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2. Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study

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Pata, F, Di Martino, M, Podda, M, Di Saverio, S, Ielpo, B, Pellino, G, Julio, A, Alshamrani, A, Alturkistani, A, Alghamdi, A, Almalki, A, Orengia, A, Kuvvetli, A, Pisanu, A, Smith, A, Trevino Figueroa, A, Nacion, A, Alhazmi, A, Bouhuwaish, A, Khalid, A, Alsufyani, A, Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A, de San Ildefonso Pereira, A, Porcu, A, Sartori, A, Rocca, A, Sretenovic, A, Anselmo, A, De Luca, A, Charalabopoulos, A, Tzivanakis, A, Bandin, A, Najar, A, Frontali, A, Faisal, A, Roldan, A, Hamid, A, Andre, A, Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mihailescu, A, Police, A, Zuchini, A, Romano, A, Iossa, A, Chessa, A, Tromba, A, Castaldi, A, Brillantino, A, Ferronetti, A, Giuliani, A, Ramos-De la Medina, A, Tarasconi, A, Picciariello, A, Ioannidis, A, Leppaniemi, A, Rashid, A, Mitul, A, Mehraj, A, Laharwal, A, Iqbal, A, Liarakos, A, Marinis, A, de Andres-Asenjo, B, Matias-Garcia, B, De Simone, B, Creavin, B, Stubbs, B, Goh, B, Jovanovic, B, Sensi, B, Gazia, C, Cerdan, C, Diaz, C, Chacon, C, Yanez, C, Faro, C, Reinke, C, Dominguez, C, Paranjape, C, Thomas, C, Fung, C, De Lucia, C, Jennifer, C, Ovalle-Chao, C, Guerci, C, Kenington, C, Gica, C, Folliero, C, Varela, C, Popowich, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Merlini, D, Moro-Valdezate, D, Keller, D, Nicolaescu, D, Sasia, D, Rodas, E, Linardoutsos, D, Russello, D, Najar-Castaneda, P, Stavrou, H, Rosso, E, Saladino, E, Ricciardi, E, Smith-Singares, E, Baili, E, Douka, E, Guaitoli, E, Francone, E, Vaterlini, E, Pierobon, E, Morales, E, Ros, E, Benzoni, E, Erdas, E, Pinotti, E, Colas-Ruiz, E, Laterza, E, Foianini, E, Cardamone, E, Licardie, E, Marino, F, Alsofyani, F, Qahtani, F, Khan, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Luvisetto, F, Alconchel, F, Pareja-Ciuro, F, Neves, F, Agresta, F, Cordera, F, Pardo, F, Mendoza-Moreno, F, Munoz-Flores, F, Silvestri, F, Tropeano, F, Pecchini, F, Serio, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Litta, F, Martini, F, Roscio, F, Blanco-Antona, F, Barcenas, F, Schlottmann, F, Herrera-Almario, G, van Ramshorst, G, Gallo, G, Luglio, G, Kampouroglou, G, Papadopoulos, G, Arredondo, G, Calini, G, Formisano, G, Galiffa, G, Palini, G, Colucci, G, Pagano, G, Vanni, G, Pattacini, G, Gravante, G, Lisi, G, Bellanova, G, De Nobili, G, Necchi, G, Sinibaldi, G, Bacchiocchi, G, Bagaglini, G, Maggi, G, Izzo, G, Argenio, G, Brisinda, G, Esposito, G, Frazzetta, G, De Luca, G, Nigri, G, Sica, G, Martin-Martin, G, Ugon, G, Martinez-Mier, G, Machain Vega, G, Nari, G, Nikaj, H, Neri, I, San Roman, I, Fidoshev, I, Martinez, I, Negoi, I, Ortega, I, Vicente Rodriguez, I, Cornejo, I, Mora-Guzman, I, al-Najami, I, Romic, I, Balciscueta, I, Olivier, J, Lammel-Lindemann, J, Dziakova, J, Salinas, J, Jovanovic, J, Reyes, J, Salas, J, Diaz-Elizondo, J, Parreira, J, Bellido, J, Salamea, J, Martin del Olmo, J, Ordonez, J, Junaid, S, Davies, J, Sahnan, K, Bekele, K, Voon, K, Siragusa, L, Petagna, L, Ferrario, L, Giordano, L, Nespoli, L, Pio, L, Moletta, L, Curella, L, Taglietti, L, Bonavina, L, Conti, L, Perez-Sanchez, L, Cabrera Vargas, L, Sanchez-Guillen, L, Tallon-Aguilar, L, Khan, M, Spampinato, M, Viola, M, Malet, M, Angrisani, M, Calussi, M, Catarci, M, Giordano, M, Materazzo, M, Milone, M, Pellicciaro, M, Marino, M, Moreno Villamizar, M, Lolli, M, Bellini, M, Lemma, M, Chiarello, M, Montes-Manrique, M, Rodriguez-Lopez, M, Serradilla-Martin, M, Peter, M, Paniagua-Garcia-Senorans, M, Rutegard, M, Salo, M, Silveri, M, Veroux, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluaga, M, Iacobone, M, Montuori, M, Ali, M, Garcia Dominguez, M, Paola, M, Piccoli, M, Campanelli, M, De Rosa, M, Manigrasso, M, Maruccia, M, Torre, M, Zuolo, M, Pera, M, Weerasekera, M, Prieto, M, Thway, M, Shaat, M, Azfar, M, Shalaby, M, Raza, M, Younis, M, Elhadi, M, Althomali, M, Al Amri, N, Dudi-Venkata, N, Alselaim, N, Smart, N, Trelles, N, Falco, N, Petrucciani, N, Antonacci, N, Cillara, N, Gica, N, Pecorelli, N, Tamini, N, Machairas, N, Feituri, N, Ortega Torrecilla, N, Avila Mercado, O, Alaamer, O, Irkorucu, O, Alsherif, O, Buonomi, O, Valles-Guerra, O, Ioannidis, O, Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Rodrigues, P, Milito, P, Panaccio, P, Dorovinis, P, Prieto, P, Baroffio, P, Marsanic, P, Ajawin, P, Koh, P, Anoldo, P, Major, P, Alharthi, Q, Lui, R, Caruso, R, Brady, R, Rattan, R, Singhal, R, Angelico, R, Isernia, R, Tutino, R, Peltrini, R, Tejos, R, Fajardo, R, Elia, R, Morales-Conde, S, Benli, S, Fuentes, S, de las Casas, S, de Guzman Aragon, S, Vertaldi, S, Awad, S, Gentilli, S, Weckmann Lujan, S, Tayar, S, Althobaiti, S, Di Giovanni, S, Ghedan, S, Perez-Bertolez, S, Chiappetta, S, Delis, S, Scaringi, S, Cetinkunar, S, Kykalos, S, Muhammad Ali, S, Krivan, S, Fung, T, Delko, T, Nicolas Lopez, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Koeter, T, Zalla, T, Gonzalez, T, Campagnaro, T, Oumar, T, Grossi, U, Sosa, V, Testa, V, Tomajer, V, Andriola, V, Tonini, V, Celentano, V, Voglino, V, Katta, V, Garcia Orozco, V, Turrado-Rodriguez, V, Visag-Castillo, V, Graham, V, Rachkov, V, Papagni, V, Vigorita, V, Jimenez Carneros, V, Bellato, V, Bechstein, W, Altinel, Y, Balciscueta, Z, Pata F., Di Martino M., Podda M., Di Saverio S., Ielpo B., Pellino G., Julio A., Alshamrani A., Alturkistani A., Alghamdi A., Almalki A., Orengia A., Kuvvetli A., Pisanu A., Smith A., Trevino Figueroa A. M., Nacion A. J., Alhazmi A., Bouhuwaish A., Khalid A., Alsufyani A., Rubio A. V., Bavikatte A., Kumar A., Jamiri A. -R., de San Ildefonso Pereira A., Porcu A., Sartori A., Rocca A., Sretenovic A., Anselmo A., De Luca A., Charalabopoulos A., Tzivanakis A., Bandin A., Najar A., Frontali A., Faisal A., Roldan A. M., Hamid A., Andre A., Minaya-Bravo A., Das A., Bondurri A., Costanzi A., Lucchi A., Mihailescu A., Police A., Zuchini A. M., Romano A., Iossa A., Chessa A., Tromba A., Castaldi A., Brillantino A., Ferronetti A., Giuliani A., Ramos-De la Medina A., Tarasconi A., Picciariello A., Ioannidis A., Leppaniemi