1
|
Seifarth FG, Barry JN, Forse CL, Plesec TP, Worley S, Mahajan L. Appendiceal Follicular Hyperplasia: A Possible Indicator for Chronic Appendicitis in Children. J Laparoendosc Adv Surg Tech A 2023; 33:1005-1010. [PMID: 37327364 DOI: 10.1089/lap.2023.0026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/18/2023] Open
Affiliation(s)
- Federico G Seifarth
- Division of Pediatric Surgery, WVU Medicine Children's Hospital, Morgantown, West Virginia, USA
| | - Jessica N Barry
- Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic Children's Hospital, Cleveland, Ohio, USA
| | - Catherine L Forse
- Department of Pathology and Laboratory Medicine, The Ottawa Hospital, University of Ottawa, Ottawa, California, USA
| | - Thomas P Plesec
- Department of Anatomic Pathology, Cleveland Clinic Foundation, Cleveland, Ohio, USA
| | - Sarah Worley
- Department of Quantitative Health Sciences, Cleveland Clinic Foundation, Cleveland, Ohio, USA
| | - Lori Mahajan
- Department of Gastroenterology, Hepatology, and Nutrition, Cleveland Clinic Children's Hospital, Cleveland, Ohio, USA
| |
Collapse
|
2
|
Pardy C, Rajwani K, Lahiri R, Mahomed A. Laparoscopic Appendectomy for Chronic Right Iliac Fossa Pain: Correlating Histology with Outcome. J Laparoendosc Adv Surg Tech A 2016; 26:314-7. [PMID: 26849395 DOI: 10.1089/lap.2015.0431] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Chronic right iliac fossa (CRIF) pain in children is associated with repeated hospital attendance, inconclusive investigations, and missed school days. There is increasing evidence for the role of laparoscopic appendectomy for the management of CRIF pain. However, currently there is no substantial evidence to correlate histological changes identified in the appendixes removed with resolution of pain. METHOD This study collected prospective data for a single surgeon's series of laparoscopic appendectomy performed for CRIF pain between 2003 and 2014. RESULTS Forty patients with a median age of 13 years (range 5-19 years) underwent laparoscopic appendectomy for CRIF pain. Twenty-nine patients (73%) had macroscopically normal appendixes, but histological changes were identified in 28 patients (70%). Other findings at laparoscopy included gynecological pathology (ovarian/para-ovarian cysts), unfixed mobile caecum, and a well-defined peritoneal band extending from the caecum to the anterolateral abdominal wall (caeco-peritoneal band). Patients were followed up for a median of 2 months (range 1-15 months). All patients reported resolution of CRIF pain. DISCUSSION Laparoscopic appendectomy appears to be an effective treatment for CRIF pain, while also providing the opportunity to diagnose and treat potential sources of CRIF pain other than the appendix. Consistent with the literature, a small number of patients appear to have resolution of pain, despite no histological change being identified in the appendix removed and no other pathology having been identified. The same histological changes commonly seen have also been demonstrated in appendixes removed incidentally. Caution therefore should be applied when interpreting the significance of histological changes seen.
Collapse
Affiliation(s)
- Caroline Pardy
- 1 Department of Paediatric Surgery, Royal Alexandra Children's Hospital , Brighton, United Kingdom
| | - Kapil Rajwani
- 1 Department of Paediatric Surgery, Royal Alexandra Children's Hospital , Brighton, United Kingdom
| | - Rajiv Lahiri
- 1 Department of Paediatric Surgery, Royal Alexandra Children's Hospital , Brighton, United Kingdom
| | - Anies Mahomed
- 2 Department of Pediatric Surgery, King Faisal Specialist Hospital and Research Center , Jeddah, Saudi Arabia
| |
Collapse
|
3
|
Velhote MCP, Tannuri U, Andrade WDC, Maksoud Filho JG, Apezzato MLDP, Tannuri ACA. [Videosurgery in infancy and childhood: state of the art. Experience with 1408 procedures in the Instituto da Criança "Pedro de Alcântara"]. Rev Col Bras Cir 2012; 39:425-35. [PMID: 23174797 DOI: 10.1590/s0100-69912012000500016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2012] [Accepted: 07/27/2012] [Indexed: 11/22/2022] Open
Abstract
The videosurgery in Pediatric Surgery has a large field of applications unfortunately still underexplored. There are few services that routinely use this techinic , and Brazilian articles published are scarce. The Institute of Children's Hospital of the Faculty of Medicine, University of São Paulo, has been using for fifteen years the videosurgery which is now the first choice of treatment, among other diseases as gastroesophageal reflux, the cholecystolithiasis, the nonpalpable undescended testicles and megaesophagus. In this article we report our experience in laparoscopic pediatric surgery, acquired with 1408 surgical procedures, to present this useful method, and beneficial to a large number of situations and still underused in Pediatric Surgery.
