Consensus Statement of the Italian Polispecialistic Society of Young Surgeons (SPIGC): Diagnosis and Treatment of Acute Appendicitis.
Eleonora GuaitoliGaetano GalloEleonora CardoneLuigi ContiSimone FamularoGiampaolo FormisanoFederica GalliGiuseppe GiulianiAntonio MartinoAlessandro PasculliRomeo PatiniDomenico SorieroVincenzo PappalardoGianmaria Casoni PattaciniMarco SparavignaRoberto MeniconiAndrea MazzariFabio BarraElena OrsenigoDavide PertilePublished in: Journal of investigative surgery : the official journal of the Academy of Surgical Research (2020)
Fever and migratory pain tend to be present in patients with suspicion of AA. Laboratory and radiological examinations are commonly employed in the clinical practice, but today also scoring systems based on clinical signs and laboratory data have slowly been adopted for diagnostic purpose. The clinical presentation of AA in children, pregnant and elderly patients can be unusual, leading to more difficult and delayed diagnosis. Surgery is the best option in case of complicated AA, whereas it is not mandatory in case of uncomplicated AA. Laparoscopic surgical treatment is feasible and recommended. Postoperative antibiotic treatment is recommended only in patients with complicated AA.
Keyphrases
- clinical practice
- minimally invasive
- chronic pain
- young adults
- patients undergoing
- neuropathic pain
- pain management
- coronary artery bypass
- quality improvement
- spinal cord
- coronary artery disease
- spinal cord injury
- acute coronary syndrome
- percutaneous coronary intervention
- surgical site infection
- atrial fibrillation