A., Rashid A., Mitul A. R., Mehraj A., laharwal A., Iqbal A., Liarakos A., Marinis A., de Andres-Asenjo B., Matias-Garcia B., De Simone B., Creavin B., Stubbs B., Goh B., Jovanovic B., Sensi B., Gazia C., Cerdan C., Diaz C. J. G., Chacon C. P., Yanez C., Faro C. L., Reinke C., Dominguez C., Paranjape C., Thomas C., Fung C. C., De Lucia C., Jennifer C. H. F., Ovalle-Chao C., Guerci C., Kenington C., Gica C., Folliero C., Varela C., Popowich D., Delogu D., Zigiotto D., Vinci D., D'Antonio D., Merlini D. A., Merlini D., Moro-Valdezate D., Keller D., Nicolaescu D. C., Sasia D., Rodas E., Linardoutsos D., Russello D., Najar-Castaneda P. A., Stavrou H. G., Rosso E., Saladino E., Ricciardi E., Smith-Singares E., Baili E., Douka E., Guaitoli E., Francone E., Vaterlini E. M., Pierobon E. S., Morales E., Ros E. P., Benzoni E., Erdas E., Pinotti E., Colas-Ruiz E., Laterza E., Foianini E., Cardamone E., Licardie E., Marino F., Alsofyani F., Qahtani F., Khan F., Maraska F., Saliu F., Madrid F., Rosa F., Luvisetto F., Alconchel F., Pareja-Ciuro F., Neves F., Agresta F., Cordera F., Pardo F., Mendoza-Moreno F., Munoz-Flores F., Silvestri F. M., Tropeano F. P., Pecchini F., Serio F., Colombo F., Di Marzo F., Ferrara F., Lancellotti F., Litta F., Martini F., Roscio F., Blanco-Antona F., Barcenas F. J. Q., Schlottmann F., Herrera-Almario G., van Ramshorst G., Gallo G., Luglio G., Kampouroglou G., Papadopoulos G., Arredondo G., Calini G., Formisano G., Galiffa G., Palini G. M., Colucci G., Pagano G., Vanni G., Pattacini G. C., Gravante G., Lisi G., Bellanova G., De Nobili G., Necchi G. S., Sinibaldi G., Bacchiocchi G., Bagaglini G., Maggi G., Izzo G., Argenio G., Brisinda G., Esposito G., Frazzetta G., De Luca G. M., Nigri G., Sica G., Martin-Martin G., Ugon G. A., Martinez-Mier G., Machain Vega G. M., Nari G., Nikaj H., Neri I., San Roman I. A., Fidoshev I., Martinez I., Negoi I., Ortega I., Vicente Rodriguez I., Cornejo I., Mora-Guzman I., al-Najami I., Romic I., Balciscueta I., Olivier J., Lammel-Lindemann J., Dziakova J., Salinas J., Jovanovic J. P., Reyes J. A. S., Salas J., Diaz-Elizondo J. A., Parreira J. G., Bellido J., Salamea J., Martin del Olmo J. C., Ordonez J. M., Junaid S., Davies J., Sahnan K., Bekele K., Voon K., Siragusa L., Petagna L., Ferrario L., Giordano L., Nespoli L., Pio L., Moletta L., Curella L., Taglietti L., Bonavina L., Conti L., Perez-Sanchez L. E., Cabrera Vargas L. F., Sanchez-Guillen L., Tallon-Aguilar L., Khan M., Spampinato M. G., Viola M., Malet M. V., Angrisani M., Calussi M., Catarci M., Giordano M., Materazzo M., Milone M., Pellicciaro M., Marino M. V., Moreno Villamizar M. D., Lolli M. G., Bellini M. I., Lemma M., Chiarello M. M., Montes-Manrique M., Rodriguez-Lopez M., Serradilla-Martin M., Peter M., Paniagua-Garcia-Senorans M., Rutegard M., Salo M., Silveri M., Veroux M., Nardi M., Rottoli M., Tolonen M., Pedraza Ciro M., Zuluaga M., Iacobone M., Montuori M., Ali M., Garcia Dominguez M., Paola M. M., Piccoli M., Campanelli M., De Rosa M., Manigrasso M., Maruccia M., Torre M., Zuolo M., Pera M., Weerasekera M., Prieto M., Thway M. M., Shaat M., Azfar M., Shalaby M., Raza M. A., Younis M. U., Elhadi M., AlThomali M., Al Amri N., Dudi-Venkata N., Alselaim N., Smart N., Trelles N., Falco N., Petrucciani N., Antonacci N., Cillara N., Gica N., Pecorelli N., Tamini N., Machairas N., Feituri N., Ortega Torrecilla N., Avila Mercado O., AlAamer O., Irkorucu O., Alsherif O., Buonomi O. C., Valles-Guerra O., Ioannidis O., Hernandez Palmas O. I., Sanz Guadarrama O., Bozbiyik O., Rodrigues P., Milito P., Panaccio P., Dorovinis P., Prieto P., Baroffio P., Marsanic P., Ajawin P., Koh P. S., Anoldo P., Major P., Alharthi Q., Lui R., Caruso R., Brady R., Rattan R., Singhal R., Angelico R., Isernia R. M., Tutino R., Peltrini R., Tejos R., Fajardo R., Elia R., Morales-Conde S., Benli S., Fuentes S., de las Casas S. G., de Guzman Aragon S. O., Vertaldi S., Awad S., Gentilli S., Weckmann Lujan S. A., Tayar S., Althobaiti S., Di Giovanni S., Ghedan S., Perez-Bertolez S., Chiappetta S., Delis S., Scaringi S., Cetinkunar S., Kykalos S., Muhammad Ali S., Krivan S., Fung T. L. D., Delko T., Nicolas Lopez T., De Campos T., Calderon Duque T., Perra T., Liakakos T., Daskalakis T., Koeter T., Zalla T., Gonzalez T. E., Campagnaro T., Oumar T. A., Grossi U., Sosa V., Testa V., Tomajer V., Andriola V., Tonini V., Celentano V., Voglino V., Katta V. R., Garcia Orozco V. H., Turrado-Rodriguez V., Visag-Castillo V., Graham V., Rachkov V., Papagni V., Vigorita V., Jimenez Carneros V., Bellato V., Bechstein W., Altinel Y., Balciscueta Z., Pata, F, Di Martino, M, Podda, M, Di Saverio, S, Ielpo, B, Pellino, G, Julio, A, Alshamrani, A, Alturkistani, A, Alghamdi, A, Almalki, A, Orengia, A, Kuvvetli, A, Pisanu, A, Smith, A, Trevino Figueroa, A, Nacion, A, Alhazmi, A, Bouhuwaish, A, Khalid, A, Alsufyani, A, Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A, de San Ildefonso Pereira, A, Porcu, A, Sartori, A, Rocca, A, Sretenovic, A, Anselmo, A, De Luca, A, Charalabopoulos, A, Tzivanakis, A, Bandin, A, Najar, A, Frontali, A, Faisal, A, Roldan, A, Hamid, A, Andre, A, Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mihailescu, A, Police, A, Zuchini, A, Romano, A, Iossa, A, Chessa, A, Tromba, A, Castaldi, A, Brillantino, A, Ferronetti, A, Giuliani, A, Ramos-De la Medina, A, Tarasconi, A, Picciariello, A, Ioannidis, A, Leppaniemi, A, Rashid, A, Mitul, A, Mehraj, A, Laharwal, A, Iqbal, A, Liarakos, A, Marinis, A, de Andres-Asenjo, B, Matias-Garcia, B, De Simone, B, Creavin, B, Stubbs, B, Goh, B, Jovanovic, B, Sensi, B, Gazia, C, Cerdan, C, Diaz, C, Chacon, C, Yanez, C, Faro, C, Reinke, C, Dominguez, C, Paranjape, C, Thomas, C, Fung, C, De