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












  • 30-Day In-hospital Trauma Mortality in Four Urban University Hospitals Using an Indian Trauma Registry.

    abstract:INTRODUCTION:In India, half of the annual 200,000 road traffic deaths occur in hospitals, but the exact in-hospital trauma mortality rate remains unknown. A research consortium of universities, with a mandate to reduce trauma mortality, measured the baseline 30-day in-hospital mortality rate. METHODS:Between September...

    journal_title:World journal of surgery

    pub_type: 杂志文章,多中心研究


    authors: Roy N,Gerdin M,Ghosh S,Gupta A,Kumar V,Khajanchi M,Schneider EB,Gruen R,Tomson G,von Schreeb J

    更新日期:2016-06-01 00:00:00

  • Assessing surgical quality: comparison of general and procedure-specific morbidity estimation models for the risk adjustment of pancreaticoduodenectomy outcomes.

    abstract:INTRODUCTION:The use of outcomes to evaluate surgical quality implies the need for detailed risk adjustment. The physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) is a generally applicable risk adjustment model suitable for pancreatic surgery. A pancreaticoduodenectomy (...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Ansorge C,Lindström P,Strömmer L,Blomberg J,Lundell L,Andrén-Sandberg A,Del Chiaro M,Segersvärd R

    更新日期:2014-09-01 00:00:00

  • Surgical margin status and prognosis of gastrointestinal stromal tumor.

    abstract:BACKGROUND:Surgery is the best treatment for primary GIST and may be curative, but resection extension/completeness impact on the prognosis remains controversial. The authors aim was to evaluate the clinicopathological (CP) parameters and surgical margins status influence on GIST patients' outcome. MATERIALS AND METHO...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Gouveia AM,Pimenta AP,Capelinha AF,de la Cruz D,Silva P,Lopes JM

    更新日期:2008-11-01 00:00:00

  • Current understanding and potential immunotherapy for HIV-associated squamous cell carcinoma of the anus (SCCA).

    abstract::Squamous cell carcinoma of the anus (SCCA) is a rare disease in the average population but is an increasing concern among immunocompromised individuals, such as the HIV-seropositive. Coinfection with human papillomavirus (HPV) in this population is common. HPV infection is difficult to clear with a compromised immune ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Marin-Muller C,Li M,Chen C,Yao Q

    更新日期:2009-04-01 00:00:00

  • Ostomy Usage for Colorectal Trauma in Combat Casualties.

    abstract:INTRODUCTION:The role for diverting ostomy as a method to help reduce morbidity and mortality has been well established in the combat trauma population. However, factors that influence the type of ostomy used and which ostomies become permanent are poorly studied. We examine patterns of ostomy usage and reversal in a l...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Johnston LR,Bradley MJ,Rodriguez CJ,Mcnally MP,Elster EA,Duncan JE

    更新日期:2019-01-01 00:00:00

  • Gunshot injuries in the elderly: patterns and outcomes. A national trauma databank analysis.

    abstract:BACKGROUND:Trauma in the elderly (≥ 55 years) accounts for a significant proportion of admissions to trauma centers. Our understanding of the epidemiology and outcomes associated with penetrating injury in this age segment of the population, however, is severely limited. The aim of the present study therefore was to in...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Lustenberger T,Inaba K,Schnüriger B,Barmparas G,Eberle BM,Lam L,Talving P,Demetriades D

    更新日期:2011-03-01 00:00:00

  • Evaluation of Gastroesophageal Reflux Disease.

    abstract:INTRODUCTION:Gastroesophageal reflux disease (GERD) may present with heartburn, regurgitation, dysphagia, chronic cough, laryngitis, or even asthma. The clinical presentation of GERD is therefore varied and poses certain challenges to the physician, especially given the limitations of the diagnostic testing. DISCUSSIO...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Fisichella PM,Andolfi C,Orthopoulos G

    更新日期:2017-07-01 00:00:00

  • Special variants of differentiated thyroid cancer: does it alter the extent of surgery versus well-differentiated thyroid cancer?

