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June 2022 -
Volume 20, Issue 6


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From the Editor

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The prevalence and outcome of Stenotrophomonas maltophilia bacteraemia over a 5 year period at tertiary care in Saudi Arabia
Ali Amer Al Shehri, Bader Ibrahim Asiri, Khalid Mousa Asiri, Mohammad Abdullah Albakkar, Salmah Muidh Ali Alharbi, Saeed Saad Alqahtani, Sultan Ahmad Alkahtani, Yahya Mohammed Aloosh
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525054

Regional Covid

Acceptance, perception and awareness regarding COVID-19 vaccination among general population in Karachi, Pakistan
Tafazzul Hyder Zaidi, Nadira Hyder Zaidi, Aamer Humayun Ansari, Sobia Memon, Faheem Ahmed, Aleena Waheed, Javeria Abdul Mateen, Amtul Bari, Fatima Tuz Zehra
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525052

Misconceptions and Fears among Primary Health Care Physicians in Aseer Region, Saudi Arabia, regarding COVID-19
Ameen Mohammed Hashem Malky, Khalid M. Almosa
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525066

Review

Granulomatous Gastritis in Crohn's Disease - is it Common or Rare: Review Article
Al Amri Turki Abdullah, Parul Tandon
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525060

Diabetic Ketoacidosis: A Review Article
Hani Raka Karrar, Mahmoud Ismail Nouh, Rehab Salah Aldin Alhendi,
Osama Habib Alsaedi, Amal Hassan Abu Sadah, Nouf Mousa Bahri, Mohammed Ghumays M Alharthi, Omar Aziz Bahlol Aldhafeeri,
Salihah Ali Razqan, Mohammed Yahya Mojammam, Hessa Meteq Albalawi, Mohammed Aljunaid Alamin Alsheikh, Naif Ibrahim Saeed Abusharhah,
Saleh Jabbar Alzahrani, Sara Gafar Ali Seedahmed
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525062

Magnetic resonance cholangiopancreatography in the evaluation of pancreatic and biliary disorders
Shaza Youssef, Thamin Alassaad
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525073

Classification and Diagnosis of Acute Pancreatitis
Thamin Alassaad, Shaza Youssef
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525074

Population and Community Studies

Knowledge, Attitude, and Practice towards Over-the-Counter Drugs (OTC) use among adult population in Jeddah, Saudi Arabia

Fathi El-Gamal, Badr Atia Alsahafi, Ibrahim Alsammak, Emad Darwesh, Raad Albogami, Abdullah Taha
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525056

A Prospective Study Comparing Laparoscopic with Open Appendectomy in Children with Complicated Appendicitis
Younes, Alaa E.
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525063

Physical Activity and Eating Habits Impact on Attentiveness and Academic Achievement Among Health Specialty Students in University of Hail
Khalid Farhan Alshammari, Abdulmohsin Homoud Almalaq, Fadi Sulaiman Alqassim, Khalid Falah Alqahtani
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525064

Assessment of Knowledge and practice of Maturity Onset Diabetes of the Young (MODY) among Primary care physicians in Najran, Saudi Arabia
Mohammed Ayed Huneif
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525065

Primary Healthcare Physicians' Knowledge, Attitude and Practices about Diabetic Foot Prevention and Management in Aseer Region, Saudi Arabia
Hassan Mohammed H. Alqarni, Abdulrahman Mohammed Alshehri,
Shahad Hassan Ali Alhayaza, Ali Al-Mousa
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525079

Knowledge and awareness level about radial head subluxation mechanism among Saudi population living in western region of Saudi Arabia
Enaam M.Junainah, Areej A. Alsufyani, Abdulaziz B. Alghuraibi, Ahmed F.Aljuhani, Raghad M. Alsaqqa, Huda A. Alzahrani
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525082

Clinical Review

Allergy to Salbutamol
Turki Alahmadi
[Abstract]
[pdf]
DOI: 10.5742/MEWFM.2022. 9525086

Middle East Quality Improvement Program
(MEQUIP QI&CPD)


Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE

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Publisher -
Lesley Pocock
medi+WORLD International
AUSTRALIA
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June 2022 - Volume 20, Issue 6

A Prospective Study Comparing Laparoscopic with Open Appendectomy in Children with Complicated Appendicitis

Surgery Department, College of Medicine, Taif University, Saudi Arabia

Correspondence:
Alaa E. Younes
Assistant professor of Surgery
College of Medicine, Taif University, Saudi ArabiaMobile: 00966504347120
Email: dr_alaa111@hotmail.com

Received: April 2022 Accepted: May 2022; Published: June 1, 2022. Citation: Younes, Alaa E. A Prospective Study Comparing Laparoscopic with Open Appendectomy in Children with Complicated Appendicitis. World Family Medicine. 2022; 20(6): 92-98. DOI: 10.5742/MEWFM.2022.9525063

Abstract


Background: Due to the difficulty of performing minimally invasive surgery in a region of distorted anatomy and significant inflammation, the decision to do laparoscopic appendectomy in pediatric patients with complicated appendicitis has been controversial. The main advantages of laparoscopic appendectomy in complicated appendicitis, according to several studies, are wound infection avoidance and shorter hospital stays. The study’s goal is to investigate and compare various clinical outcomes in children with complicated appendicitis who were treated with laparoscopic appendectomy versus those treated with open appendectomy to determine the value of laparoscopic appendectomy in pediatric patients.

Methods: A prospective randomized controlled clinical trial was done at a single center in TAIF, Saudi Arabia. The study included children aged 14 years or less who were diagnosed with complicated appendicitis. All collected preoperative findings, investigations, type of surgery, operative findings and time, postoperative complications, antibiotic course, length of hospital stay, time to start oral intake, and histopathology report were analyzed.

Results: Operative time was significantly longer in the Laparoscopic Appendectomy (LA) group (73.1 min) than in the Open Appendectomy (OA) group (63.4min) (p=0.0344), while the total hospitalization duration was significantly shorter in the LA group (4.51days) in comparison with the OA group (5.94 days) (p=0.0001). In addition, a statistically significant difference was noted in the resumption of oral intake which was significantly faster in the LA vs OA group (2.1 days) vs (3.4 days) (p=0.0001). We observed that patients in the OA group had a higher rate of incidence of surgical site infection (SSI), which is statistically significant (p= 0.0389).

Conclusions: Our study shows that laparoscopic appendectomy in the expert hands for the management of complicated appendicitis in the pediatric population is considered safe and feasible and should be considered a first choice.

Keywords: Children, complicated appendicitis, open appendectomy, Laparoscopic Appendectomy.







 


 

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