:
2956:
1854:
1056:Journal of Minimal Access Surgery
965:
935:
649:
629:
1542:Schwartz's principles of surgery
1279:Schwartz Book of General Surgery
579:
479:
241:, and the patient is positioned
2427:Lateral internal sphincterotomy
1866:Laparoscopic Appendectomy Video
1806:from the original on 2020-02-20
1782:10.1001/archinternmed.2012.1173
1757:
1745:from the original on 2014-11-10
1731:
1688:
1616:
1605:from the original on 2010-02-19
1558:
1534:
1501:
1458:
1448:Medical Essays and Observations
1439:
1428:from the original on 2014-03-28
1401:
1361:
1332:from the original on 2015-06-20
1314:
1282:
1273:
1255:
1217:from the original on 2022-08-29
1162:
1105:
1094:from the original on 2018-06-01
1011:
526:in London, when French surgeon
259:(one-third of the way from the
2134:Endoscopic sleeve gastroplasty
2085:Functional Lumen Imaging Probe
1882:Another video of the procedure
1565:Rogozov V.; Bermel N. (2009).
1379:10.1002/14651858.CD010168.pub2
907:
882:
833:
785:The British Journal of Surgery
715:
382:have described variants of an
158:Appendectomy may be performed
53:Appendisectomy, appendicectomy
13:
1:
2516:Lower gastrointestinal series
2260:Upper gastrointestinal series
1770:Archives of Internal Medicine
1654:Grzegorz S. Litynski (1998).
1623:Lentati, Sara (May 5, 2015).
622:
261:anterior superior iliac spine
2782:Diagnostic peritoneal lavage
2501:Double-contrast barium enema
2328:Partial ileal bypass surgery
2205:Esophagogastric dissociation
1868:(includes case presentation)
1467:Journal of Medical Biography
1355:Sabiston Textbook of Surgery
924:https://jomi.com/article/270
496:
467:Scar 10 days after operation
418:
323:
182:
7:
2935:Surgical removal procedures
2599:Bioartificial liver devices
2526:Transrectal ultrasonography
1353:Townsend, Courtney (2017).
600:
450:
342:Rutherford Morison incision
44:An appendectomy in progress
10:
2961:
2521:Small-bowel follow-through
2389:Abdominoperineal resection
2248:Esophagogastroduodenoscopy
1239:"Sign In | Health Library"
1018:Zollinger, Robert (2016).
993:Zollinger, Robert (2016).
728:British Journal of Surgery
505:
270:The various layers of the
164:minimally invasive surgery
2881:Clinical prediction rules
2879:
2847:
2815:
2787:Intraperitoneal injection
2763:
2721:
2646:
2584:
2575:
2539:
2491:Abdominal ultrasonography
2445:
2407:
2399:Total mesorectal excision
2379:
2341:
2318:Intestine transplantation
2272:
2233:
2108:Sengstaken–Blakemore tube
2098:
2090:High resolution manometry
2080:Esophageal motility study
2041:
2023:
2014:
1949:
1893:
1508:Amyand, Claudius (1735).
682:10.1186/s12893-019-0505-9
607:List of surgeries by type
402:Inflamed appendix removal
114:
106:
98:
87:
79:
69:
57:
49:
37:
32:
2945:Digestive system surgery
2736:Pancreas transplantation
2394:Lower anterior resection
2075:Esophageal pH monitoring
2017:Digestive system surgery
1877:A video of the procedure
1479:10.1177/0967772015591717
1069:10.4103/0972-9941.103121
300:and divided at its base.
