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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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
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...
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Appendicitis-I: Introduction01:22

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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...
994

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The decrease of non-complicated acute appendicitis and the negative appendectomy rate during pandemic.

Marco Ceresoli1, Federico Coccolini2, Stefano Magnone3

  • 1General and Emergency Surgery Dept, School of Medicine and Surgery, Milano-Bicocca University, Via Pergolesi 33, 20900, Monza, Italy. marco.ceresoli89@gmail.com.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|April 12, 2021
PubMed
Summary
This summary is machine-generated.

During the pandemic lockdown, hospital admissions for acute appendicitis decreased significantly, particularly for non-complicated cases. However, the rate of complicated appendicitis and non-operative treatment remained unchanged, with a notable decrease in negative appendectomy rates.

Keywords:
Acute appendicitisCOVID-19Non-complicated acute appendicitis

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Area of Science:

  • General Surgery
  • Epidemiology
  • Public Health

Background:

  • The COVID-19 pandemic led to a significant decrease in admissions for surgical emergencies.
  • Acute appendicitis, a common surgical condition, also saw a reduction in patient volumes during this period.
  • Understanding these changes is crucial for healthcare planning and resource allocation.

Purpose of the Study:

  • To evaluate the impact of the pandemic lockdown on the volume and clinical presentation of acute appendicitis cases.
  • To analyze variations in treatment strategies for acute appendicitis during the pandemic.
  • To compare appendicitis cases during the lockdown with pre-pandemic periods.

Main Methods:

  • A retrospective study was conducted across 11 Italian hospitals.
  • Data from the lockdown period (March-April 2020) were compared to the same period in 2018-2019.
  • Key metrics included admission rates, complication rates, treatment types (operative vs. non-operative), and negative appendectomy rates.

Main Results:

  • Hospital admissions for acute appendicitis dropped by 46% during the 2020 lockdown.
  • A significant decrease was observed in non-complicated acute appendicitis cases (-56%).
  • Complicated acute appendicitis rates did not change significantly, and the negative appendectomy rate decreased from 17.3% to 6.1%.

Conclusions:

  • The pandemic lockdown significantly reduced admissions for non-complicated acute appendicitis.
  • The rate of complicated appendicitis remained stable, suggesting a potential delay in seeking care for less severe cases.
  • A significant reduction in negative appendectomy rates was observed during the pandemic period.