    abstract:INTRODUCTION:Recently, more aggressive variants of so-called well-differentiated thyroid carcinomas have been identified such as the tall cell variant, columnar cell variant, diffuse sclerosing variant, insular carcinoma, and Hürthle cell (oncocytic, oxyphilic) carcinomas. METHODS:An evidence-based review was performe...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Carling T,Ocal IT,Udelsman R

    更新日期:2007-05-01 00:00:00

  • Laparoscopic Liver Surgery Training Course on Thiel-Embalmed Human Cadavers: Program Evaluation, Trainer's Long-Term Feedback and Steps Forward.

    abstract:OBJECTIVES:The purpose of this study was to evaluate the feedback of participants upon laparoscopic liver surgery (LLS) course on Thiel-embalmed human bodies. METHODS:From 2010 to 2017, ten LLS masterclasses have been organized by the Department of Hepatobiliary Surgery at Ghent University Hospital. A 23-question anon...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Rashidian N,Willaert W,Giglio MC,Scuderi V,Tozzi F,Vanlander A,D'Herde K,Alseidi A,Troisi RI

    更新日期:2019-11-01 00:00:00

  • Lymph Node Evaluation in Robot-Assisted Versus Video-Assisted Thoracoscopic Esophagectomy for Esophageal Squamous Cell Carcinoma: A Propensity-Matched Analysis.

    abstract:OBJECTIVE:Radical lymph node dissection (LND) along the bilateral recurrent laryngeal nerve (RLN) is a surgically challenging procedure with a high rate of morbidity. Here, we assessed in a retrospective manner the adequacy of LND along the RLN performed with robot-assisted thoracoscopic esophagectomy (RATE) versus vid...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Chao YK,Hsieh MJ,Liu YH,Liu HP

    更新日期:2018-02-01 00:00:00

  • CD4 Count is Still a Valid Indicator of Outcome in HIV-Infected Patients Undergoing Major Abdominal Surgery in the Era of Highly Active Antiretroviral Therapy.

    abstract:BACKGROUND:Patients with HIV/AIDS on antiretroviral therapy (ART) live longer and now require surgery for indications similar to those described for the general population. They have been previously reported to carry higher mortality and complication rates, especially septic complications. The aim of this study was to ...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Chichom-Mefire A,Azabji-Kenfack M,Atashili J

    更新日期:2015-07-01 00:00:00

  • Gastroschisis and omphalocele.

    abstract::It has been widely acknowledged that exomphalos and gastroschisis are two different clinical entities. Their etiology and pathogenesis, however, remain controversial. Several techniques are available for making a prenatal diagnosis of these as well as many other malformations. Some prenatal treatment is possible, but ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Molenaar JC,Tibboel D

    更新日期:1993-05-01 00:00:00

  • Traumatic aortic injuries associated with major visceral vascular injuries in major blunt trauma patients.

    abstract:BACKGROUND:The objectives of this study were to report the clinical and radiological characteristics and outcomes of a series of acute traumatic aortic injuries (ATAIs) with associated injury to major aortic abdominal visceral branches (MAAVBs). METHODS:From January 2000 to August 2011, 10 consecutive major blunt trau...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Mosquera VX,Marini M,Cao I,Gulías D,Muñiz J,Herrera-Noreña JM,Cuenca JJ

    更新日期:2012-07-01 00:00:00

  • Congenital diaphragmatic hernia: advances in prenatal therapy.

    abstract::Congenital diaphragmatic hernia (CDH) is one of the most common causes of neonatal morbidity and mortality. The clinical spectrum of CDH ranges from minimally affected infants who do well with modern neonatal care to severely affected infants who die despite all interventions. Two decades of research have led to advan...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Sydorak RM,Harrison MR

    更新日期:2003-01-01 00:00:00

  • Feasibility of Catheter Placement Under Ultrasound Guidance for Progressive Preoperative Pneumoperitoneum for Large Incisional Hernia with Loss of Domain.

