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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

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Related Experiment Video

Updated: Jun 13, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Acute appendicitis--open or minimally-invasive approach?

R Moldovanu1, N Vlad, E Târcoveanu

  • 1First Surgical Unit, "St. Spiridon" Hospital, "Gr. T. Popa" University of Medicine and Pharmacy, Iaşi, Romania. moldovar@iasi.mednet.ro

Chirurgia (Bucharest, Romania : 1990)
|April 22, 2010
PubMed
Summary
This summary is machine-generated.

Minimally invasive appendectomy (MIA) is a safe procedure for acute appendicitis, even in patients with comorbidities. While postoperative morbidity and hospital stays were similar between MIA and open approaches (OA), complications trended lower with MIA.

Related Experiment Videos

Last Updated: Jun 13, 2026

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
06:46

Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection

Published on: January 9, 2026

Area of Science:

  • Surgical Innovation
  • Gastrointestinal Surgery
  • Minimally Invasive Procedures

Background:

  • Laparoscopic techniques are standard in many surgeries but not widely adopted for acute appendicitis.
  • Evaluating the efficacy and safety of minimally invasive appendectomy is crucial.

Purpose of the Study:

  • To assess the outcomes of minimally invasive appendectomies compared to open approaches.
  • To analyze differences in morbidity, mortality, and hospital stay.

Main Methods:

  • Retrospective review of patient records for acute appendicitis over one year.
  • Comparison of open approach (OA) versus minimally invasive approach (MIA) groups.
  • Analysis of histopathology-confirmed appendicitis cases.

Main Results:

  • MIA group had a lower Alvarado score and higher proportion of women and comorbidities.
  • Operation times were similar; postoperative mortality was 0.5% and morbidity 12%.
  • Complications were numerically higher in OA, but not statistically significant; hospital stay was similar.

Conclusions:

  • Minimally invasive appendectomy (MIA) is a safe option, suitable for patients with comorbidities.
  • No significant difference in postoperative morbidity or hospital stay between MIA and OA.
  • MIA showed a trend towards fewer postoperative complications compared to OA.