Subcuticular skin closure as a standard approach to emergency appendectomy in children: prospective clinical trial.


:We evaluated the morbidity associated with primary closure by interrupted subcuticular absorbable sutures following emergency appendectomy. In a prospective clinical trial over a 12-month period, 216 children who underwent emergency appendectomy had skin closure using subcuticular interrupted absorbable polyglactin 4-0 sutures. Preoperative prophylactic antibiotics consisting of metronidazole alone or in combination with gentamicin were used in patients with suspected phlegmonous appendicitis; a combination of metronidazole, gentamicin, and ampicillin was used when perforation of the appendix was suspected. Postoperatively, in patients with phlegmonous appendicitis metronidazole was given for 24 hours, whereas in those with peritonitis the triple antibiotics were continued for 7 to 10 days. All patients were assessed for complications resulting from the technique of wound closure. No intraabdominal abscesses or serious complications were recorded. The overall incidence of wound infection was 1.8%. Among children with a perforated appendix the rate of superficial wound infection was 5.7%. There was no difference in the rate of wound infection between patients who received metronidazole alone or metronidazole plus gentamicin preoperatively. All the patients and their families were satisfied with the cosmetic results and with the fact that removal of skin sutures was unnecessary. We conclude that the use of prophylactic antibiotics permits standard skin closure by interrupted absorbable subcuticular suture.


World J Surg


World journal of surgery


Serour F,Efrati Y,Klin B,Barr J,Gorenstein A,Vinograd I




Has Abstract


1996-01-01 00:00:00












  • Can SAPS II predict operative mortality more accurately than POSSUM and P-POSSUM in patients with colorectal carcinoma undergoing resection?

    abstract:BACKGROUND:This study assessed the APACHE II (Acute Physiology and Chronic Health Evaluation II), SAPS II (Simplified Acute Physiology Score-II), POSSUM (Physiologic and Operative Severity Score for Enumeration of Morbidity and Mortality), and P-POSSUM (Portsmouth-POSSUM) in patients with colorectal cancer undergoing c...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Can MF,Yagci G,Tufan T,Ozturk E,Zeybek N,Cetiner S

    更新日期:2008-04-01 00:00:00

  • Task Shifting: The Use of Laypersons for Acquisition of Vital Signs Data for Clinical Decision Making in the Emergency Room Following Traumatic Injury.

    abstract:IMPORTANCE:In resource-limited settings, identification of successful and sustainable task-shifting interventions is important for improving care. OBJECTIVE:To determine whether the training of lay people to take vital signs as trauma clerks is an effective and sustainable method to increase availability of vital sign...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Haac BE,Gallaher JR,Mabedi C,Geyer AJ,Charles AG

    更新日期:2017-12-01 00:00:00

  • Long-term quality of life after hepatic resection: health is not simply the absence of disease.

    abstract:BACKGROUND:Due to advances in operative methods and perioperative care, mortality and morbidity following major hepatic resection have decreased substantially, making long-term quality of life (QoL) an increasingly prominent issue. We evaluated whether postoperative diagnosis was associated with long-term QoL and healt...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Banz VM,Inderbitzin D,Fankhauser R,Studer P,Candinas D

    更新日期:2009-07-01 00:00:00

  • Tragic knowledge: truth telling and the maintenance of hope in surgery.

    abstract::Surgeons often are faced with the challenge of balancing truth telling and the maintenance of hope in the setting of a poor prognosis. This ethical dilemma is informed by conflicting appeals to principles of autonomy and nonmaleficence, where a patient's right to be told important medical information must be weighed a...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Suri M,McKneally M,Devon K

    更新日期:2014-07-01 00:00:00

  • How do we predict the clinically relevant pancreatic fistula after pancreaticoduodenectomy?--an analysis in 244 consecutive patients.

    abstract:BACKGROUND:The most important problem in pancreatic fistula is whether one can distinguish clinical pancreatic fistula, grade B + C fistula by the International Study Group on Pancreatic Fistula (ISGPF), from transient pancreatic fistula (grade A), in the early period after pancreaticoduodenectomy (PD). It remains uncl...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Kawai M,Tani M,Hirono S,Ina S,Miyazawa M,Yamaue H

    更新日期:2009-12-01 00:00:00

  • Single-Site Robotic Cholecystectomy: The Timeline of Progress.