Lucia, C, Jennifer, C, Ovalle-Chao, C, Guerci, C, Kenington, C, Gica, C, Folliero, C, Varela, C, Popowich, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Merlini, D, Moro-Valdezate, D, Keller, D, Nicolaescu, D, Sasia, D, Rodas, E, Linardoutsos, D, Russello, D, Najar-Castaneda, P, Stavrou, H, Rosso, E, Saladino, E, Ricciardi, E, Smith-Singares, E, Baili, E, Douka, E, Guaitoli, E, Francone, E, Vaterlini, E, Pierobon, E, Morales, E, Ros, E, Benzoni, E, Erdas, E, Pinotti, E, Colas-Ruiz, E, Laterza, E, Foianini, E, Cardamone, E, Licardie, E, Marino, F, Alsofyani, F, Qahtani, F, Khan, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Luvisetto, F, Alconchel, F, Pareja-Ciuro, F, Neves, F, Agresta, F, Cordera, F, Pardo, F, Mendoza-Moreno, F, Munoz-Flores, F, Silvestri, F, Tropeano, F, Pecchini, F, Serio, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Litta, F, Martini, F, Roscio, F, Blanco-Antona, F, Barcenas, F, Schlottmann, F, Herrera-Almario, G, van Ramshorst, G, Gallo, G, Luglio, G, Kampouroglou, G, Papadopoulos, G, Arredondo, G, Calini, G, Formisano, G, Galiffa, G, Palini, G, Colucci, G, Pagano, G, Vanni, G, Pattacini, G, Gravante, G, Lisi, G, Bellanova, G, De Nobili, G, Necchi, G, Sinibaldi, G, Bacchiocchi, G, Bagaglini, G, Maggi, G, Izzo, G, Argenio, G, Brisinda, G, Esposito, G, Frazzetta, G, De Luca, G, Nigri, G, Sica, G, Martin-Martin, G, Ugon, G, Martinez-Mier, G, Machain Vega, G, Nari, G, Nikaj, H, Neri, I, San Roman, I, Fidoshev, I, Martinez, I, Negoi, I, Ortega, I, Vicente Rodriguez, I, Cornejo, I, Mora-Guzman, I, al-Najami, I, Romic, I, Balciscueta, I, Olivier, J, Lammel-Lindemann, J, Dziakova, J, Salinas, J, Jovanovic, J, Reyes, J, Salas, J, Diaz-Elizondo, J, Parreira, J, Bellido, J, Salamea, J, Martin del Olmo, J, Ordonez, J, Junaid, S, Davies, J, Sahnan, K, Bekele, K, Voon, K, Siragusa, L, Petagna, L, Ferrario, L, Giordano, L, Nespoli, L, Pio, L, Moletta, L, Curella, L, Taglietti, L, Bonavina, L, Conti, L, Perez-Sanchez, L, Cabrera Vargas, L, Sanchez-Guillen, L, Tallon-Aguilar, L, Khan, M, Spampinato, M, Viola, M, Malet, M, Angrisani, M, Calussi, M, Catarci, M, Giordano, M, Materazzo, M, Milone, M, Pellicciaro, M, Marino, M, Moreno Villamizar, M, Lolli, M, Bellini, M, Lemma, M, Chiarello, M, Montes-Manrique, M, Rodriguez-Lopez, M, Serradilla-Martin, M, Peter, M, Paniagua-Garcia-Senorans, M, Rutegard, M, Salo, M, Silveri, M, Veroux, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluaga, M, Iacobone, M, Montuori, M, Ali, M, Garcia Dominguez, M, Paola, M, Piccoli, M, Campanelli, M, De Rosa, M, Manigrasso, M, Maruccia, M, Torre, M, Zuolo, M, Pera, M, Weerasekera, M, Prieto, M, Thway, M, Shaat, M, Azfar, M, Shalaby, M, Raza, M, Younis, M, Elhadi, M, Althomali, M, Al Amri, N, Dudi-Venkata, N, Alselaim, N, Smart, N, Trelles, N, Falco, N, Petrucciani, N, Antonacci, N, Cillara, N, Gica, N, Pecorelli, N, Tamini, N, Machairas, N, Feituri, N, Ortega Torrecilla, N, Avila Mercado, O, Alaamer, O, Irkorucu, O, Alsherif, O, Buonomi, O, Valles-Guerra, O, Ioannidis, O, Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Rodrigues, P, Milito, P, Panaccio, P, Dorovinis, P, Prieto, P, Baroffio, P, Marsanic, P, Ajawin, P, Koh, P, Anoldo, P, Major, P, Alharthi, Q, Lui, R, Caruso, R, Brady, R, Rattan, R, Singhal, R, Angelico, R, Isernia, R, Tutino, R, Peltrini, R, Tejos, R, Fajardo, R, Elia, R, Morales-Conde, S, Benli, S, Fuentes, S, de las Casas, S, de Guzman Aragon, S, Vertaldi, S, Awad, S, Gentilli, S, Weckmann Lujan, S, Tayar, S, Althobaiti, S, Di Giovanni, S, Ghedan, S, Perez-Bertolez, S, Chiappetta, S, Delis, S, Scaringi, S, Cetinkunar, S, Kykalos, S, Muhammad Ali, S, Krivan, S, Fung, T, Delko, T, Nicolas Lopez, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Koeter, T, Zalla, T, Gonzalez, T, Campagnaro, T, Oumar, T, Grossi, U, Sosa, V, Testa, V, Tomajer, V, Andriola, V, Tonini, V, Celentano, V, Voglino, V, Katta, V, Garcia Orozco, V, Turrado-Rodriguez, V, Visag-Castillo, V, Graham, V, Rachkov, V, Papagni, V, Vigorita, V, Jimenez Carneros, V, Bellato, V, Bechstein, W, Altinel, Y, Balciscueta, Z, Pata F., Di Martino M., Podda M., Di Saverio S., Ielpo B., Pellino G., Julio A., Alshamrani A., Alturkistani A., Alghamdi A., Almalki A., Orengia A., Kuvvetli A., Pisanu A., Smith A., Trevino Figueroa A. M., Nacion A. J., Alhazmi A., Bouhuwaish A., Khalid A., Alsufyani A., Rubio A. V., Bavikatte A., Kumar A., Jamiri A. -R., de San Ildefonso Pereira A., Porcu A., Sartori A., Rocca A., Sretenovic A., Anselmo A., De Luca A., Charalabopoulos A., Tzivanakis A., Bandin A., Najar A., Frontali A., Faisal A., Roldan A. M., Hamid A., Andre A., Minaya-Bravo A., Das A., Bondurri A., Costanzi A., Lucchi A., Mihailescu A., Police A., Zuchini A. M., Romano A., Iossa A., Chessa A., Tromba A., Castaldi A., Brillantino A., Ferronetti A., Giuliani A., Ramos-De la Medina A., Tarasconi A., Picciariello A., Ioannidis A., Leppaniemi A., Rashid A., Mitul A. R., Mehraj A., laharwal A., Iqbal A., Liarakos A., Marinis A., de Andres-Asenjo B., Matias-Garcia B., De Simone B., Creavin B., Stubbs B., Goh B., Jovanovic B., Sensi B., Gazia C., Cerdan C., Diaz C. J. G., Chacon C. P., Yanez C., Faro C. L., Reinke C., Dominguez C., Paranjape C., Thomas C., Fung C. C., De Lucia C., Jennifer C. H. F., Ovalle-Chao C., Guerci C., Kenington C., Gica C., Folliero C., Varela C., Popowich D., Delogu D., Zigiotto D., Vinci D., D'Antonio D., Merlini D. A., Merlini D., Moro-Valdezate D., Keller D., Nicolaescu D. C., Sasia D., Rodas E., Linardoutsos D., Russello D., Najar-Castaneda P. A., Stavrou H. G., Rosso E., Saladino E., Ricciardi E., Smith-Singares E., Baili E., Douka E., Guaitoli E., Francone E., Vaterlini E. M., Pierobon E. S., Morales E., Ros E. P., Benzoni E., Erdas E., Pinotti E., Colas-Ruiz E., Laterza E., Foianini E., Cardamone E., Licardie E., Marino F., Alsofyani F., Qahtani F., Khan F., Maraska F., Saliu F., Madrid F., Rosa F., Luvisetto F., Alconchel F., Pareja-Ciuro F., Neves F., Agresta F., Cordera F., Pardo F., Mendoza-Moreno F., Munoz-Flores F., Silvestri F. M., Tropeano F. P., Pecchini F., Serio F., Colombo F., Di Marzo F., Ferrara F., Lancellotti F., Litta F., Martini F., Roscio F., Blanco-Antona F., Barcenas F. J. Q., Schlottmann F., Herrera-Almario G., van Ramshorst G., Gallo G., Luglio G., Kampouroglou G., Papadopoulos G., Arredondo G., Calini G., Formisano G., Galiffa G., Palini G. M., Colucci G., Pagano G., Vanni G., Pattacini G. C., Gravante G., Lisi G., Bellanova G., De Nobili G., Necchi G. S., Sinibaldi G., Bacchiocchi G., Bagaglini G., Maggi G., Izzo G., Argenio G., Brisinda G., Esposito G., Frazzetta G., De Luca G. M., Nigri G., Sica