Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Acute appendicitis. A 5-year review.

M A Ricci1, M F Trevisani, W C Beck

  • 1Guthrie Medical Center, Sayre, Pennsylvania.

The American Surgeon
|May 1, 1991
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

CDC field triage criteria accurately predicts outcomes in high impact trauma.

Journal of injury & violence research·2022
Same author

Mapping at the nanometer scale the effects of sea-salt derived chlorine on cinnabar and lead white by using delayed image extraction in ToF-SIMS.

The Analyst·2021
Same author

Magnetic mesoporous silica nanostructures: investigation of magnetic properties.

Nanotechnology·2020
Same author

Determinants of High Parathyroid Hormone Levels in Patients With Severe Obesity and Their Relationship With the Cardiometabolic Risk Factors, Before and After a Laparoscopic Sleeve Gastrectomy Intervention.

Obesity surgery·2020
Same author

Vibrational dynamics of confined supercooled water.

The Journal of chemical physics·2019
Same author

Ice crystallization observed in highly supercooled confined water.

Physical chemistry chemical physics : PCCP·2019
Same journal

Complete Response of Merkel Cell Carcinoma to Immunotherapy and Single-Fraction Radiotherapy Following Severe COVID-19 Infection: A Case Report and Review of Immune Mechanism.

The American surgeon·2026
Same journal

Perioperative Acute Myocardial Infarction in Non-Cardiac Operations: A National Analysis.

The American surgeon·2026
Same journal

Outcomes of Completion Cholecystectomy: Association With Patient Comorbidity in a National Database.

The American surgeon·2026
Same journal

Building the Conversation: Editorial Stewardship in Contemporary Surgical Publishing.

The American surgeon·2026
Same journal

Musculoskeletal Pain in Surgeons on Operating Days.

The American surgeon·2026
Same journal

Splenectomy During Cytoreductive Surgery: Marker of Surgical Burden or Independent Predictor of Morbidity?

The American surgeon·2026
See all related articles

Perforated appendicitis rates increased significantly, especially in children and older adults. Early diagnosis and public awareness are crucial to reduce complications and prolonged hospital stays.

Area of Science:

  • Medical Research
  • Surgical Outcomes
  • Public Health

Background:

  • Appendicitis is a common surgical emergency.
  • Perforation represents a severe complication of appendicitis.
  • Historical data indicated varying rates of appendicitis perforation.

Purpose of the Study:

  • To review appendicitis perforation rates over a 5-year period.
  • To identify patient groups at higher risk for perforation.
  • To assess the impact of perforation on diagnostic accuracy and patient outcomes.

Main Methods:

  • Retrospective review of appendicitis cases at Guthrie Medical Center.
  • Analysis of perforation rates in 1984 compared to historical data (1964, 1944).
  • Evaluation of diagnostic accuracy and complication rates in perforated versus non-perforated appendicitis.

Related Experiment Videos

Main Results:

  • A 31% perforation rate was observed in 1984, a significant increase from previous decades.
  • Perforation occurred in 18.3% of 240 appendicitis cases.
  • Highest perforation risks were in children (34.3%) and adults over 50 (48%).
  • Diagnostic accuracy was 81.4% for 295 operated cases.
  • Perforation was linked to poorer diagnostic accuracy, particularly in women during their reproductive years.
  • Complication rates were higher (29.5%) with perforation versus without (8.7%).
  • Perforation extended hospital stay by an average of 2.5 days.

Conclusions:

  • There has been a concerning rise in appendicitis perforation rates.
  • Young children and the elderly are particularly vulnerable to appendicitis perforation.
  • Improved diagnostic accuracy and public/physician awareness are vital to mitigate perforation risks and improve patient outcomes.