Risk factors for periappendiceal adhesions in acute appendicitis: a retrospective comparative study
Abstract Purpose Acute appendicitis usually requires immediate surgical treatment, but appendectomies were difficult for some patients with severe periappendiceal adhesions. We investigated risk factors of intraoperative adhesions to help surgeons make better treatment plans for appendicitis. Method...
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| Format: | Article |
| Language: | English |
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BMC
2022-04-01
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| Series: | BMC Surgery |
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| Online Access: | https://doi.org/10.1186/s12893-022-01579-y |
| _version_ | 1811290468858724352 |
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| author | Shenshuo Gao Xiaobo Guo Leping Li Changqing Jing Yan Ma |
| author_facet | Shenshuo Gao Xiaobo Guo Leping Li Changqing Jing Yan Ma |
| author_sort | Shenshuo Gao |
| collection | DOAJ |
| description | Abstract Purpose Acute appendicitis usually requires immediate surgical treatment, but appendectomies were difficult for some patients with severe periappendiceal adhesions. We investigated risk factors of intraoperative adhesions to help surgeons make better treatment plans for appendicitis. Methods We retrospectively analyzed 186 cases diagnosed with acute appendicitis and underwent surgery in Shandong Provincial Hospital affiliated to Shandong First Medical University between January 2018 and December 2019. According to the degree of intraoperative adhesions, they were divided into mild, moderate and severe groups. Then, we analyzed a number of preoperative factors contributed to adhesions, suppuration and perforation during appendectomy in 186 patients. Results Contrast to the moderate group (MoG) and the mild group (MiG), the severe degree of adhesions group (SG) had a higher intraoperative perforation and suppuration rate, a greater likelihood of conversion to open and more postoperative complications. Multivariable logistic regression analysis showed that recurrent appendicitis and high neutrophil percentage were independently associated with periappendiceal adhesions. The preoperative ultrasonography (US) revealed periappendiceal fluid and high neutrophil percentage were independently associated with appendix suppuration. A high preoperative neutrophil percentage was independently associated with appendix perforation. Conclusions Recurrent appendicitis and preoperative high neutrophil percentage were risk factors of periappendiceal adhesions; preoperative US revealed periappendiceal fluid and high neutrophil percentage were risk factors of appendix suppuration; and a high preoperative neutrophil percentage was a risk factor of appendix perforation. |
| first_indexed | 2024-04-13T04:13:24Z |
| format | Article |
| id | doaj.art-9d3a1ae6408a4fa9a017662150caffe2 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-13T04:13:24Z |
| publishDate | 2022-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-9d3a1ae6408a4fa9a017662150caffe22022-12-22T03:03:03ZengBMCBMC Surgery1471-24822022-04-012211910.1186/s12893-022-01579-yRisk factors for periappendiceal adhesions in acute appendicitis: a retrospective comparative studyShenshuo Gao0Xiaobo Guo1Leping Li2Changqing Jing3Yan Ma4Department of Gastroenterological Surgery, Shandong Provincial Hospital, Cheeloo College of Medicine, Shandong UniversityDepartment of Gastroenterological Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Gastroenterological Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Gastroenterological Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityDepartment of Gastroenterological Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical UniversityAbstract Purpose Acute appendicitis usually requires immediate surgical treatment, but appendectomies were difficult for some patients with severe periappendiceal adhesions. We investigated risk factors of intraoperative adhesions to help surgeons make better treatment plans for appendicitis. Methods We retrospectively analyzed 186 cases diagnosed with acute appendicitis and underwent surgery in Shandong Provincial Hospital affiliated to Shandong First Medical University between January 2018 and December 2019. According to the degree of intraoperative adhesions, they were divided into mild, moderate and severe groups. Then, we analyzed a number of preoperative factors contributed to adhesions, suppuration and perforation during appendectomy in 186 patients. Results Contrast to the moderate group (MoG) and the mild group (MiG), the severe degree of adhesions group (SG) had a higher intraoperative perforation and suppuration rate, a greater likelihood of conversion to open and more postoperative complications. Multivariable logistic regression analysis showed that recurrent appendicitis and high neutrophil percentage were independently associated with periappendiceal adhesions. The preoperative ultrasonography (US) revealed periappendiceal fluid and high neutrophil percentage were independently associated with appendix suppuration. A high preoperative neutrophil percentage was independently associated with appendix perforation. Conclusions Recurrent appendicitis and preoperative high neutrophil percentage were risk factors of periappendiceal adhesions; preoperative US revealed periappendiceal fluid and high neutrophil percentage were risk factors of appendix suppuration; and a high preoperative neutrophil percentage was a risk factor of appendix perforation.https://doi.org/10.1186/s12893-022-01579-yAppendectomyAdhesionsRisk factorsPerforationSuppuration |
| spellingShingle | Shenshuo Gao Xiaobo Guo Leping Li Changqing Jing Yan Ma Risk factors for periappendiceal adhesions in acute appendicitis: a retrospective comparative study BMC Surgery Appendectomy Adhesions Risk factors Perforation Suppuration |
| title | Risk factors for periappendiceal adhesions in acute appendicitis: a retrospective comparative study |
| title_full | Risk factors for periappendiceal adhesions in acute appendicitis: a retrospective comparative study |
| title_fullStr | Risk factors for periappendiceal adhesions in acute appendicitis: a retrospective comparative study |
| title_full_unstemmed | Risk factors for periappendiceal adhesions in acute appendicitis: a retrospective comparative study |
| title_short | Risk factors for periappendiceal adhesions in acute appendicitis: a retrospective comparative study |
| title_sort | risk factors for periappendiceal adhesions in acute appendicitis a retrospective comparative study |
| topic | Appendectomy Adhesions Risk factors Perforation Suppuration |
| url | https://doi.org/10.1186/s12893-022-01579-y |
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