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Peroperative mechanical manipulation of the appendix. A cause of periappendicitis?
J Sandermann1, A Glenthøj, K K Nielsen
1Department of Surgical Gastroenterology, University of Copenhagen, Herlev, Denmark.
Annales Chirurgiae Et Gynaecologiae
|January 1, 1989
Abstract:
Seventeen appendices were randomized to either peroperative digital manipulation before removal or atraumatic removal. The manipulated appendices revealed microscopic changes similar to periappendicitis.
Insights
Digital manipulation of appendices before removal caused microscopic changes resembling periappendicitis. This study investigated the effects of intraoperative handling on appendiceal tissue.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Appendectomy is a common surgical procedure.
- Understanding the effects of surgical technique on appendiceal tissue is crucial for accurate diagnosis and patient outcomes.
Purpose of the Study:
- To investigate the histological impact of peroperative digital manipulation on the appendix.
- To compare the effects of digital manipulation versus atraumatic removal on appendiceal tissue.
Main Methods:
- Seventeen appendices were randomized into two groups: peroperative digital manipulation or atraumatic removal.
- Histological examination of the removed appendices was performed.
Main Results:
- Appendices subjected to digital manipulation exhibited microscopic changes.
- These changes were histologically similar to those observed in periappendicitis.
Conclusions:
- Peroperative digital manipulation of the appendix can induce microscopic changes.
- These iatrogenic changes may mimic inflammatory conditions like periappendicitis, potentially affecting diagnostic accuracy.