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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:
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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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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.
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Updated: Sep 19, 2025

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Towards ambulatorization of appendectomy: Lessons learned during the pandemic.

Rebeca González Peredo1, Víctor Jacinto Ovejero Gómez2, Patrizio Petrone3

  • 1Servicio de Urgencias, Hospital Sierrallana, Torrelavega, Cantabria, Spain.

Cirugia Espanola
|June 7, 2025
PubMed
Summary

The COVID-19 lockdown did not negatively impact appendicitis outcomes, reducing hospital stays and paving the way for outpatient treatment of acute appendicitis.

Keywords:
Ambulatory surgeryApendicitisAppendicitisCOVID-19CirugíaCirugía mayor ambulatoriaConfinamientoEmergenciaEmergencyLockdownSurgery

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Area of Science:

  • Surgery
  • Public Health
  • Epidemiology

Background:

  • Acute appendicitis is a common surgical emergency globally.
  • The COVID-19 pandemic prompted investigations into its impact on appendicitis diagnosis, treatment, and management, including outpatient care.
  • This study examines appendicitis cases during the COVID-19 State of Emergency (SOE).

Purpose of the Study:

  • To characterize acute appendicitis cases treated during the COVID-19 SOE.
  • To evaluate the feasibility of incorporating appendicitis treatment into ambulatory surgery programs.
  • To assess the influence of the COVID-19 lockdown on appendicitis management and outcomes.

Main Methods:

  • Retrospective observational study of patients with appendix diseases (K35-K38) at public hospitals.
  • Collection and analysis of sociodemographic and clinical data.
  • Multivariate analysis to determine the influence of the lockdown on key variables.

Main Results:

  • 201 patients were analyzed; 78 during SOE and 123 pre-SOE.
  • Increased risk of complicated appendicitis with age (OR 1.015, p=0.000).
  • Longer surgery time significantly increased postsurgical complication risk (OR 7.265, p=0.000).
  • Hospital stay length significantly decreased during lockdown (p=0.017).

Conclusions:

  • The COVID-19 lockdown did not adversely affect morbidity or mortality for complicated acute appendicitis.
  • Reduced hospital stays during lockdown support the potential for outpatient appendicitis treatment.
  • Findings suggest that appendicitis management can be adapted for ambulatory surgery settings.