G., Martin-Martin G., Ugon G. A., Martinez-Mier G., Machain Vega G. M., Nari G., Nikaj H., Neri I., San Roman I. A., Fidoshev I., Martinez I., Negoi I., Ortega I., Vicente Rodriguez I., Cornejo I., Mora-Guzman I., al-Najami I., Romic I., Balciscueta I., Olivier J., Lammel-Lindemann J., Dziakova J., Salinas J., Jovanovic J. P., Reyes J. A. S., Salas J., Diaz-Elizondo J. A., Parreira J. G., Bellido J., Salamea J., Martin del Olmo J. C., Ordonez J. M., Junaid S., Davies J., Sahnan K., Bekele K., Voon K., Siragusa L., Petagna L., Ferrario L., Giordano L., Nespoli L., Pio L., Moletta L., Curella L., Taglietti L., Bonavina L., Conti L., Perez-Sanchez L. E., Cabrera Vargas L. F., Sanchez-Guillen L., Tallon-Aguilar L., Khan M., Spampinato M. G., Viola M., Malet M. V., Angrisani M., Calussi M., Catarci M., Giordano M., Materazzo M., Milone M., Pellicciaro M., Marino M. V., Moreno Villamizar M. D., Lolli M. G., Bellini M. I., Lemma M., Chiarello M. M., Montes-Manrique M., Rodriguez-Lopez M., Serradilla-Martin M., Peter M., Paniagua-Garcia-Senorans M., Rutegard M., Salo M., Silveri M., Veroux M., Nardi M., Rottoli M., Tolonen M., Pedraza Ciro M., Zuluaga M., Iacobone M., Montuori M., Ali M., Garcia Dominguez M., Paola M. M., Piccoli M., Campanelli M., De Rosa M., Manigrasso M., Maruccia M., Torre M., Zuolo M., Pera M., Weerasekera M., Prieto M., Thway M. M., Shaat M., Azfar M., Shalaby M., Raza M. A., Younis M. U., Elhadi M., AlThomali M., Al Amri N., Dudi-Venkata N., Alselaim N., Smart N., Trelles N., Falco N., Petrucciani N., Antonacci N., Cillara N., Gica N., Pecorelli N., Tamini N., Machairas N., Feituri N., Ortega Torrecilla N., Avila Mercado O., AlAamer O., Irkorucu O., Alsherif O., Buonomi O. C., Valles-Guerra O., Ioannidis O., Hernandez Palmas O. I., Sanz Guadarrama O., Bozbiyik O., Rodrigues P., Milito P., Panaccio P., Dorovinis P., Prieto P., Baroffio P., Marsanic P., Ajawin P., Koh P. S., Anoldo P., Major P., Alharthi Q., Lui R., Caruso R., Brady R., Rattan R., Singhal R., Angelico R., Isernia R. M., Tutino R., Peltrini R., Tejos R., Fajardo R., Elia R., Morales-Conde S., Benli S., Fuentes S., de las Casas S. G., de Guzman Aragon S. O., Vertaldi S., Awad S., Gentilli S., Weckmann Lujan S. A., Tayar S., Althobaiti S., Di Giovanni S., Ghedan S., Perez-Bertolez S., Chiappetta S., Delis S., Scaringi S., Cetinkunar S., Kykalos S., Muhammad Ali S., Krivan S., Fung T. L. D., Delko T., Nicolas Lopez T., De Campos T., Calderon Duque T., Perra T., Liakakos T., Daskalakis T., Koeter T., Zalla T., Gonzalez T. E., Campagnaro T., Oumar T. A., Grossi U., Sosa V., Testa V., Tomajer V., Andriola V., Tonini V., Celentano V., Voglino V., Katta V. R., Garcia Orozco V. H., Turrado-Rodriguez V., Visag-Castillo V., Graham V., Rachkov V., Papagni V., Vigorita V., Jimenez Carneros V., Bellato V., Bechstein W., Altinel Y., and Balciscueta Z.

Abstract

Background: In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods: From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results: A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion: Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide.

Published
2022

3. Correction: Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study (World Journal of Surgery, (2022), 46, 9, (2021-2035), 10.1007/s00268-022-06649-z)

Author

Pata F., Pata, F, Di Martino, M, Podda, M, Di Saverio, S, Ielpo, B, Pellino, G, Julio, A, Alshamrani, A, Alturkistani, A, Alghamdi, A, Almalki, A, Orengia, A, Kuvvetli, A, Pisanu, A, Smith, A, Trevino Figueroa, A, Nacion, A, Alhazmi, A, Bouhuwaish, A, Khalid, A, Alsufyani, A, Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A, de San Ildefonso Pereira, A, Porcu, A, Sartori, A, Rocca, A, Sretenovic, A, Anselmo, A, De Luca, A, Charalabopoulos, A, Tzivanakis, A, Bandin, A, Najar, A, Frontali, A, Faisal, A, Roldan, A, Hamid, A, Andre, A, Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mihailescu, A, Police, A, Zuchini, A, Romano, A, Iossa, A, Chessa, A, Tromba, A, Castaldi, A, Brillantino, A, Ferronetti, A, Giuliani, A, Ramos-De la Medina, A, Tarasconi, A, Picciariello, A, Ioannidis, A, Leppaniemi, A, Rashid, A, Mitul, A, Mehraj, A, Laharwal, A, Iqbal, A, Liarakos, A, Marinis, A, de Andres-Asenjo, B, Matias-Garcia, B, De Simone, B, Creavin, B, Stubbs, B, Goh, B, Jovanovic, B, Sensi, B, Gazia, C, Cerdan, C, Diaz, C, Chacon, C, Yanez, C, Faro, C, Reinke, C, Dominguez, C, Paranjape, C, Thomas, C, Fung, C, De Lucia, C, Jennifer, C, Ovalle-Chao, C, Guerci, C, Kenington, C, Gica, C, Folliero, C, Varela, C, Popowich, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Merlini, D, Moro-Valdezate, D, Keller, D, Nicolaescu, D, Sasia, D, Rodas, E, Linardoutsos, D, Russello, D, Najar-Castaneda, P, Stavrou, H, Rosso, E, Saladino, E, Ricciardi, E, Smith-Singares, E, Baili, E, Douka, E, Guaitoli, E, Francone, E, Vaterlini, E, Pierobon, E, Morales, E, Ros, E, Benzoni, E, Erdas, E, Pinotti, E, Colas-Ruiz, E, Laterza, E, Foianini, E, Cardamone, E, Licardie, E, Marino, F, Alsofyani, F, Qahtani, F, Khan, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Luvisetto, F, Alconchel, F, Pareja-Ciuro, F, Neves, F, Agresta, F, Cordera, F, Pardo, F, Mendoza-Moreno, F, Munoz-Flores, F, Silvestri, F, Tropeano, F, Pecchini, F, Serio, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Litta, F, Martini, F, Roscio, F, Blanco-Antona, F, Barcenas, F, Schlottmann, F, Herrera-Almario, G, van Ramshorst, G, Gallo, G, Luglio, G, Kampouroglou, G, Papadopoulos, G, Arredondo, G, Calini, G, Formisano, G, Galiffa, G, Palini, G, Colucci, G, Pagano, G, Vanni, G, Pattacini, G, Gravante, G, Lisi, G, Bellanova, G, De Nobili, G, Necchi, G, Sinibaldi, G, Bacchiocchi, G, Bagaglini, G, Maggi, G, Izzo, G, Argenio, G, Brisinda, G, Esposito, G, Frazzetta, G, De Luca, G, Nigri, G, Sica, G, Martin-Martin, G, Ugon, G, Martinez-Mier, G, Machain Vega, G, Nari, G, Nikaj, H, Neri, I, San Roman, I, Fidoshev, I, Martinez, I, Negoi, I, Ortega, I, Vicente Rodriguez, I, Cornejo, I, Mora-Guzman, I, al-Najami, I, Romic, I, Balciscueta, I, Olivier, J, Lammel-Lindemann, J, Dziakova, J, Salinas, J, Jovanovic, J, Reyes, J, Salas, J, Diaz-Elizondo, J, Parreira, J, Bellido, J, Salamea, J, Martin