Collapse
|
4
|
Chichom Mefire A, Tchounzou R, Kuwong PM, Atangana JPA, Lysinge AC, Malonga EE. Clinical, Ultrasonographic, and Pathologic Characteristics of Patients with Chronic Right-lower-quadrant Abdominal Pain that May Benefit from Appendectomy. World J Surg 2011; 35:723-30. [PMID: 21301834 DOI: 10.1007/s00268-011-0980-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
5
|
Abstract
OBJECTIVES The aim of the study was to identify prognostic factors for the persistence of chronic abdominal pain (CAP) in children. MATERIALS AND METHODS For this systematic review, MEDLINE, EMBASE, and PsycINFO were searched up to June 2008 for prospective follow-up studies of pediatric CAP as defined by the criteria of Apley, von Baeyer, or the Rome committee. The outcome measure of interest was persistence of CAP. Persistent CAP was considered only when the abdominal pain of children with CAP persisted during follow-up at the same level of frequency and severity. For each study the risk for bias was assessed. The evidence for prognostic factors was summarized according to a best-evidence synthesis. RESULTS Eight studies, which examined 17 prognostic factors, were included. Moderate evidence was found that having a parent with gastrointestinal symptoms predicts the persistence of CAP. Strong evidence was found for no association between female sex and the duration of CAP, and moderate evidence that the severity of abdominal pain does not predict persistence of CAP. There is conflicting evidence as to whether psychological factors prevent, or have no relation with, persistence of CAP. CONCLUSIONS Because there are few prognostic follow-up studies on pediatric CAP, the evidence for prognostic factors is limited. Physicians should ask about parental gastrointestinal problems because this is a risk factor for persistence of CAP in children. The hypothesis that psychological factors of the child predict persistence of CAP is not supported by evidence from the follow-up studies.
Collapse
|
6
|
Galili O, Shaoul R, Mogilner J. Treatment of Chronic Recurrent Abdominal Pain: Laparoscopy or Hypnosis? J Laparoendosc Adv Surg Tech A 2009; 19:93-6. [PMID: 19196096 DOI: 10.1089/lap.2008.0059] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Offer Galili
- Department of General Surgery, Bnei-Zion Medical Center, Haifa, Israel
- Department of Pediatrics, Bnei-Zion Medical Center, Haifa, Israel
| | - Ron Shaoul
- Department of Pediatrics, Bnei-Zion Medical Center, Haifa, Israel
| | - Jorge Mogilner
- Department of Pediatric Surgery, Bnei-Zion Medical Center, Haifa, Israel
| |
Collapse
|
7
|
Hwang JB, Jeong SH. Practical Diagnostic Approaches to Chronic Abdominal Pain in Children and Adolescents. JOURNAL OF THE KOREAN MEDICAL ASSOCIATION 2009. [DOI: 10.5124/jkma.2009.52.3.271] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Jin-Bok Hwang
- Department of Pediatrics, Keimyung University School of Medicine, Korea.
| | - Sung Hoon Jeong
- Department of Pychiatry, Kyungpook National University School of Medicine, Korea.
