Welcome to the Acute Appendicitis Module

This ALL-SAFE module will allow surgeons to become confident and competent in the laparoscopic management of acute appendicitis.

Why Acute Appendicitis?

Acute appendicitis is one of the most common causes of acute abdomen and indications for emergency general surgery worldwide. [1] [2] [3] The surgical treatment involves performance of an appendectomy, which can be performed “open” through a right lower quadrant incision or laparoscopically.  For standard cases of acute appendicitis, laparoscopic appendectomy is superior to open appendectomy and is associated with a lower wound infection rate, decreased need for post-operative analgesia, and a faster return to activity. [4] These general benefits of laparoscopy would be amplified in the low-resource setting where advances in infection rates, length of stay, and convalescence would have meaningful benefits on regional, national, and global health outcomes as well as economics and healthcare utilization.  A laparoscopic appendectomy is also an operation which encompasses many basic laparoscopic skills such as retraction, dissection, bowel handling, and suture ligature that can be applied broadly to other laparoscopic operations.

References

  1. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in the United States. Am J Epidemiol. 1990 Nov;132(5):910 doi: 10.1093/oxfordjournals.aje.a115734. PMID: 2239906.
  2. Kong VY, Sartorius B, Clarke DL. Acute appendicitis in the developing world is a morbid disease. Ann R Coll Surg Engl. 2015 Jul;97(5):390-5. doi: 10.1308/003588415X14181254790608. PMID: 26264094; PMCID: PMC5096553.
  3. Oguntola AS, Adeoti ML, Oyemolade TA. Appendicitis: Trends in incidence, age, sex, and seasonal variations in South-Western Nigeria. Ann Afr Med. 2010 Oct-Dec;9(4):213-7. doi: 10.4103/1596-3519.70956. PMID: 20935419.
  4. Li X, Zhang J, Sang L, Zhang W, Chu Z, Li X, Liu Y. Laparoscopic versus conventional appendectomy--a meta-analysis of randomized controlled trials. BMC Gastroenterol. 2010 Nov 3;10:129. doi: 10.1186/1471-230X-10-129. PMID: 21047410.


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