del Olmo, J, Ordonez, J, Junaid, S, Davies, J, Sahnan, K, Bekele, K, Voon, K, Siragusa, L, Petagna, L, Ferrario, L, Giordano, L, Nespoli, L, Pio, L, Moletta, L, Curella, L, Taglietti, L, Bonavina, L, Conti, L, Perez-Sanchez, L, Cabrera Vargas, L, Sanchez-Guillen, L, Tallon-Aguilar, L, Khan, M, Spampinato, M, Viola, M, Malet, M, Angrisani, M, Calussi, M, Catarci, M, Giordano, M, Materazzo, M, Milone, M, Pellicciaro, M, Marino, M, Moreno Villamizar, M, Lolli, M, Bellini, M, Lemma, M, Chiarello, M, Montes-Manrique, M, Rodriguez-Lopez, M, Serradilla-Martin, M, Peter, M, Paniagua-Garcia-Senorans, M, Rutegard, M, Salo, M, Silveri, M, Veroux, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluaga, M, Iacobone, M, Montuori, M, Ali, M, Garcia Dominguez, M, Paola, M, Piccoli, M, Campanelli, M, De Rosa, M, Manigrasso, M, Maruccia, M, Torre, M, Zuolo, M, Pera, M, Weerasekera, M, Prieto, M, Thway, M, Shaat, M, Azfar, M, Shalaby, M, Raza, M, Younis, M, Elhadi, M, Althomali, M, Al Amri, N, Dudi-Venkata, N, Alselaim, N, Smart, N, Trelles, N, Falco, N, Petrucciani, N, Antonacci, N, Cillara, N, Gica, N, Pecorelli, N, Tamini, N, Machairas, N, Feituri, N, Ortega Torrecilla, N, Avila Mercado, O, Alaamer, O, Irkorucu, O, Alsherif, O, Buonomo, O, Valles-Guerra, O, Ioannidis, O, Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Rodrigues, P, Milito, P, Panaccio, P, Dorovinis, P, Prieto, P, Baroffio, P, Marsanic, P, Ajawin, P, Koh, P, Anoldo, P, Major, P, Alharthi, Q, Lui, R, Caruso, R, Brady, R, Rattan, R, Singhal, R, Angelico, R, Isernia, R, Tutino, R, Peltrini, R, Tejos, R, Fajardo, R, Elia, R, Morales-Conde, S, Benli, S, Fuentes, S, de las Casas, S, de Guzman Aragon, S, Vertaldi, S, Awad, S, Gentilli, S, Weckmann Lujan, S, Tayar, S, Althobaiti, S, Di Giovanni, S, Ghedan, S, Perez-Bertolez, S, Chiappetta, S, Delis, S, Scaringi, S, Cetinkunar, S, Kykalos, S, Muhammad Ali, S, Krivan, S, Fung, T, Delko, T, Nicolas Lopez, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Koeter, T, Zalla, T, Gonzalez, T, Campagnaro, T, Oumar, T, Grossi, U, Sosa, V, Testa, V, Tomajer, V, Andriola, V, Tonini, V, Celentano, V, Voglino, V, Katta, V, Garcia Orozco, V, Turrado-Rodriguez, V, Visag-Castillo, V, Graham, V, Rachkov, V, Papagni, V, Vigorita, V, Jimenez Carneros, V, Bellato, V, Bechstein, W, Altinel, Y, Balciscueta, Z, Pata F., Di Martino M., Podda M., Di Saverio S., Ielpo B., Pellino G., Julio A., Alshamrani A., Alturkistani A., Alghamdi A., Almalki A., Orengia A., Kuvvetli A., Pisanu A., Smith A., Trevino Figueroa A. M., Nacion A. J., Alhazmi A., Bouhuwaish A., Khalid A., Alsufyani A., Rubio A. V., Bavikatte A., Kumar A., Jamiri A. -R., de San Ildefonso Pereira A., Porcu A., Sartori A., Rocca A., Sretenovic A., Anselmo A., De Luca A., Charalabopoulos A., Tzivanakis A., Bandin A., Najar A., Frontali A., Faisal A., Roldan A. M., Hamid A., Andre A., Minaya-Bravo A., Das A., Bondurri A., Costanzi A., Lucchi A., Mihailescu A., Police A., Zuchini A. M., Romano A., Iossa A., Chessa A., Tromba A., Castaldi A., Brillantino A., Ferronetti A., Giuliani A., Ramos-De la Medina A., Tarasconi A., Picciariello A., Ioannidis A., Leppaniemi A., Rashid A., Mitul A. R., Mehraj A., laharwal A., Iqbal A., Liarakos A., Marinis A., de Andres-Asenjo B., Matias-Garcia B., De Simone B., Creavin B., Stubbs B., Goh B., Jovanovic B., Sensi B., Gazia C., Cerdan C., Diaz C. J. G., Chacon C. P., Yanez C., Faro C. L., Reinke C., Dominguez C., Paranjape C., Thomas C., Fung C. C., De Lucia C., Jennifer C. H. F., Ovalle-Chao C., Guerci C., Kenington C., Gica C., Folliero C., Varela C., Popowich D., Delogu D., Zigiotto D., Vinci D., D'Antonio D., Merlini D. A., Merlini D., Moro-Valdezate D., Keller D., Nicolaescu D. C., Sasia D., Rodas E., Linardoutsos D., Russello D., Najar-Castaneda P. A., Stavrou H. G., Rosso E., Saladino E., Ricciardi E., Smith-Singares E., Baili E., Douka E., Guaitoli E., Francone E., Vaterlini E. M., Pierobon E. S., Morales E., Ros E. P., Benzoni E., Erdas E., Pinotti E., Colas-Ruiz E., Laterza E., Foianini E., Cardamone E., Licardie E., Marino F., Alsofyani F., Qahtani F., Khan F., Maraska F., Saliu F., Madrid F., Rosa F., Luvisetto F., Alconchel F., Pareja-Ciuro F., Neves F., Agresta F., Cordera F., Pardo F., Mendoza-Moreno F., Munoz-Flores F., Silvestri F. M., Tropeano F. P., Pecchini F., Serio F., Colombo F., Di Marzo F., Ferrara F., Lancellotti F., Litta F., Martini F., Roscio F., Blanco-Antona F., Barcenas F. J. Q., Schlottmann F., Herrera-Almario G., van Ramshorst G., Gallo G., Luglio G., Kampouroglou G., Papadopoulos G., Arredondo G., Calini G., Formisano G., Galiffa G., Palini G. M., Colucci G., Pagano G., Vanni G., Pattacini G. C., Gravante G., Lisi G., Bellanova G., De Nobili G., Necchi G. S., Sinibaldi G., Bacchiocchi G., Bagaglini G., Maggi G., Izzo G., Argenio G., Brisinda G., Esposito G., Frazzetta G., De Luca G. M., Nigri G., Sica G., Martin-Martin G., Ugon G. A., Martinez-Mier G., Machain Vega G. M., Nari G., Nikaj H., Neri I., San Roman I. A., Fidoshev I., Martinez I., Negoi I., Ortega I., Vicente Rodriguez I., Cornejo I., Mora-Guzman I., al-Najami I., Romic I., Balciscueta I., Olivier J., Lammel-Lindemann J., Dziakova J., Salinas J., Jovanovic J. P., Reyes J. A. S., Salas J., Diaz-Elizondo J. A., Parreira J. G., Bellido J., Salamea J., Martin del Olmo J. C., Ordonez J. M., Junaid S., Davies J., Sahnan K., Bekele K., Voon K., Siragusa L., Petagna L., Ferrario L., Giordano L., Nespoli L., Pio L., Moletta L., Curella L., Taglietti L., Bonavina L., Conti L., Perez-Sanchez L. E., Cabrera Vargas L. F., Sanchez-Guillen L., Tallon-Aguilar L., Khan M., Spampinato M. G., Viola M., Malet M. V., Angrisani M., Calussi M., Catarci M., Giordano M., Materazzo M., Milone M., Pellicciaro M., Marino M. V., Moreno Villamizar M. D., Lolli M. G., Bellini M. I., Lemma M., Chiarello M. M., Montes-Manrique M., Rodriguez-Lopez M., Serradilla-Martin M., Peter M., Paniagua-Garcia-Senorans M., Rutegard M., Salo M., Silveri M., Veroux M., Nardi M., Rottoli M., Tolonen M., Pedraza Ciro M., Zuluaga M., Iacobone M., Montuori M., Ali M., Garcia Dominguez M., Paola M. M., Piccoli M., Campanelli M., De Rosa M., Manigrasso