APPENDECTOMY AT THE CONTEMPORARY STAGE (LITERATURE REVIEW)

Vestnik ◽  
2021 ◽  
pp. 198-205
Author(s):  
А.Т. Джумабеков ◽  
А.Т. Бабаханов ◽  
С.М. Жарменов ◽  
Н.У. Ауелов ◽  
А.Д. Серикбаев ◽  
...  

В первую очередь, острый аппендицит (ОА) - клинический диагноз. Согласно проведенному обзору, по всему миру заболеваемость острым аппендицитом составляет около 100 случаев на 100 тыс. населения в год. Острый аппендицит чаще встречается у пациентов от подросткового возраста и до 50 лет. Также определяется незначительное преобладание мужчин над женщинами. В 1894 г. McBurney описал новую по тем временам технику лечения острого аппендицита. Данный метод до сих пор используется, а во многих странах является золотым стандартом при оперативном лечении острого аппендицита. В 1981 году Семмом была произведена первая лапароскопическая аппендэктомия. В настоящее время хирургия с использованием эндовидео технологий приобретает первостепенное значение во многих хирургических учреждениях. Однако, даже с учетом большого количества проведенных операций и клинических исследований, среди хирургов возникает вопрос: является ли лапароскопическая операция оптимальным выбором при аппендэктомии. Цель. Сравнить лапароскопическую аппендектомию с открытой аппендектомией. Материалы и методы. Для поиска и отбора статей использовался принцип PRISMA (Предпочтительный Метод Отчета Для Систематических Обзоров и Метаанализов). В настоящем обзоре были использованы базы данных MedLine, Cochrane, PubMEd. Глубина поиска составила 10 лет, за исключением исторических данных. Все источники изучены без лимитирования по языку. Обзор литературы проводился в электронном и в ручном режимах. Для обзора были отобраны статьи, соответствующие ключевым словам - острый аппендицит, лапароскопическая аппендэктомия, открытая аппендэктомия. Было найдено 389 статьи, в поиск включались систематические обзоры, метаанализы, рандомизированные клинические исследования. Для удаления дубликатов и отбора статей использовался ресурс «https://rayyan.ai/» После отбора статей было выбрано 119 источников, которые были включены в итоговый синтез. Вывод. Лапароскопическая аппендектомия показывает преимущество перед открытой аппендектомией по интенсивности боли в первый день, раневым инфекциям, продолжительности пребывания в больнице и времени до возвращения к нормальной активности у взрослых. В нескольких исследованиях сообщалось о более высоких показателях качества жизни у взрослых. Однако, некоторые клинические эффекты лапароскопической аппендектомии описаны авторами как небольшие и имеющие ограниченное клиническое значение. Необходимы крупные исследования, направленные на снижение уровня систематической ошибки. First of all, acute appendicitis (OA) is a clinical diagnosis. According to the survey, the worldwide incidence of acute appendicitis is about 100 cases per 100 thousand rubles. population per year. Acute appendicitis is more common in patients from adolescence to 50 years of age. There is also a decisive predominance of men over women. In 1894, McBurney described a new technique for the treatment of acute appendicitis. This method is still used, it is used by the gold standard in the surgical treatment of acute appendicitis. In 1981, Semm performed the first laparoscopic appendectomy. Nowadays, surgery using endovideo technology is gaining paramount importance in many surgical institutions. However, even taking into account the large number of operations performed and clinical trials, the question arises among surgeons: is laparoscopic surgery the optimal choice for appendectomy? Target. Compare laparoscopic appendectomy with open appendectomy. Materials and methods. For the search and selection of articles, the PRISMA principle (Preferred Reporting Method for Systematic Reviews and Meta-analyzes) was used. In this review, the databases MedLine, Cochrane, PubMEd were used. Search depth excludes 10 years. All sources have been studied without language limitation. The literature review was carried out in electronic and manual modes. For were selected articles, the relevant keywords - acute appendicitis, laparoscopic appendectomy, open appendectomy. 389 articles were found, systematic reviews, meta-analyzes, randomized clinical trials were included in the search. To remove duplicates and select articles, the resource "https://rayyan.ai/" was used for the selection of articles, 119 sources were selected, which were included in the final synthesis. Output. Laparoscopic appendectomy shows an advantage over open appendectomy in first day pain, wound infections, length of hospital stay, and time to return to normal activity in adults. Several studies have reported higher rates of quality of life in adults. However, some of the authors' approximating effects of laparoscopic vendectomy are small and of limited clinical relevance. Large studies are needed, the error is to lower the systematic level.

2016 ◽  
Vol 19 (3) ◽  
pp. 14
Author(s):  
José Augusto Sedrez-Porto ◽  
Mateus B F Dos Santos ◽  
Tatiana Pereira-Cenci

<p>A literature review was performed including studies that evaluated the use of cleaning protocols for removable dentures through questionnaires, clinical trials, randomized clinical trials, and systematic reviews. Twenty studies were included and the results showed that bad preservation of the prostheses is mainly due to low knowledge about cleaning habits and methods. Also, a wide variety of effective cleaning methods were presented. However, there is no standard protocol for all patients and it should be customized for each patient. It is important to highlight that dentists should give adequate instructions concerning maintenance and hygiene of the prosthesis.</p><p> </p><p><strong>Keywords</strong></p><p>Dental prosthesis; Oral hygiene; Oral health.</p>


2019 ◽  
Vol 72 (8) ◽  
pp. 1559-1565
Author(s):  
Viktor Konoplitskyi ◽  
Ruslan Shavliuk ◽  
Dmytro Dmytriiev ◽  
Kostiantyn Dmytriiev ◽  
Oleksii Kyrychenko ◽  
...  

