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Cirugía y cirujanos

On-line version ISSN 2444-054XPrint version ISSN 0009-7411

Abstract

CATAL, Oguz; OZER, Bahri; SIT, Mustafa  and  ERKOL, Hayri. Is appendectomy a simple surgical procedure?. Cir. cir. [online]. 2021, vol.89, n.3, pp.303-308.  Epub Nov 03, 2021. ISSN 2444-054X.  https://doi.org/10.24875/ciru.20001277.

Objective:

Acute appendicitis is among the most applied surgical procedures around the world. One of the complications of appendectomy is stump appendicitis. The diagnosis of stump appendicitis is usually delayed.

Material and method:

In our study, we compiled cases with stump appendicitis after appendectomy. All cases with open and laparoscopic appendectomy were included in our study.

Results:

Between 2008 and 2020, 5620 appendectomy patients who were operated in the general surgery clinic were examined. Appendectomy was performed in five patients due to stump appendicitis. One of the patients with stump appendicitis presented with symptoms of generalized peritonitis, another with symptoms of ileus, the other with symptoms of incarcerated incision hernia at the McBurney incision, and the other two patients with symptoms of acute appendicitis.

Conclusion:

As it can be understood from our study, although appendectomy is the most common and easily seen surgical procedure in general surgical practice, it is a procedure that increases morbidity as we see in patients with stump appendicitis. Abdominal tomography appears to be the gold standard in diagnosis in stump appendicitis. Surgeons should definitely suspect stump appendicitis in patients whose symptoms have improved, even with open appendectomy scarring.

Keywords : Stump appendicitis; Appendectomy; Inadequate appendectomy; Remnant appendicitis.

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