M., Maruccia M., Torre M., Zuolo M., Pera M., Weerasekera M., Prieto M., Thway M. M., Shaat M., Azfar M., Shalaby M., Raza M. A., Younis M. U., Elhadi M., AlThomali M., Al Amri N., Dudi-Venkata N., Alselaim N., Smart N., Trelles N., Falco N., Petrucciani N., Antonacci N., Cillara N., Gica N., Pecorelli N., Tamini N., Machairas N., Feituri N., Ortega Torrecilla N., Avila Mercado O., AlAamer O., Irkorucu O., Alsherif O., Buonomo O. C., Valles-Guerra O., Ioannidis O., Hernandez Palmas O. I., Sanz Guadarrama O., Bozbiyik O., Rodrigues P., Milito P., Panaccio P., Dorovinis P., Prieto P., Baroffio P., Marsanic P., Ajawin P., Koh P. S., Anoldo P., Major P., Alharthi Q., Lui R., Caruso R., Brady R., Rattan R., Singhal R., Angelico R., Isernia R. M., Tutino R., Peltrini R., Tejos R., Fajardo R., Elia R., Morales-Conde S., Benli S., Fuentes S., de las Casas S. G., de Guzman Aragon S. O., Vertaldi S., Awad S., Gentilli S., Weckmann Lujan S. A., Tayar S., Althobaiti S., Di Giovanni S., Ghedan S., Perez-Bertolez S., Chiappetta S., Delis S., Scaringi S., Cetinkunar S., Kykalos S., Muhammad Ali S., Krivan S., Fung T. L. D., Delko T., Nicolas Lopez T., De Campos T., Calderon Duque T., Perra T., Liakakos T., Daskalakis T., Koeter T., Zalla T., Gonzalez T. E., Campagnaro T., Oumar T. A., Grossi U., Sosa V., Testa V., Tomajer V., Andriola V., Tonini V., Celentano V., Voglino V., Katta V. R., Garcia Orozco V. H., Turrado-Rodriguez V., Visag-Castillo V., Graham V., Rachkov V., Papagni V., Vigorita V., Jimenez Carneros V., Bellato V., Bechstein W., Altinel Y., Balciscueta Z., Pata F., Pata, F, Di Martino, M, Podda, M, Di Saverio, S, Ielpo, B, Pellino, G, Julio, A, Alshamrani, A, Alturkistani, A, Alghamdi, A, Almalki, A, Orengia, A, Kuvvetli, A, Pisanu, A, Smith, A, Trevino Figueroa, A, Nacion, A, Alhazmi, A, Bouhuwaish, A, Khalid, A, Alsufyani, A, Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A, de San Ildefonso Pereira, A, Porcu, A, Sartori, A, Rocca, A, Sretenovic, A, Anselmo, A, De Luca, A, Charalabopoulos, A, Tzivanakis, A, Bandin, A, Najar, A, Frontali, A, Faisal, A, Roldan, A, Hamid, A, Andre, A, Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mihailescu, A, Police, A, Zuchini, A, Romano, A, Iossa, A, Chessa, A, Tromba, A, Castaldi, A, Brillantino, A, Ferronetti, A, Giuliani, A, Ramos-De la Medina, A, Tarasconi, A, Picciariello, A, Ioannidis, A, Leppaniemi, A, Rashid, A, Mitul, A, Mehraj, A, Laharwal, A, Iqbal, A, Liarakos, A, Marinis, A, de Andres-Asenjo, B, Matias-Garcia, B, De Simone, B, Creavin, B, Stubbs, B, Goh, B, Jovanovic, B, Sensi, B, Gazia, C, Cerdan, C, Diaz, C, Chacon, C, Yanez, C, Faro, C, Reinke, C, Dominguez, C, Paranjape, C, Thomas, C, Fung, C, De Lucia, C, Jennifer, C, Ovalle-Chao, C, Guerci, C, Kenington, C, Gica, C, Folliero, C, Varela, C, Popowich, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Merlini, D, Moro-Valdezate, D, Keller, D, Nicolaescu, D, Sasia, D, Rodas, E, Linardoutsos, D, Russello, D, Najar-Castaneda, P, Stavrou, H, Rosso, E, Saladino, E, Ricciardi, E, Smith-Singares, E, Baili, E, Douka, E, Guaitoli, E, Francone, E, Vaterlini, E, Pierobon, E, Morales, E, Ros, E, Benzoni, E, Erdas, E, Pinotti, E, Colas-Ruiz, E, Laterza, E, Foianini, E, Cardamone, E, Licardie, E, Marino, F, Alsofyani, F, Qahtani, F, Khan, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Luvisetto, F, Alconchel, F, Pareja-Ciuro, F, Neves, F, Agresta, F, Cordera, F, Pardo, F, Mendoza-Moreno, F, Munoz-Flores, F, Silvestri, F, Tropeano, F, Pecchini, F, Serio, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Litta, F, Martini, F, Roscio, F, Blanco-Antona, F, Barcenas, F, Schlottmann, F, Herrera-Almario, G, van Ramshorst, G, Gallo, G, Luglio, G, Kampouroglou, G, Papadopoulos, G, Arredondo, G, Calini, G, Formisano, G, Galiffa, G, Palini, G, Colucci, G, Pagano, G, Vanni, G, Pattacini, G, Gravante, G, Lisi, G, Bellanova, G, De Nobili, G, Necchi, G, Sinibaldi, G, Bacchiocchi, G, Bagaglini, G, Maggi, G, Izzo, G, Argenio, G, Brisinda, G, Esposito, G, Frazzetta, G, De Luca, G, Nigri, G, Sica, G, Martin-Martin, G, Ugon, G, Martinez-Mier, G, Machain Vega, G, Nari, G, Nikaj, H, Neri, I, San Roman, I, Fidoshev, I, Martinez, I, Negoi, I, Ortega, I, Vicente Rodriguez, I, Cornejo, I, Mora-Guzman, I, al-Najami, I, Romic, I, Balciscueta, I, Olivier, J, Lammel-Lindemann, J, Dziakova, J, Salinas, J, Jovanovic, J, Reyes, J, Salas, J, Diaz-Elizondo, J, Parreira, J, Bellido, J, Salamea, J, Martin del Olmo, J, Ordonez, J, Junaid, S, Davies, J, Sahnan, K, Bekele, K, Voon, K, Siragusa, L, Petagna, L, Ferrario, L, Giordano, L, Nespoli, L, Pio, L, Moletta, L, Curella, L, Taglietti, L, Bonavina, L, Conti, L, Perez-Sanchez, L, Cabrera Vargas, L, Sanchez-Guillen, L, Tallon-Aguilar, L, Khan, M, Spampinato, M, Viola, M, Malet, M, Angrisani, M, Calussi, M, Catarci, M, Giordano, M, Materazzo, M, Milone, M, Pellicciaro, M, Marino, M, Moreno Villamizar, M, Lolli, M, Bellini, M, Lemma, M, Chiarello, M, Montes-Manrique, M, Rodriguez-Lopez, M, Serradilla-Martin, M, Peter, M, Paniagua-Garcia-Senorans, M, Rutegard, M, Salo, M, Silveri, M, Veroux, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluaga, M, Iacobone, M, Montuori, M, Ali, M, Garcia Dominguez, M, Paola, M, Piccoli, M, Campanelli, M, De Rosa, M, Manigrasso, M, Maruccia, M, Torre, M, Zuolo, M, Pera, M, Weerasekera, M, Prieto, M, Thway, M, Shaat, M, Azfar, M, Shalaby, M, Raza, M, Younis, M, Elhadi, M, Althomali, M, Al Amri, N, Dudi-Venkata, N, Alselaim, N, Smart, N, Trelles, N, Falco, N, Petrucciani, N, Antonacci, N, Cillara, N, Gica, N, Pecorelli, N, Tamini, N, Machairas, N, Feituri, N, Ortega Torrecilla, N, Avila Mercado, O, Alaamer, O, Irkorucu, O, Alsherif, O, Buonomo, O, Valles-Guerra, O, Ioannidis, O, Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Rodrigues, P, Milito, P, Panaccio, P, Dorovinis, P, Prieto, P, Baroffio, P, Marsanic, P, Ajawin, P, Koh, P, Anoldo, P, Major, P, Alharthi, Q, Lui, R, Caruso, R, Brady, R, Rattan, R, Singhal, R, Angelico, R, Isernia, R, Tutino, R, Peltrini, R, Tejos, R, Fajardo, R, Elia, R, Morales-Conde, S, Benli, S, Fuentes, S, de las Casas, S, de Guzman Aragon, S, Vertaldi, S, Awad, S, Gentilli, S, Weckmann