    abstract:AIM:To investigate the learning curve and perioperative outcomes of single-site robotic cholecystectomy during the first 102 cases by a single surgeon. MATERIALS AND METHODS:A retrospective review of a prospectively maintained database was performed on the first 102 cases of single-site robotic cholecystectomy. Patien...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Bibi S,Rahnemai-Azar AA,Coralic J,Bayoumi M,Khorsand J,Farkas DT,Prasad LM

    更新日期:2015-10-01 00:00:00

  • Trends in the surgical treatment of ulcerative colitis over time: increased mortality and centralization of care.

    abstract:BACKGROUND:New medical therapies available to ulcerative colitis (UC) patients have influenced operative mortality for patients requiring colectomy. We sought to examine trends in treatment and outcome for UC patients treated surgically. METHODS:A review of 36,447 UC patients from the Nationwide Inpatient Sample was p...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Ellis MC,Diggs BS,Vetto JT,Herzig DO

    更新日期:2011-03-01 00:00:00

  • Factors predicting long-term responses to splenectomy in patients with idiopathic thrombocytopenic purpura.

    abstract:BACKGROUND:Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disorder for which appropriate diagnostic treatments are uncertain. The response to splenectomy varies from 60% to 90%, and the remaining patients relapse and require further treatment. Therefore, it is important to predict the outcome of splenectomy...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Ojima H,Kato T,Araki K,Okamura K,Manda R,Hirayama I,Hosouchi Y,Nishida Y,Kuwano H

    更新日期:2006-04-01 00:00:00

  • Small artery reconstruction with a new vascular prosthesis.

    abstract::In the Surgical Department of the University of Erlangen, 307 reconstructions in all areas of the arterial tree were performed with PTFE (GORE-TEX) grafts, of which 188 were performed in the femoral-popliteal and femoral-crural areas. Femoral-popliteal bypass grafts above the knee joint remained patent in 93% of the p...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Raithel D,Groitl H

    更新日期:1980-01-01 00:00:00

  • Overview of randomized clinical trials of total parenteral nutrition for malnourished surgical patients.

    abstract::The past decade has seen a maturation of the art and science of perioperative nutritional support. We now have sufficient data to make informed and reasonable judgments regarding when we should and should not provide perioperative TPN. These judgments can be considered medically sound and fiscally responsible. The fol...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章,随机对照试验,评审


    authors: Buzby GP

    更新日期:1993-03-01 00:00:00

  • Application of formaldehyde for treatment of hemorrhagic radiation-induced proctitis.

    abstract::Radiation-induced proctitis with hemorrhage is not a common complication of radiotherapy to the pelvis for carcinoma. In the most severe forms, massive hemorrhage may necessitate repeated transfusions and inpatient treatment. In severe cases medical treatment has not been proved effective. Surgery may lead to serious ...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Roche B,Chautems R,Marti MC

    更新日期:1996-10-01 00:00:00

  • The relationship between intra-operative manometry and clinical outcome in patients operated on for gastro-esophageal reflux disease.

    abstract::Lower esophageal sphincter pressure has been assessed pre-operatively, intra-operatively,and more than 6 months postoperatively in 34 patients having antireflux surgery for gastro-esophageal reflux disease. The sphincter pressures associated with the outcome in relation to pH measured reflux and the symptoms of recurr...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Jamieson GG,Myers JC

    更新日期:1992-03-01 00:00:00

  • Early gastric cancer: ten years of experience.

    abstract::Gastric cancer is a disease in which the main treatment is surgical extirpation. The modifications introduced in the surgical treatment over the last decades were accompanied by a clear increase of survival, which reaches global values of 61% at 5 years in Japan. One of the reasons that contribute to this improvement ...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Nogueira C,Silva AS,Santos JN,Silva AG,Ferreira J,Matos E,Vilaça H

    更新日期:2002-03-01 00:00:00

  • Carnitine contents in remnant liver, kidney, and skeletal muscle after partial hepatectomy in rats: randomized trial.

    abstract::Carnitine, an important carrier of free fatty acid that is transported into mitochondria for beta-oxidation, was thought to be one of the key factors in the regulation of liver regeneration. If the carnitine content is insufficient in the hepatocyte, it might impair the energy substrate's transport and the energy char...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Lai HS,Chen Y,Chen WJ

    更新日期:1998-01-01 00:00:00

  • Diaphragm myoplasty in the prevention of complications after surgery of hydatid disease of the liver.

    abstract::A variety of techniques have been used for surgical treatment of hepatic hydatid cysts. The objective of this study is to describe the technique of diaphragm myoplasty, and to present our experience in the treatment of selected patients with hydatid disease of the liver by means of this alternative surgical technique....

