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Related Concept Videos

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-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...
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...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Assessment of the Abdomen III: Palpation01:23

Assessment of the Abdomen III: Palpation

Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...

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Updated: May 12, 2026

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
08:51

Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch

Published on: August 24, 2019

[Laparoscopic evaluation of the appendix].

Jenneke T H Hamminga1, H Sijbrand Hofker, Jan Willem Haveman

  • 1UMCG, afd. Abdominale Chirurgie, Groningen, the Netherlands. j.w.haveman@umcg.nl

Nederlands Tijdschrift Voor Geneeskunde
|April 4, 2013
PubMed
Summary
This summary is machine-generated.

Reducing negative appendectomies is crucial. The laparoscopic appendicitis score (LAPP) may improve diagnostic accuracy, decreasing unnecessary surgeries and associated patient harm.

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Area of Science:

  • Gastroenterology
  • Surgical Innovation

Background:

  • Annually, 16,000 appendectomies are performed in the Netherlands, with a persistent 16% negative appendectomy rate and 5% morbidity.
  • Current Dutch guidelines advise against removing normal appendices, yet clear laparoscopic criteria for appendicitis are absent.

Purpose of the Study:

  • To evaluate the potential of the laparoscopic appendicitis score (LAPP) to reduce negative appendectomies.
  • To highlight the need for standardized laparoscopic criteria for diagnosing appendicitis.

Main Methods:

  • Retrospective analysis of negative appendectomy cases.
  • Online survey of Dutch surgeons regarding laparoscopic appendicitis diagnosis.

Main Results:

  • In 51% of negative appendectomies, surgeons were confident of appendicitis preoperatively.
  • 78% of surveyed surgeons expressed willingness to adopt reproducible laparoscopic criteria for appendicitis diagnosis.

Conclusions:

  • Laparoscopic assessment of the appendix presents challenges.
  • Implementing the LAPP score could decrease negative appendectomies and associated morbidity.
  • Increased surgeon awareness of negative appendectomy complications is warranted.