Lujan, S, Tayar, S, Althobaiti, S, Di Giovanni, S, Ghedan, S, Perez-Bertolez, S, Chiappetta, S, Delis, S, Scaringi, S, Cetinkunar, S, Kykalos, S, Muhammad Ali, S, Krivan, S, Fung, T, Delko, T, Nicolas Lopez, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Koeter, T, Zalla, T, Gonzalez, T, Campagnaro, T, Oumar, T, Grossi, U, Sosa, V, Testa, V, Tomajer, V, Andriola, V, Tonini, V, Celentano, V, Voglino, V, Katta, V, Garcia Orozco, V, Turrado-Rodriguez, V, Visag-Castillo, V, Graham, V, Rachkov, V, Papagni, V, Vigorita, V, Jimenez Carneros, V, Bellato, V, Bechstein, W, Altinel, Y, Balciscueta, Z, Pata F., Di Martino M., Podda M., Di Saverio S., Ielpo B., Pellino G., Julio A., Alshamrani A., Alturkistani A., Alghamdi A., Almalki A., Orengia A., Kuvvetli A., Pisanu A., Smith A., Trevino Figueroa A. M., Nacion A. J., Alhazmi A., Bouhuwaish A., Khalid A., Alsufyani A., Rubio A. V., Bavikatte A., Kumar A., Jamiri A. -R., de San Ildefonso Pereira A., Porcu A., Sartori A., Rocca A., Sretenovic A., Anselmo A., De Luca A., Charalabopoulos A., Tzivanakis A., Bandin A., Najar A., Frontali A., Faisal A., Roldan A. M., Hamid A., Andre A., Minaya-Bravo A., Das A., Bondurri A., Costanzi A., Lucchi A., Mihailescu A., Police A., Zuchini A. M., Romano A., Iossa A., Chessa A., Tromba A., Castaldi A., Brillantino A., Ferronetti A., Giuliani A., Ramos-De la Medina A., Tarasconi A., Picciariello A., Ioannidis A., Leppaniemi A., Rashid A., Mitul A. R., Mehraj A., laharwal A., Iqbal A., Liarakos A., Marinis A., de Andres-Asenjo B., Matias-Garcia B., De Simone B., Creavin B., Stubbs B., Goh B., Jovanovic B., Sensi B., Gazia C., Cerdan C., Diaz C. J. G., Chacon C. P., Yanez C., Faro C. L., Reinke C., Dominguez C., Paranjape C., Thomas C., Fung C. C., De Lucia C., Jennifer C. H. F., Ovalle-Chao C., Guerci C., Kenington C., Gica C., Folliero C., Varela C., Popowich D., Delogu D., Zigiotto D., Vinci D., D'Antonio D., Merlini D. A., Merlini D., Moro-Valdezate D., Keller D., Nicolaescu D. C., Sasia D., Rodas E., Linardoutsos D., Russello D., Najar-Castaneda P. A., Stavrou H. G., Rosso E., Saladino E., Ricciardi E., Smith-Singares E., Baili E., Douka E., Guaitoli E., Francone E., Vaterlini E. M., Pierobon E. S., Morales E., Ros E. P., Benzoni E., Erdas E., Pinotti E., Colas-Ruiz E., Laterza E., Foianini E., Cardamone E., Licardie E., Marino F., Alsofyani F., Qahtani F., Khan F., Maraska F., Saliu F., Madrid F., Rosa F., Luvisetto F., Alconchel F., Pareja-Ciuro F., Neves F., Agresta F., Cordera F., Pardo F., Mendoza-Moreno F., Munoz-Flores F., Silvestri F. M., Tropeano F. P., Pecchini F., Serio F., Colombo F., Di Marzo F., Ferrara F., Lancellotti F., Litta F., Martini F., Roscio F., Blanco-Antona F., Barcenas F. J. Q., Schlottmann F., Herrera-Almario G., van Ramshorst G., Gallo G., Luglio G., Kampouroglou G., Papadopoulos G., Arredondo G., Calini G., Formisano G., Galiffa G., Palini G. M., Colucci G., Pagano G., Vanni G., Pattacini G. C., Gravante G., Lisi G., Bellanova G., De Nobili G., Necchi G. S., Sinibaldi G., Bacchiocchi G., Bagaglini G., Maggi G., Izzo G., Argenio G., Brisinda G., Esposito G., Frazzetta G., De Luca G. M., Nigri G., Sica G., Martin-Martin G., Ugon G. A., Martinez-Mier G., Machain Vega G. M., Nari G., Nikaj H., Neri I., San Roman I. A., Fidoshev I., Martinez I., Negoi I., Ortega I., Vicente Rodriguez I., Cornejo I., Mora-Guzman I., al-Najami I., Romic I., Balciscueta I., Olivier J., Lammel-Lindemann J., Dziakova J., Salinas J., Jovanovic J. P., Reyes J. A. S., Salas J., Diaz-Elizondo J. A., Parreira J. G., Bellido J., Salamea J., Martin del Olmo J. C., Ordonez J. M., Junaid S., Davies J., Sahnan K., Bekele K., Voon K., Siragusa L., Petagna L., Ferrario L., Giordano L., Nespoli L., Pio L., Moletta L., Curella L., Taglietti L., Bonavina L., Conti L., Perez-Sanchez L. E., Cabrera Vargas L. F., Sanchez-Guillen L., Tallon-Aguilar L., Khan M., Spampinato M. G., Viola M., Malet M. V., Angrisani M., Calussi M., Catarci M., Giordano M., Materazzo M., Milone M., Pellicciaro M., Marino M. V., Moreno Villamizar M. D., Lolli M. G., Bellini M. I., Lemma M., Chiarello M. M., Montes-Manrique M., Rodriguez-Lopez M., Serradilla-Martin M., Peter M., Paniagua-Garcia-Senorans M., Rutegard M., Salo M., Silveri M., Veroux M., Nardi M., Rottoli M., Tolonen M., Pedraza Ciro M., Zuluaga M., Iacobone M., Montuori M., Ali M., Garcia Dominguez M., Paola M. M., Piccoli M., Campanelli M., De Rosa M., Manigrasso M., Maruccia M., Torre M., Zuolo M., Pera M., Weerasekera M., Prieto M., Thway M. M., Shaat M., Azfar M., Shalaby M., Raza M. A., Younis M. U., Elhadi M., AlThomali M., Al Amri N., Dudi-Venkata N., Alselaim N., Smart N., Trelles N., Falco N., Petrucciani N., Antonacci N., Cillara N., Gica N., Pecorelli N., Tamini N., Machairas N., Feituri N., Ortega Torrecilla N., Avila Mercado O., AlAamer O., Irkorucu O., Alsherif O., Buonomo O. C., Valles-Guerra O., Ioannidis O., Hernandez Palmas O. I., Sanz Guadarrama O., Bozbiyik O., Rodrigues P., Milito P., Panaccio P., Dorovinis P., Prieto P., Baroffio P., Marsanic P., Ajawin P., Koh P. S., Anoldo P., Major P., Alharthi Q., Lui R., Caruso R., Brady R., Rattan R., Singhal R., Angelico R., Isernia R. M., Tutino R., Peltrini R., Tejos R., Fajardo R., Elia R., Morales-Conde S., Benli S., Fuentes S., de las Casas S. G., de Guzman Aragon S. O., Vertaldi S., Awad S., Gentilli S., Weckmann Lujan S. A., Tayar S., Althobaiti S., Di Giovanni S., Ghedan S., Perez-Bertolez S., Chiappetta S., Delis S., Scaringi S., Cetinkunar S., Kykalos S., Muhammad Ali S., Krivan S., Fung T. L. D., Delko T., Nicolas Lopez T., De Campos T., Calderon Duque T., Perra T., Liakakos T., Daskalakis T., Koeter T., Zalla T., Gonzalez T. E., Campagnaro T., Oumar T. A., Grossi U., Sosa V., Testa V., Tomajer V., Andriola V., Tonini V., Celentano V., Voglino V., Katta V. R., Garcia Orozco V. H., Turrado-Rodriguez V., Visag-Castillo V., Graham V., Rachkov V., Papagni V., Vigorita V., Jimenez Carneros V., Bellato V., Bechstein W., Altinel Y., and Balciscueta Z.

Abstract

In the original online version of this article Oreste Claudio Buonomo’s family name was misspelled. The original article was corrected.