2830:Inguinal hernia surgery
2746:Pancreaticoduodenectomy
2129:Adjustable gastric band
2070:Impedance–pH monitoring
574:
563:On September 13, 1980,
235:endotracheal intubation
2860:Exploratory laparotomy
2675:Hepatoportoenterostomy
2139:Gastric bypass surgery
2008:human digestive system
1709:10.1055/s-2007-1021466
1527:10.1098/rstl.1735.0071
1414:HCUP Statistical Brief
519:
468:
460:
415:
403:
354:
215:
207:
199:
191:
2835:Femoral hernia repair
2621:Liver transplantation
2215:Nissen fundoplication
1187:10.1089/lap.2018.0306
859:10.1056/NEJMoa2014320
524:St. George's Hospital
513:
466:
458:
413:
401:
352:
316:The wound is dressed.
213:
205:
197:
190:
2432:Rubber band ligation
2371:Hartmann's operation
1243:lwwhealthlibrary.com
1118:Electronic Physician
567:performed the first
2807:Peritoneal dialysis
2626:Portal hypertension
2531:Virtual colonoscopy
2506:Endoanal ultrasound
2422:Anorectal manometry
2417:Anal sphincterotomy
2361:Colonic polypectomy
2156:Collis gastroplasty
797:10.1093/bjs/znab287
641:Backbourne, Lorne.
345:Paramedian incision
231:General anaesthesia
83:Infection, bleeding
2301:Jejunoileal bypass
2144:Sleeve gastrectomy
1950:External resources
1307:2018-08-02 at the
929:2022-06-18 at the
918:2020-10-13 at the
852:(383): 1907–1919.
520:
469:
461:
416:
404:
394:Pediatric patients
355:
216:
208:
200:
192:
149:vermiform appendix
145:surgical operation
2922:
2921:
2867:Rapid urease test
2843:
2842:
2759:
2758:
2751:Puestow procedure
2713:Cholescintigraphy
2571:
2570:
2567:
2566:
2559:Stool guaiac test
2469:Capsule endoscopy
2291:Bariatric surgery
2268:
2267:
2183:Gastroenterostomy
2124:Bariatric surgery
1973:
1972:
1886:
1583:10.1136/bmj.b4965
1181:(12): 1548–1552.
1124:(10): 3088–3095.
1029:978-0-07-179756-6
1004:978-0-07-179756-6
791:(11): 1351–1359.
740:10.1002/bjs.11440
612:Evan O'Neill Kane
587:medical insurance
554:Evan O'Neill Kane
539:abdominal surgery
287:incisional hernia
239:muscle relaxation
233:is induced, with
125:
124:
16:(Redirected from
2952:
2904:Child–Pugh score
2871:Urea breath test
2770:
2769:
2731:Frey's procedure
2708:Cholecystography
2582:
2581:
2279:
2278:
2114:Nasogastric tube
2039:
2038:
2030:
2029:
2000:
1993:
1986:
1977:
1976:
1891:
1890:
1884:
1848:
1847:
1845:
1843:
1821:
1815:
1814:
1812:
1811:
1793:
1761:
1755:
1753:
1751:
1750:
1735:
1729:
1728:
1692:
1686:
1685:
1675:
1651:
1645:
1644:
1642:
1640:
1620:
1614:
1613:
1611:
1610:
1562:
1556:
1555:
1538:
1532:
1531:
1529:
1520:(443): 329–336.