| |
Collapse
|
8
|
Joshi AV, Sanghvi BV, Shah HS, Parelkar SV. Laparoscopy in Management of Abdominal Pain in Children. J Laparoendosc Adv Surg Tech A 2008; 18:763-5. [DOI: 10.1089/lap.2007.0230] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Avinash V. Joshi
- Department of Pediatric Surgery, The Children's Hospital at Westmead, Sydney, Australia
| | - Beejel V. Sanghvi
- Department of Pediatric Surgery, The Children's Hospital at Westmead, Sydney, Australia
| | - Hemanshi S. Shah
- Department of Pediatric Surgery, The Children's Hospital at Westmead, Sydney, Australia
| | - Sandesh V. Parelkar
- Department of Pediatric Surgery, The Children's Hospital at Westmead, Sydney, Australia
| |
Collapse
|
9
|
Zampieri N, Zamboni C, Corroppolo M, Pietrobelli A, Camoglio FS. Recurrent abdominal pain in young pre-menarchal female: clinical and surgical observations. Pediatr Surg Int 2008; 24:277-81. [PMID: 18026737 DOI: 10.1007/s00383-007-2063-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/17/2007] [Indexed: 11/27/2022]
Abstract
The purpose of this study is to determine the role of surgical intervention in pre-menarchal patients with recurrent abdominal pain. Seventy-six pre-menarchal females aged 9-12 were examined for recurrent abdominal pain; during clinical observation blood tests were within normal values and abdominal and pelvic US showed no surgical or gynaecological problems. After laparoscopic appendectomy the patients' clinical-surgical findings were related to their age, relief of symptoms and histopathological findings. A total of 71% of patients showed positive surgical findings; 55.5% of these showed variations in the position of the appendix with mild inflammation and reactive pericaecal lymph nodes, 7.5% had a macroscopic inflammation with adhesions and 37% had a mild inflammation. Twenty-nine percent of patients had a normal appendix without adhesions, inflammations or infections. Histopathological examination showed a pathologic appendix in 60 cases (79%). Six months after surgery abdominal pain persisted in 18 patients out of 76 (23%). There is a statistically significant relationship between recurrent abdominal pain, surgical observation and relief of symptoms (P < 0.05). We believe that patients affected by recurrent abdominal pain need to be closely and simultaneously monitored. For this reason, laparoscopy should be considered and used with those patients suffering from frequent abdominal pain and discomfort.
Collapse
Affiliation(s)
- Nicola Zampieri
- Department of Surgical Sciences, Pediatric Surgical Unit, University of Verona, Policlinico GBRossi, piazzale Scuro n. 1-Verona, 37134 Verona, Italy.
| | | | | | | | | |
Collapse
|
10
|
Abstract
PURPOSE OF REVIEW Children with abdominal pain sometimes require surgical intervention, and laparoscopy is increasingly the preferred approach for the diagnosis and treatment of both acute and chronic abdominal pain in children. This review describes the current state of the art and recent developments in the application of minimally invasive surgical techniques for the treatment of children with various abdominal pain syndromes. RECENT FINDINGS Laparoscopy provides distinct advantages over traditional open surgery, including less pain, shorter recovery and improved cosmesis. Cumulative experience and ongoing outcomes research continue to substantiate the safety and efficacy of the approach when applied thoughtfully and by experienced practitioners. In fact, as minimally invasive surgery is being applied to treat more wide-ranging disorders, it is becoming apparent that for many conditions laparoscopy should be adopted as the standard of care. SUMMARY Recent advances in minimally invasive surgery have clearly benefited children with abdominal pain who need surgery, and as techniques improve and instruments get smaller we can expect this trend to continue into the future.
Collapse
Affiliation(s)
- Peter Mattei
- Department of Surgery, University of Pennsylvania School of Medicine, and Pediatric General, Thoracic and Fetal Surgery, The Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA.
| |
Collapse
|
11
|
Endoskopie im Kindesalter. Monatsschr Kinderheilkd 2007. [DOI: 10.1007/s00112-007-1492-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|