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Dosios T,Kouraklis G,Karatzas G

    更新日期:2003-02-01 00:00:00

  • Prognosticators of Long-Term Outcomes of TNM Stage II Colorectal Cancer: Molecular Patterns or Clinicopathological Features.

    abstract:BACKGROUND:Patients with stage II colorectal cancer (CRC) have a higher risk of recurrence when they have certain risk factors, including clinical and pathological patterns. However, as the prognostic role of molecular patterns for stage II disease is still unclear, this study aimed to investigate it. METHODS:A total ...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Kuan TC,Chang SC,Lin JK,Lin TC,Yang SH,Jiang JK,Chen WS,Wang HS,Lan YT,Lin CC,Lin HH,Huang SC

    更新日期:2019-12-01 00:00:00

  • Flow disruptions during trauma care.

    abstract:BACKGROUND:Flow disruptions (FDs) are deviations from the progression of care that compromise safety or efficiency. The frequency and specific causes of FDs remain poorly documented in trauma care. We undertook this study to identify and quantify the rate of FDs during various phases of trauma care. METHODS:Seven trai...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Shouhed D,Blocker R,Gangi A,Ley E,Blaha J,Margulies D,Wiegmann DA,Starnes B,Karl C,Karl R,Gewertz BL,Catchpole KR

    更新日期:2014-02-01 00:00:00

  • Introduction of an acute surgical unit: comparison of performance indicators and outcomes for operative management of acute appendicitis.

    abstract:BACKGROUND:The Acute Surgical Unit (ASU) is a recent change in management of acute general surgical patients in hospitals worldwide. In contrast to traditional management of acute surgical presentations by a rotating on-call system, ASUs are shown to deliver improved efficiency and patient outcomes. This study investig...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Lancashire JF,Steele M,Parker D,Puhalla H

    更新日期:2014-08-01 00:00:00

  • Prevalence of Helicobacter pylori seropositivity among patients undergoing bariatric surgery: a preliminary study.

    abstract:BACKGROUND:The objective of this study was to compare the prevalence of Helicobacter pylori (HP) seropositivity in patients undergoing bariatric surgery with that of the general population. METHODS:H. pylori serologies, tested by ELISA, were collected on 240 morbidly obese patients seen at the Cleveland Clinic Florida...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Erim T,Cruz-Correa MR,Szomstein S,Velis E,Rosenthal R

    更新日期:2008-09-01 00:00:00

  • Redifferentiation therapy with retinoids: therapeutic option for advanced follicular and papillary thyroid carcinoma.

    abstract::During the course of tumor progression the differentiated morphologic and functional characteristics of differentiated thyroid carcinomas (DTC) disappear. This corresponds to more aggressive growth, metastatic spread, and loss of iodine uptake. Experimental data give strong evidence that differentiated functions of io...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Simon D,Koehrle J,Reiners C,Boerner AR,Schmutzler C,Mainz K,Goretzki PE,Roeher HD

    更新日期:1998-06-01 00:00:00

  • Recurrent renal hyperparathyroidism and DNA analysis of autografted parathyroid tissue.

    abstract::In spite of recent therapeutic advances, severe overt secondary hyperparathyroidism due to chronic renal failure necessitates parathyroidectomy and recurrent hyperparathyroidism is one of the most significant problems in this patient population. In the present study, the incidence of recurrent hyperparathyroidism was ...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Tominaga Y,Tanaka Y,Sato K,Numano M,Uchida K,Falkmer U,Grimelius L,Johansson H,Takagi H

    更新日期:1992-07-01 00:00:00

  • Ethical and Surgical Dilemmas in Patients with Neglected Surgical Diseases Visiting a Field Hospital in a Zone of Recent Disaster.

    abstract:OBJECT:The massive typhoon Haiyan (Yolanda) ripped across the central Philippines on November 8, 2013, and damaged infrastructure including hospitals. The Israeli Defense Forces field hospital was directed by the Philippine authorities to Bogo City in the northern part of the island of Cebu, to assist the damaged local...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Lin G,Marom T,Dagan D,Merin O