1505:
1499:
1498:
1462:
1456:
1455:
1443:
1437:
1436:
1434:
1433:
1405:
1399:
1398:
1365:
1359:
1358:
1350:
1341:
1340:
1338:
1337:
1318:
1312:
1298:
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1286:
1280:
1277:
1271:
1259:
1253:
1252:
1250:
1249:
1235:
1226:
1225:
1223:
1222:
1166:
1160:
1159:
1149:
1109:
1103:
1102:
1100:
1099:
1081:
1071:
1047:
1034:
1033:
1015:
1009:
1008:
990:
963:
962:
942:
933:
911:
905:
904:
902:
901:
886:
880:
879:
861:
837:
831:
830:
828:
826:
808:
776:
770:
769:
759:
719:
713:
712:
702:
684:
660:
647:
646:
638:
543:Charles McBurney
532:inguinal hernial
516:Tbilisi, Georgia
445:pneumoperitoneum
292:On entering the
283:internal oblique
276:external oblique
257:McBurney's point
160:laparoscopically
133:American English
118:edit on Wikidata
42:
30:
29:
21:
2960:
2959:
2955:
2954:
2953:
2951:
2950:
2949:
2940:General surgery
2925:
2924:
2923:
2918:
2909:Ranson criteria
2875:
2839:
2811:
2755:
2717:
2686:Cholangiography
2682:Medical imaging
2665:Cholecystostomy
2660:Cholecystectomy
2642:
2563:
2535:
2447:Medical imaging
2441:
2403:
2375:
2337:
2333:Strictureplasty
2308:Bowel resection
2296:Duodenal switch
2264:
2235:Medical imaging
2229:
2094:
2025:Digestive tract
2019:
2010:
2004:
1974:
1969:
1968:
1945:
1944:
1902:
1857:
1852:
1851:
1841:
1839:
1822:
1818:
1809:
1807:
1762:
1758:
1748:
1746:
1737:
1736:
1732:
1693:
1689:
1652:
1648:
1638:
1636:
1621:
1617:
1608:
1606:
1563:
1559:
1552:
1540:
1539:
1535:
1506:
1502:
1463:
1459:
1445:
1444:
1440:
1431:
1429:
1406:
1402:
1373:(2): CD010168.
1366:
1362:
1351:
1344:
1335:
1333:
1320:
1319:
1315:
1309:Wayback Machine
1299:
1292:
1287:
1283:
1278:
1274:
1260:
1256:
1247:
1245:
1237:
1236:
1229:
1220:
1218:
1167:
1163:
1110:
1106:
1097:
1095:
1048:
1037:
1030:
1016:
1012:
1005:
991:
966:
959:
943:
936:
931:Wayback Machine
920:Wayback Machine
912:
908:
899:
897:
888:
887:
883:
838:
834:
824:
822:
777:
773:
720:
716:
661:
650:
643:Surgical Recall
639:
630:
625:
603:
592:A study by the
582:
577:
528:Claudius Amyand
508:
499:
482:
453:
421:
396:
326:
185:
141:British English
121:
64:General surgery
45:
28:
23:
22:
15:
12:
11:
5:
2958:
2948:
2947:
2942:
2937:
2920:
2919:
2917:
2916:
2914:Milan criteria
2911:
2906:
2901:
2896:
2891:
2885:
2883:
2877:
2876:
2874:
2873:
2864:
2863:
2862:
2851:
2849:
2845:
2844:
2841:
2840:
2838:
2837:
2832:
2827:
2821:
2819:
2813:
2812:
2810:
2809:
2804:
2799:
2794:
2789:
2784:
2778:
2776:
2767:
2765:Abdominopelvic
2761:
2760:
2757:
2756:
2754:
2753:
2748:
2743:
2741:Pancreatectomy
2738:
2733:
2727:
2725:
2719:
2718:
2716:
2715:
2710:
2705:
2704:
2703:
2698:
2693:
2678:
2677:
2672:
2667:
2662:
2656:
2654:
2644:
2643:
2641:
2640:
2639:
2638:
2633:
2623:
2618:
2613:
2608:
2607:
2606:
2604:Liver dialysis
2601:
2590:
2588:
2579:
2573:
2572:
2569:
2568:
2565:
2564:
2562:
2561:
2556:
2551:
2549:Fecal fat test
2545:
2543:
2537:
2536:
2534:
2533:
2528:
2523:
2518:
2513:
2508:
2503:
2498:
2493:
2487:
2486:
2481:
2476:
2471:
2466:
2461:
2451:
2449:
2443:
2442:
2440:
2439:
2434:
2429:
2424:
2419:
2413:
2411:
2405:
2404:
2402:
2401:
2396:
2391:
2385:
2383:
2377:
2376:
2374:
2373:
2368:
2363:
2358:
2353:
2347:
2345:
2339:
2338:
2336:
2335:
2330:
2325:
2320:
2315:
2310:
2305:
2304:
2303:
2298:
2287:
2285:
2276:
2274:Lower GI tract
2270:
2269:
2266:
2265:
2263:
2262:
2257:
2255:Barium swallow
2252:
2251:
2250:
2239:
2237:
2231:
2230:
2228:
2227:
2225:Schilling test
2222:
2217:
2212:
2207:
2202:
2201:
2200:
2190:
2185:
2180:
2179:
2178:
2173:
2168:
2158:
2153:
2152:
2151:
2146:
2141:
2136:
2131:
2121:
2119:Gastric lavage
2116:
2111:
2104:
2102:
2096:
2095:
2093:
2092:
2087:
2082:
2077:
2072:
2067:
2062:
2060:Heller myotomy
2057:
2051:
2049:
2036:
2034:Upper GI tract
2027:
2021:
2020:
2015:
2012:
2011:
2003:
2002:
1995:
1988:
1980:
1971:
1970:
1967:
1966:
1954:
1953:
1951:
1947:
1946:
1943:
1942:
1931:
1916:
1903:
1898:
1897:
1895:
1894:Classification
1888:
1887:
1879:
1874:
1869:
1863:
1856:
1855:External links
1853:
1850:
1849:
1816:
1756:
1730:
1687:
1646:
1615:
1557:
1550:
1533:
1500:
1457:
1438:
1400:
1360:
1342:
1313:
1290:
1281:
1272:
1254:
1227:
1161:
1104:
1062:(4): 140–144.
1035:
1028:
1010:
1003:
964:
957:
934:
906:
881:
832:
771:
714:
648:
627:
626:
624:
621:
620:
619:
617:Leonid Rogozov
614:
609:
602:
599:
581:
578:
576:
573:
558:Leonid Rogozov
507:
504:
498:
495:
481:
478:
452:
449:
420:
417:
395:
392:
384:intracorporeal
347:
346:
343:
340:
337:
325:
322:
321:
320:
317:
314:
311:
308:
301:
290:
272:abdominal wall
268:
253:
246:
228:
184:
181:
168:United Kingdom
137:appendicectomy
123:
122:
115:
112:
111:
108:
104:
103:
100:
96:
95:
89:
85:
84:
81:
77:
76:
71:
67:
66:
61:
55:
54:
51:
47:
46:
43:
35:
34:
26:
18:Appendicectomy
9:
6:
4:
3:
2:
2957:
2946:
2943:
2941:
2938:
2936:
2933:
2932:
2930:
2915:
2912:
2910:
2907:
2905:
2902:
2900:
2897:
2895:
2892:
2890:
2887:
2886:
2884:
2882:
2878:
2872:
2868:
2865:
2861:
2858:
2857:
2856:
2853:
2852:
2850:
2846:
2836:
2833:
2831:
2828:
2826:
2825:Hernia repair
2823:
2822:
2820:
2818:
2814:
2808:
2805:
2803:
2800:
2798:
2795:
2793:
2790:
2788:
2785:
2783:
2780:
2779:
2777:
2775:
2771:
2768:
2766:
2762:
2752:
2749:
2747:
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2742:
2739:
2737:
2734:
2732:
2729:
2728:
2726:
2724:
2720:
2714:
2711:
2709:
2706:
2702:
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2697:
2694:
2692:
2689:
2688:
2687:
2683:
2680:
2679:
2676:
2673:
2671:
2668:
2666:
2663:
2661:
2658:
2657:
2655:
2653:
2649:
2645:
2637:
2634:
2632:
2629:
2628:
2627:
2624:
2622:
2619:
2617:
2614:
2612:
2609:
2605:
2602:
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2596:
2595:
2592:
2591:
2589:
2587:
2583:
2580:
2578:
2574:
2560:
2557:
2555:
2554:Fecal pH test
2552:
2550:
2547:
2546:
2544:
2542:
2538:
2532:
2529:
2527:
2524:
2522:
2519:
2517:
2514:
2512:
2509:
2507:
2504:
2502:
2499:
2497:
2494:
2492:
2489:
2488:
2485:
2484:Sigmoidoscopy
2482:
2480:
2477:
2475:
2472:
2470:
2467:
2465:
2462:
2460:
2456:
2453:
2452:
2450:
2448:
2444:
2438:
2435:
2433:
2430:
2428:
2425:
2423:
2420:
2418:
2415:
2414:
2412:
2410:
2406:
2400:
2397:
2395:
2392:
2390:
2387:
2386:
2384:
2382:
2378:
2372:
2369:
2367:
2364:
2362:
2359:
2357:
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2349:
2348:
2346:
2344:
2340:
2334:
2331:
2329:
2326:
2324:
2321:
2319:
2316:
2314:
2311:
2309:
2306:
2302:
2299:
2297:
2294:
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2292:
2289:
2288:
2286:
2284:
2280:
2277:
2275:
2271:
2261:
2258:
2256:
2253:
2249:
2246:
2245:
2244:
2241:
2240:
2238:
2236:
2232:
2226:
2223:
2221:
2220:Pyloromyotomy
2218:
2216:
2213:
2211:
2208:
2206:
2203:
2199:
2196:
2195:
2194:
2191:
2189:
2186:
2184:
2181:
2177:
2174:
2172:
2169:
2167:
2164:
2163:
2162:
2159:
2157:
2154:
2150:
2147:
2145:
2142:
2140:
2137:
2135:
2132:
2130:
2127:
2126:
2125:
2122:
2120:
2117:
2115:
2112:
2109:
2106:
2105:
2103:
2101:
2097:
2091:
2088:
2086:
2083:
2081:
2078:
2076:
2073:
2071:
2068:
2066:
2063:
2061:
2058:
2056:
2055:Esophagectomy
2053:
2052:
2050:
2048:
2044:
2040:
2037:
2035:
2031:
2028:
2026:
2022:
2018:
2013:
2009:
2001:
1996:
1994:
1989:
1987:
1982:
1981:
1978:
1965:
1961:
1960:
1956:
1955:
1952:
1948:
1941:
1937:
1936:
1932:
1930:
1926:
1925:
1921:
1917:
1914:
1913:
1909:
1905:
1904:
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1896:
1892:
1883:
1880:
1878:
1875:
1873:
1870:
1867:
1864:
1862:
1859:
1858:
1837:
1833:
1832:
1831:Florida Today
1827:
1820:
1805:
1801:
1797:
1792:
1787:
1783:
1779:
1776:(10): 818–9.
1775:
1771:
1767:
1760:
1744:
1740:
1734:
1726:
1722:
1718:
1714:
1710:
1706:
1702:
1698:
1691:
1683:
1679:
1674:
1669:
1666:(3): 309–13.