    abstract:INTRODUCTION:Large incisional hernias with loss of domain (LIHLD) of the abdominal wall remain a therapeutic challenge due to the difficulty of replacing the contents of the hernia sac into the peritoneal cavity. Preoperative progressive pneumoperitoneum (PPP) is a valuable option. The purpose of this study was to eval...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Alyami M,Passot G,Voiglio E,Lundberg PW,Valette PJ,Muller A,Caillot JL

    更新日期:2015-12-01 00:00:00

  • Positive Lymph Nodes in Adrenocortical Carcinoma: What Does It Mean?

    abstract:BACKGROUND:The role of lymphadenectomy in adrenocortical carcinoma resection is controversial. Therefore, we conducted a population-based study to assess the association between positive lymph nodes (LN) and survival. METHODS:The Surveillance, Epidemiology, and End Results set of cancer registries were utilized. The a...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Sada A,Glasgow AE,Lyden ML,Thompson GB,Dy BM,McKenzie TJ,Habermann EB

    更新日期:2021-01-01 00:00:00

  • Survey of emergency and surgical capacity in the conflict-affected regions of Sri Lanka.

    abstract:BACKGROUND:Three decades of internal conflict in the North and East of Sri Lanka have taken a toll on the health care system in that area. METHODS:We proposed to quantify the current status of capacity to deliver emergency, anesthesia, and surgical interventions in the conflict affected areas of Sri Lanka. The World H...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Taira BR,Cherian MN,Yakandawala H,Kesavan R,Samarage SM,DeSilva M

    更新日期:2010-03-01 00:00:00

  • Open mesh repair of incisional hernia using a sublay technique: long-term follow-up.

    abstract:BACKGROUND:Reported results of incisional hernia repair are poor with high recurrence rates unless prosthetic mesh is used. Mesh gives improved results, but certain techniques are associated with a high incidence of infections, fistulas, and seromas. This study reports the results of a consecutive series of incisional ...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Kurzer M,Kark A,Selouk S,Belsham P

    更新日期:2008-01-01 00:00:00

  • Detection of asymptomatic differentiated thyroid carcinoma by neck ultrasonographic screening for familial nonmedullary thyroid carcinoma.

    abstract::Mass screening for the purpose of detecting thyroid cancer at its earliest stage may not be recommended at the present time, but screening focused on certain risk groups is advocated. Familial nonmedullary thyroid carcinoma (FNMTC) is a distinct clinical entity with a high incidence of multifocality and association wi...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Uchino S,Noguchi S,Yamashita H,Murakami T,Watanabe S,Ogawa T,Tsuno A,Shuto S

    更新日期:2004-11-01 00:00:00

  • Acceptance of Ambulatory Laparoscopic Cholecystectomy in Central Switzerland.

    abstract:BACKGROUND:Currently, most patients undergoing laparoscopic cholecystectomy (LC) in Switzerland are inpatients for 2-3 days. Due to a lack of available hospital beds, we asked whether day-case surgery would be an option for patients in central Switzerland. The questions of acceptability of outpatient LC and factors con...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Widjaja SP,Fischer H,Brunner AR,Honigmann P,Metzger J

    更新日期:2017-11-01 00:00:00

  • Postoperative Elevation of the Neutrophil: Lymphocyte Ratio Predicts Complications Following Esophageal Resection.

    abstract:BACKGROUND:Complications following esophagectomy are a significant source of morbidity. The aim of this study was to investigate the utility of the neutrophil:lymphocyte ratio (NLR) in the early identification of complications following esophagectomy, as compared to other routinely available parameters. METHODS:We per...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Vulliamy P,McCluney S,Mukherjee S,Ashby L,Amalesh T

    更新日期:2016-06-01 00:00:00

  • Endocrine pancreas: summary of observations generated by surgical fellows.

    abstract::The present article summarizes scientific observations of the endocrine pancreas anatomy and physiology into a unifying hypothesis. The data were generated over the years by surgical fellows using human and rat isolated perfused pancreas models and in vivo islet microcirculation models. The endocrine pancreas secretes...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审


    authors: Moldovan S,Brunicardi FC

    更新日期:2001-04-01 00:00:00

  • Minimally invasive esophagectomy for cancer: prospective evaluation of laparoscopic gastric mobilization.

