Unplanned redo surgeries after appendectomy characterizing the quality of acute appendicitis management

Matveev I.A.; Popov I.B.; Baradulin A.A.; Dmitriev A.V.; Lipovoy S.V.; Matveev A.I.; Matreninskikh A.O.

doi:https://doi.org/10.17116/hirurgia202505129

Matveev I.A.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0000-0003-1312-1971

Popov I.B.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0004-8804-2279

Baradulin A.A.

Regional Clinical Hospital No. 1

ORCID: 0000-0002-9327-0223

Dmitriev A.V.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0007-5979-4895

Lipovoy S.V.

Regional Clinical Hospital No. 1

ORCID: 0009-0009-8989-1826

Matveev A.I.

Regional Clinical Hospital No. 1

ORCID: 0000-0001-9213-4556

Matreninskikh A.O.

Tyumen State Medical University

ORCID: 0009-0008-9956-0599

Unplanned redo surgeries after appendectomy characterizing the quality of acute appendicitis management

Authors:

Matveev I.A., Popov I.B., Baradulin A.A., Dmitriev A.V., Lipovoy S.V., Matveev A.I., Matreninskikh A.O.

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Journal: Pirogov Russian Journal of Surgery. 2025;(5): 29‑35

DOI: 10.17116/hirurgia202505129

Read: 1182 times

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To cite this article:

Matveev IA, Popov IB, Baradulin AA, Dmitriev AV, Lipovoy SV, Matveev AI, Matreninskikh AO. Unplanned redo surgeries after appendectomy characterizing the quality of acute appendicitis management. Pirogov Russian Journal of Surgery. 2025;(5):29‑35. (In Russ.)
https://doi.org/10.17116/hirurgia202505129

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

OBJECTIVE

To study the effect of appendectomy technique on the incidence, causes and features of redo surgeries after appendectomy.

MATERIAL AND METHODS

Appendectomies were performed in 1114 patients. Repeated interventions were necessary in 19 (1.4%) people (10 (2.0%) patients after laparoscopic appendectomy and 9 (1.5%) patients after open surgery). Structure, surgical features and results are estimated.

RESULTS

There were 505 (45.3%) laparoscopic and 609 (54.7%) open appendectomies. Repeated interventions were performed in 10 (0.9%) and 9 (1.5%) cases, respectively. The causes of repeated surgeries were abdominal infectious complications in 7 (0.6%) cases, intra-abdominal bleeding in 5 people (0.4%), abdominal wall infection in 3 (0.3%) cases, eventeration in 4 (0.35%) cases, undiagnosed intestinal obstruction during index surgery in 1 patient (0.1%) and severe abdominal pain in 1 patient (0.1%). There were complications Clavien-Dindo grade IIIA—IIIB. There were no fatal outcomes. In 2023—2024, 286 laparoscopic appendectomies were performed including 2 (0.69%) repeated interventions. The number of laparoscopic interventions throughout this period exceeded the number of open appendectomies by 2.4 times and amounted to 81.7% of all appendectomies. Repeated interventions after traditional appendectomy were performed in 2 patients (3.1%).

CONCLUSION

Predominant laparoscopic appendectomies in recent years improved the quality of care for patients with acute appendicitis regarding redo surgeries. Acceptable incidence of repeated interventions indicates sufficient institutional experience in the treatment of acute appendicitis.

Keywords:

acute appendicitis

open and laparoscopic appendectomy

repeated interventions

Authors:

Matveev I.A.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0000-0003-1312-1971

Popov I.B.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0004-8804-2279

Baradulin A.A.

Regional Clinical Hospital No. 1

ORCID: 0000-0002-9327-0223

Dmitriev A.V.

Tyumen State Medical University;
Regional Clinical Hospital No. 1

ORCID: 0009-0007-5979-4895

Lipovoy S.V.

Regional Clinical Hospital No. 1

ORCID: 0009-0009-8989-1826

Matveev A.I.

Regional Clinical Hospital No. 1

ORCID: 0000-0001-9213-4556

Matreninskikh A.O.

Tyumen State Medical University

ORCID: 0009-0008-9956-0599

Received:

24.07.2024

Accepted:

13.08.2024

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