    更新日期:2017-02-01 00:00:00

  • Level of Evidence Analysis for the Latest German National Guideline on Treatment of Patients with Severe and Multiple Injuries and ATLS.

    abstract:PURPOSE:Advanced Trauma Life Support (ATLS®) is one of the world's best-known training programs for medical providers. Revisions of the ATLS manual have been evidence based for a number of years. In 2011, a level 3 (S3) evidence- and consensus-based guideline on the treatment of patients with severe and multiple injuri...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Münzberg M,Mutschler M,Paffrath T,Trentzsch H,Wafaisade A,Walcher F,Raum M,Flohé S,Wölfl C

    更新日期:2015-08-01 00:00:00

  • Insulin-Treated Patients with Diabetes Mellitus Undergoing Emergency Abdominal Surgery Have Worse Outcomes than Patients Treated with Oral Agents.

    abstract:BACKGROUND:Diabetes mellitus (DM) is a known risk factor for worse outcomes after emergency abdominal surgery (EAS). However, it is unclear if the type of diabetes treatment (insulin or oral agents) has any effect on outcomes after EAS. METHODS:Matched cohort study utilizing the ACS NSQIP database. Patients with DM un...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Haltmeier T,Benjamin E,Beale E,Inaba K,Demetriades D

    更新日期:2016-07-01 00:00:00

  • Diagnostic and prognostic value of cell-cycle regulatory genes in malignant thyroid neoplasms.

    abstract:BACKGROUND:Approximately 30% of patients with thyroid nodules have indeterminate or suspicious fine-needle aspiration (FNA) biopsy results. Because their risk of cancer is approximately 20%, these patients undergo thyroidectomy. We hypothesized that genes that regulate cell-cycle progression would be differentially exp...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Kebebew E,Peng M,Reiff E,Duh QY,Clark OH,McMillan A

    更新日期:2006-05-01 00:00:00

  • Should 68Ga-DOTATATE PET/CT be Performed Routinely in Patients with Neuroendocrine Tumors Before Surgical Resection?

    abstract:BACKGROUND:The only potential cure for neuroendocrine tumors (NETs) is operative resection, which may also offer a survival benefit for advanced disease. We aimed to assess the role of 68Ga-DOTATATE PET/CT in preoperative planning and compared its performance to CT with IV contrast and MRI with Eovist®, for abdominal N...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Babazadeh NT,Schlund DJ,Cornelius T,Singh JS,Tierney JF,Chen M,Keutgen XM

    更新日期:2020-02-01 00:00:00

  • Oncological Safety and Technical Feasibility of Nipple-Sparing Mastectomy for Breast Cancer: The Hong Kong Experience.

    abstract:BACKGROUND:Nipple-sparing mastectomy (NSM) has gained widespread popularity in recent years. Nonetheless, patient selection, technical consideration and oncological safety of its extension to breast cancer treatment remain uncertain. Few publications have reviewed the application of NSM in Asian populations. METHODS:W...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Chan YH,Yau WM,Cheung PS

    更新日期:2018-05-01 00:00:00

  • ECLS in Trauma: Practical Application and a Review of Current Status.

    abstract::Extracorporeal life support has evolved considerably over the past two decades. Once considered as salvage or experimental therapy in adults, extracorporeal membrane oxygenation (ECMO) is evolving into a mainstream treatment for adult critical care. This is especially true in trauma and high-risk surgical patients, wh...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Zonies D

    更新日期:2017-05-01 00:00:00

  • Laparoscopic versus open appendectomy: time to decide.

    abstract::Although widely practiced, laparoscopic appendectomy (LA) has not met with universal approval. Several controlled trials have been conducted, some in favor, others not. The goal of this review was to ascertain (1) if laparoscopy was capable of improving the diagnostic and therapeutic difficulties encountered during op...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Fingerhut A,Millat B,Borrie F

    更新日期:1999-08-01 00:00:00

  • Comparison of mechanical bowel obstruction cases of intra-abdominal tumor and non-tumoral origin.

    abstract:INTRODUCTION:Mechanical bowel obstruction cases constitute an important place in emergency health care services. In this study, bowel obstructions caused by intra-abdominal tumors were compared with those without tumoral causes. PATIENTS AND METHODS:A total of 155 cases of mechanical bowel obstruction diagnosed were r...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Akcakaya A,Sahin M,Coskun A,Demiray S

    更新日期:2006-07-01 00:00:00