    abstract:BACKGROUND:Esophagectomy carries high morbidity, mainly respiratory. Minimally invasive surgery has been demonstrated to improve postoperative outcome in digestive surgery, without impairment of oncological results. A prospective study was conducted to evaluate feasibility, postoperative outcome, and mid-term oncologic...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Godiris-Petit G,Munoz-Bongrand N,Honigman I,Cattan P,Sarfati E

    更新日期:2006-08-01 00:00:00

  • Responding to trust: surgeons' perspective on informed consent.

    abstract:BACKGROUND:Every day thousands of surgeons and patients negotiate their way through the complex process of decision-making about operative treatments. We conducted a series of qualitative studies, asking patients and surgeons to describe their experience and beliefs about informed decision-making and consent. This stud...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: McKneally MF,Martin DK,Ignagni E,D'Cruz J

    更新日期:2009-07-01 00:00:00

  • Observational assessment of surgical teamwork: a feasibility study.

    abstract:BACKGROUND:Teamwork is fundamental to effective surgery, yet there are currently no measures of teamwork to guide training, evaluate team interventions or assess the impact of teamwork on outcomes. We report the first steps in the development of an observational assessment of teamwork and preliminary findings. METHOD:...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Undre S,Healey AN,Darzi A,Vincent CA

    更新日期:2006-10-01 00:00:00

  • Close correlation between increased sialyl-Lewisx expression and metastasis in human gastric carcinoma.

    abstract::Expression of sialyl-Lewisx (sLex) antigen was studied immunohistochemically in 110 resected human gastric carcinomas using an anti-sLex monoclonal antibody. Lymph node, liver, and peritoneal metastases were clearly more prevalent in tumors expressing high levels of sLex than in those with no or low-level sLex express...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章


    authors: Ura H,Denno R,Hirata K,Yamaguchi K,Yasoshima T,Shishido T

    更新日期:1997-09-01 00:00:00

  • Evaluation of Patient Satisfaction, Impact and Disability-Free Survival After a Surgical Mission in Madagascar: A Pilot Survey.

    abstract:BACKGROUND:Billions of people worldwide lack access to safe affordable surgery. Surgical missions and non-governmental organisations (NGO) are vital in meeting this need, but long-term outcomes are rarely reported. Mercy Ships is a surgical NGO, and we aimed to measure disability-free survival, impact and patient satis...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: White M,Alcorn D,Randall K,Duncan S,Klassen H,Shrime M

    更新日期:2017-02-01 00:00:00

  • Evaluation of intraoperative recurrent nerve monitoring in thyroid surgery.

    abstract::Surgical exposure of the recurrent laryngeal nerve decreases the incidence of nerve injuries during thyroid surgery. Intraoperative neuromonitoring was introduced to facilitate identification and protection of the recurrent laryngeal nerve. Between February 1996 and June 2002 a total of 288 patients underwent thyroid ...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Beldi G,Kinsbergen T,Schlumpf R

    更新日期:2004-06-01 00:00:00

  • Anastomotic Recurrence After Curative Resection for Colorectal Cancer.

    abstract:BACKGROUND:A precise understanding of anastomotic recurrence (AR) permits efficient surveillance and treatment strategies. This study aimed to evaluate the clinicopathologic characteristics of patients with AR undergoing curative resection for colorectal cancer (CRC), compare colonic with rectal tumors and investigate ...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Jung WB,Yu CS,Lim SB,Park IJ,Yoon YS,Kim JC

    更新日期:2017-01-01 00:00:00

  • Therapeutic splenectomy in immune thrombocytopenic purpura.

    abstract::The effects of splenectomy in 41 patients managed from 1982 to 1995 at Sher-i-Kashmir Institute of Medical Sciences, Srinagar (Jammu and Kashmir), India, were studied. Immune thrombocytopenic purpura (ITP) was the main indication for therapeutic splenectomy among all the hematologic disorders. The mean age was 30 year...

    journal_title:World journal of surgery

    pub_type: 杂志文章


    authors: Wani NA,Parray FQ

    更新日期:2000-01-01 00:00:00