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Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

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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...
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Appendicitis-II: Diagnostic Studies and Management01:29

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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
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To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
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Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
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Inflammatory Bowel Disease V: Surgical Management01:21

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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:
302

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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Quarantine and Appendicitis: A Macro-Area Experience.

Zampieri Nicola1, Murri Virginia2, Cinquetti Mauro2

  • 1Department of Surgery, Woman and Child Hospital, Dentistry, Paediatrics and Gynecology; Division of Pediatric Surgery, University of Verona, Verona, Italy.

Pediatric Gastroenterology, Hepatology & Nutrition
|January 28, 2021
PubMed
Summary

During the COVID-19 pandemic quarantine, pediatric appendicitis initially decreased but then increased, with more severe cases observed. This highlights the impact of lockdown measures on childhood appendicitis incidence and severity.

Keywords:
AppendicitisPandemicTreatment

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Area of Science:

  • Pediatric Surgery
  • Epidemiology
  • Infectious Disease Epidemiology

Background:

  • Appendicitis is a common surgical emergency in children.
  • The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic led to unprecedented public health interventions, including lockdowns.
  • Understanding the pandemic's impact on non-COVID-19 related pediatric conditions is crucial.

Purpose of the Study:

  • To investigate the association between COVID-19 pandemic quarantine measures and the incidence of pediatric appendicitis.
  • To analyze trends in pediatric appendicitis during different phases of the quarantine period.
  • To evaluate changes in appendicitis severity during the quarantine.

Main Methods:

  • Retrospective analysis of medical records for pediatric patients undergoing surgery for acute appendicitis.
  • Inclusion of patients from March-April 2014 and March-April 2020 for comparison.
  • Division of the 2020 quarantine period into two phases for detailed analysis of appendicitis trends and severity.

Main Results:

  • A total of 155 pediatric patients were included in the study.
  • A decrease in appendicitis incidence was observed during the initial phase of quarantine (Phase 1).
  • A progressive increase in appendicitis incidence was noted during the later phase of quarantine (Phase 2), with a statistically significant rise in severity (gangrenous vs. phlegmonous appendicitis) compared to previous years.

Conclusions:

  • The study observed a reduction in pediatric appendicitis during the initial quarantine period, followed by an increase in Phase 2.
  • Appendicitis severity increased during the quarantine period.
  • These findings provide new insights into disease incidence patterns during public health lockdowns.