Data from Web of Science, SCOPUS, Pub Med, Medline, E-library, and other sources was used in writing this article. The main focus was directed towards literature written in English. The selection of literature was based on such concepts as: etiopathogenesis, historical principles of treatment, methods of surgical and non-surgical intervention. Data from metanalysis publications and randomized clinical trials pertaining to the treatment of the pilonidal sinus at various stages of its formation was used, as well.


2019 ◽  
Vol 25 (15) ◽  
pp. 1783-1790 ◽  
Author(s):  
Rosario Pastor ◽  
Josep A. Tur

Background: Several drugs have been currently approved for the treatment of obesity. The pharmacokinetic of liraglutide, as well as the treatment of type 2 diabetes mellitus, have been widely described. Objective: To analyze the published systematic reviews on the use of liraglutide for the treatment of obesity. Methods: Systematic reviews were found out through MEDLINE searches, through EBSCO host and the Cochrane Library based on the following terms: "liraglutide" as major term and using the following Medical Subject Headings (MesH) terms: "obesity", "overweight", "weight loss". A total of 3 systematic reviews were finally included to be analyzed. Results: From the three systematic reviews selected, only two included the randomized clinical trials, while the third study reviewed both randomized and non-randomized clinical trials. Only one review performed statistical tests of heterogeneity and a meta-analysis, combining the results of individual studies. Another review showed the results of individual studies with odds ratio and confidence interval, but a second one just showed the means and confidence intervals. In all studies, weight loss was registered in persons treated with liraglutide in a dose dependent form, reaching a plateau at 3.0 mg dose, which was reached just in men. Most usual adverse events were gastrointestinal. Conclusion: More powerful and prospective studies are needed to assess all aspects related to liraglutide in the overweight and obesity treatment.


2020 ◽  
Vol 10 (1) ◽  
pp. 53-58
Author(s):  
Vyacheslav G. Svarich ◽  
Evgeniy G. Perevozchikov ◽  
Ilya M. Kagantsov

Aim. On the basis of the accumulated clinical material to show the possibility of a ligature-free method of laparoscopic appendectomy in children. Materials and methods. From 2000 to 2019, 2044 children with acute appendicitis were treated in the surgical department of the Republican childrens clinical hospital in Syktyvkar. Of these, 651 patients had an open appendectomy with treatment of the stump of the vermiform process by the submersible method, 1363 children had a laparoscopic appendectomy with ligature treatment of the stump of the process, and 32 patients had their first non-ligature laparoscopic appendectomy with the intersection of the vermiform process with the Ligasure device. Results. On average, surgery for ligature-free laparoscopic appendectomy lasted 7 3 minutes less than for laparoscopic appendectomy using the ligature method for treating the stump of the worm-like process. Experimentally, it was found that this method of appendectomy should not be used when the thickness of the worm-like process is more than 1.5 cm, with pronounced inflammatory infiltration of the caecum dome and perforation at the base of the process. With ligature-free appendectomy, the operation time was reduced. In the period from 1 to 6 months, there were no intra-abdominal postoperative complications associated with the new method of surgery. Conclusion. Ligar-free laparoscopic appendectomy in children using modern high-energy platforms with a digital assessment of the degree of tissue coagulation readiness made it possible to avoid intraoperative and postoperative complications, simplify the technique of its implementation, and reduce the time of surgery.


2020 ◽  
pp. jrheum.200593
Author(s):  
Michael S. Putman ◽  
Alexander Chaitoff ◽  
Joshua D. Niforatos

The growth of systematic reviews and metaanalyses (SRMA) has outpaced the growth of randomized clinical trials (RCT) in many medicine subspecialties1. This may reflect technological advances in SRMA production, fewer barriers to publish, or academic pressure to produce citations2.


2014 ◽  
Vol 80 (10) ◽  
pp. 1074-1077 ◽  
Author(s):  
Hossein Masoomi ◽  
Ninh T. Nguyen ◽  
Matthew O. Dolich ◽  
Steven Mills ◽  
Joseph C. Carmichael ◽  
...  

Laparoscopic appendectomy (LA) is becoming the standard procedure of choice for appendicitis. We aimed to evaluate the frequency and trends of LA for acute appendicitis in the United States and to compare outcomes of LA with open appendectomy (OA). Using the Nationwide Inpatient Sample database, we examined patients who underwent appendectomy for acute appendicitis from 2004 to 2011. A total of 2,593,786 patients underwent appendectomy during this period. Overall, the rate of LA was 60.5 per cent (children: 58.1%; adults: 63%; elderly: 48.7%). LA rate significantly increased from 43.3 per cent in 2004 to 75 per cent in 2011. LA use increased 66 per cent in nonperforated appendicitis versus 100 per cent increase in LA use for perforated appendicitis. The LA rate increased in all age groups. The increased LA use was more significant in male patients (84%) compared with female patients (62%). The overall conversion rate of LA to OA was 6.3 per cent. Compared with OA, LA had a significantly lower complication rate, a lower mortality rate, a shorter mean hospital stay, and lower mean total hospital charges in both nonperforated and perforated appendices. LA has become an established procedure for appendectomy in nonperforated and perforated appendicitis in all rates exceeding OA. Conversion rate is relatively low (6.3%).


2010 ◽  
Vol 40 (2) ◽  
pp. 172-182 ◽  
Author(s):  
D. N. Lathyris ◽  
N. A. Patsopoulos ◽  
G. Salanti ◽  
J. P. A. Ioannidis

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