1665:
1661:
1657:
1650:
1634:
1630:
1626:
1619:
1604:
1600:
1596:
1592:
1588:
1584:
1580:
1576:
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1568:
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1553:
1551:9780071547697
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1172:
1165:
1157:
1153:
1148:
1143:
1139:
1135:
1131:
1130:10.19082/3088
1127:
1123:
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1115:
1108:
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1080:
1075:
1070:
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894:www.pcori.org
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637:
635:
633:
628:
618:
615:
613:
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598:
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588:
580:United States
572:
570:
566:
561:
559:
555:
550:
548:
544:
540:
535:
533:
529:
525:
517:
512:
503:
494:
490:
488:
480:Complications
477:
473:
465:
457:
448:
446:
441:
437:
433:
431:
427:
412:
408:
400:
391:
387:
385:
381:
377:
372:
367:
365:
361:
351:
344:
341:
339:Lanz incision
338:
335:
334:
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318:
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312:
309:
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302:
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196:
189:
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156:
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150:
147:in which the
146:
142:
138:
134:
130:
119:
113:
109:
105:
101:
99:Recovery time
97:
93:
90:
86:
82:
80:Complications
78:
75:
72:
68:
65:
62:
60:
56:
52:
48:
41:
36:
31:
19:
2802:Paracentesis
2616:Liver biopsy
2511:Enteroclysis
2496:Defecography
2351:Appendectomy
2350:
1957:
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153:appendicitis
136:
129:appendectomy
128:
126:
92:Laparoscopic
74:Appendicitis
33:Appendectomy
2792:Laparoscopy
2648:Gallbladder
2611:Hepatectomy
2541:Stool tests
2479:Proctoscopy
2474:Enteroscopy
2459:Colonoscopy
2343:Large bowel
2323:Jejunostomy
2283:Small bowel
2210:Hill repair
2193:Gastrostomy
2171:Billroth II
2161:Gastrectomy
2065:Sialography
1959:MedlinePlus
825:8 September
669:BMC Surgery
547:peritonitis
279:aponeurosis
50:Other names
2929:Categories
2855:Laparotomy
2797:Omentopexy
2774:Peritoneum
2409:Anal canal
2188:Gastropexy
2166:Billroth I
1810:2012-04-27
1749:2012-04-27
1609:2010-06-29
1432:2014-03-28
1336:2023-02-03
1248:2020-01-11
1221:2022-08-29
1098:2012-11-10
900:2024-05-25
623:References
294:peritoneum
173:laparotomy
2652:bile duct
2577:Accessory
2455:Endoscopy
2366:Colostomy
2356:Colectomy
2313:Ileostomy
2243:Endoscopy
2176:Roux-en-Y
2047:Esophagus
1915:: 0DTJ?ZZ
1842:April 25,
1697:Endoscopy
1577:: b4965.
1387:1469-493X
1195:1557-9034
1138:2008-5842
876:222151141
748:1365-2168
691:1471-2482
675:(1): 41.
565:Kurt Semm
497:Frequency
419:Pregnancy
324:Incisions
265:umbilicus
237:and full
183:Procedure
107:Frequency
102:1-3 weeks
59:Specialty
2723:Pancreas
2464:Anoscopy
1836:Archived
1804:Archived
1800:22529183
1743:Archived
1725:45763958
1639:June 21,
1633:Archived
1629:BBC News
1603:Archived
1599:12503748
1591:20008968
1487:26758584
1426:Archived
1422:24716251
1395:25914903
1330:Archived
1305:Archived
1215:Archived
1211:51941735
1203:30088968
1156:27957308
1092:Archived
1088:23248441
927:Archived
916:Archived
868:33017106
819:Archived
815:34476484
766:31797357
709:31023289
601:See also
487:vesicles
451:Recovery
426:pregnant
360:cosmesis
88:Approach
2100:Stomach
1940:D001062
1791:3624019
1717:6221925
1682:9876762
1673:3015306
1495:1708483
1147:5133033
1079:3523451
806:8499866
757:6972511
700:6482586
506:History
298:ligated
263:to the
250:abdomen
143:) is a
2817:Hernia
2381:Rectum
1964:002921
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380:et al.
376:et al.
371:et al.
305:caecum
243:supine
224:sepsis
110:Common
94:, open
2899:UKELD
2848:Other
2586:Liver
1721:S2CID
1595:S2CID
1491:S2CID
1207:S2CID
872:S2CID
430:fetus
135:) or
116:[
2894:PELD
2889:MELD
2696:MRCP
2670:ERCP
1935:MeSH
1929:47.0
1924:9-CM
1844:2012
1796:PMID
1713:PMID
1678:PMID
1660:JSLS
1641:2018
1587:PMID
1546:ISBN
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1391:PMID
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811:PMID
762:PMID
744:ISSN
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687:ISSN
575:Cost
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2701:PTC
2043:SGs
1920:ICD
1908:ICD
1786:PMC
1778:doi
1774:172
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1571:BMJ
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