Published
2022

10. Evolving Trends in the Management of Acute Appendicitis During COVID-19 Waves: The ACIE Appy II Study

Author

Pata, Francesco, Di Martino, Marcello, Podda, Mauro, Di Saverio, Salomone, Ielpo, Benedetto, Pellino, Gianluca, Julio, Abba, Alshamrani, Abdullah, Alturkistani, Abdullah, Alghamdi, Abdulrahman, Almalki, Abdulrahman, Orengia, Adam, Kuvvetli, Adnan, Pisanu, Adolfo, Smith, Adrian, Treviño Figueroa, Adriana Michelle, Nacion, Aeris Jane, Alhazmi, Ahmad, Bouhuwaish, Ahmad, Khalid, Ahmad, Alsufyani, Ahmed, Rubio, Ainhoa Valle, Bavikatte, Akshay, Kumar, Akshay, Jamiri, Al-Radjid, de San Ildefonso Pereira, Alberto, Porcu, Alberto, Sartori, Alberto, Rocca, Aldo, Sretenovic, Aleksandar, Anselmo, Alessandro, De Luca, Alessandro, Charalabopoulos, Alexandros, Tzivanakis, Alexios, Bandin, Alfonso, Nájar, Alfonso, Frontali, Alice, Faisal, Alsulaimani, Roldan, Amaia Martínez, Hamid, Amal, André, Ana, Minaya-Bravo, Ana, Das, Andre, Bondurri, Andrea, Costanzi, Andrea, Lucchi, Andrea, Mihailescu, Andrei, Police, Andrea, Zuchini, Andres Mendoza, Romano, Angela, Iossa, Angelo, Chessa, Antonella, Tromba, Antonella, Castaldi, Antonio, Brillantino, Antonio, Ferronetti, Antonio, Giuliani, Antonio, Ramos-De la Medina, Antonio, Tarasconi, Antonio, Picciariello, Arcangelo, Ioannidis, Argyrios, Leppäniemi, Ari, Rashid, Arshad, Mitul, Ashrarur Rahman, Mehraj, Asif, Laharwal, Asim, Iqbal, Atif, Liarakos, Athanasios, Marinis, Athanasios, de Andrés-Asenjo, Beatriz, Matías-García, Belén, De Simone, Belinda, Creavin, Ben, Stubbs, Ben, Goh, Brian, Jovanovic, Branislav, Sensi, Bruno, Gazia, Carlo, Cerdán, Carlos, Díaz, Carlos Javier Gómez, Chacón, Carlos Petrola, Yánez, Carlos, Faro, Carmelo Lo, Reinke, Caroline, Dominguez, Casandra, Paranjape, Charudutt, Thomas, Charlotte, Fung, Chia Chi, De Lucia, Chiara, Jennifer, Chiu Hiu Fung, Ovalle-Chao, Christian, Guerci, Claudio, Kenington, Cleo, Gica, Corina, Folliero, Cristina, Varela, Cristopher, Popowich, Daniel, Delogu, Daniele, Zigiotto, Daniele, Vinci, Danilo, D’Antonio, Dario, Merlini, David Alessio, Merlini, David, Moro-Valdezate, David, Keller, Deborah, Nicolaescu, Diana Cristiana, Sasia, Diego, Rodas, Edgar, Linardoutsos, Dimitrios, Russello, Domenico, Nájar-Castañeda, Pedro Alfonso, Stavrou, Habil Gregor, Rosso, Edoardo, Saladino, Edoardo, Ricciardi, Edoardo, Smith-Singares, Eduardo, Baili, Efstratia, Douka, Eleftheria, Guaitoli, Eleonora, Francone, Elisa, Vaterlini, Elisa Maria, Pierobon, Elisa Sefora, Morales, Emilio, Ros, Emilio Peña, Benzoni, Enrico, Erdas, Enrico, Pinotti, Enrico, Colás-Ruiz, Enrique, Laterza, Ernesto, Foianini, Esteban, Cardamone, Eugenia, Licardie, Eugenio, Marino, Fabio, Alsofyani, Fahad, Qahtani, Fahad, Khan, Farhan, Maraska, Fatlum, Saliu, Fatmir, Madrid, Fausto, Rosa, Fausto, Luvisetto, Federico, Alconchel, Felipe, Pareja-Ciuro, Felipe, Neves, Fernanda, Agresta, Ferdinando, Cordera, Fernando, Pardo, Fernando, Mendoza-Moreno, Fernando, Munoz-Flores, Fernando, Silvestri, Francesca Maria, Tropeano, Francesca Paola, Pecchini, Francesca, Serio, Francesca, Colombo, Francesco, Di Marzo, Francesco, Ferrara, Francesco, Lancellotti, Francesco, Litta, Francesco, Martini, Francesco, Roscio, Francesco, Blanco-Antona, Francisco, Barcenas, Francisco Javier Quezada, Schlottmann, Francisco, Herrera-Almario, Gabriel, van Ramshorst, Gabrielle, Gallo, Gaetano, Luglio, Gaetano, Kampouroglou, Georgios, Papadopoulos, Georgios, Arredondo, Gerardo, Calini, Giacomo, Formisano, Giampaolo, Galiffa, Giampaolo, Palini, Gian Marco, Colucci, Gianluca, Pagano, Gianluca, Vanni, Gianluca, Pattacini, Gianmaria Casoni, Gravante, Gianpiero, Lisi, Giorgio, Bellanova, Giovanni, De Nobili, Giovanni, Necchi, Giovanni Sammy, Sinibaldi, Giovanni, Bacchiocchi, Giulia, Bagaglini, Giulia, Maggi, Giulia, Izzo, Giuliano, Argenio, Giulio, Brisinda, Giuseppe, Esposito, Giuseppe, Frazzetta, Giuseppe, De Luca, Giuseppe Massimiliano, Nigri, Giuseppe, Sica, Giuseppe, Martin-Martin, Gonzalo, Ugon, Gustavo Armand, Martinez-Mier, Gustavo, Machain Vega, Gustavo Miguel, Nari, Gustavo, Nikaj, Herald, Neri, Ignacio, San Roman, Igor Alberdi, Fidoshev, Iliya, Martínez, Iñaki, Negoi, Ionut, Ortega, Irene, Vicente Rodríguez, Irune, Cornejo, Isabel, Mora-Guzmán, Ismael, al-Najami, Issam, Romic, Ivan, Balciscueta, Izaskun, Olivier, James, Lammel-Lindemann, Jan, Dziakova, Jana, Salinas, Javier, Jovanovic, Jelena Pejanovic, Reyes, Jeryl Anne Silvia, Salas, Joanne, Diaz-Elizondo, Jose Antonio, Parreira, Jose Gustavo, Bellido, Juan, Salamea, Juan, Martín del Olmo, Juan Carlos, Ordoñez, Juliana María, Junaid, Sofi, Davies, Justin, Sahnan, Kapil, Bekele, Kebebe, Voon, Kelvin, Siragusa, Leandro, Petagna, Lorenzo, Ferrario, Luca, Giordano, Luca, Nespoli, Luca, Pio, Luca, Moletta, Lucia, Curella, Luciano, Taglietti, Lucio, Bonavina, Luigi, Conti, Luigi, Pérez-Sánchez, Luis Eduardo, Cabrera Vargas, Luis Felipe, Sánchez-Guillén, Luis, Tallon-Aguilar, Luis, Khan, Mansoor, Spampinato, Marcello Giuseppe, Viola, Marcelo, Malet, Marcelo Viola, Angrisani, Marco, Calussi, Marco, Catarci, Marco, Giordano, Marco, Materazzo, Marco, Milone, Marco, Pellicciaro, Marco, Marino, Marco Vito, Moreno Villamizar, María Daniela, Lolli, Maria Giulia, Bellini, Maria Irene, Lemma, Maria, Chiarello, Maria Michela, Montes-Manrique, Mario, Rodriguez-Lopez, Mario, Serradilla-Martín, Mario, Peter, Mark, Paniagua-García-Señoráns, Marta, Rutegård, Martin, Salö, Martin, Silveri, Massimiliano, Veroux, Massimiliano, Nardi, Matteo, Rottoli, Matteo, Tolonen, Matti, Pedraza Ciro, Mauricio, Zuluaga, Mauricio, Iacobone, Maurizio, Montuori, Mauro, Ali, Mazin, García Domínguez, Melody, Paola, Menna Maria, Piccoli, Micaela, Campanelli, Michela, De Rosa, Michele, Manigrasso, Michele, Maruccia, Michele, Torre, Michele, Zuolo, Michele, Pera, Miguel, Weerasekera, Mihiri, Prieto, Mikel, Thway, Min Myat, Shaat, Mohamed, Azfar, Mohammad, Shalaby, Mostafa, Raza, Muhammad Asif, Younis, Muhammad Umar, Elhadi, Muhammed, Ali, Mujahid, Althomali, Musab, Al Amri, Nadiah, Dudi-Venkata, Nagendra, Alselaim, Nahar, Smart, Neil, Trelles, Nelson, Falco, Nicolò, Petrucciani, Niccolo, Antonacci, Nicola, Cillara, Nicola, Gica, Nicolae, Pecorelli, Nicolò, Tamini, Nicolò, Machairas, Nikolaos, Feituri, Nura, Ortega Torrecilla, Nuria, Avila Mercado, Octavio, Alaamer, Ohood, Irkorucu, Oktay, Alsherif, Omar, Buonomi, Oreste Claudio, Valles-Guerra, Orestes, Ioannidis, Orestis, Hernández Palmas, Oscar Isaac, Sanz Guadarrama, Oscar, Bozbiyik, Osman, Rodrigues, Pablo, Milito, Pamela, Panaccio, Paolo, Dorovinis, Panagiotis, Prieto, Paola, Baroffio, Paolo, Marsanic, Patrizia, Ajawin, Pawel, Koh, Peng Soon, Anoldo, Pietro, Major, Piotr, Alharthi, Qasem, Lui, Rashid, Caruso, Riccardo, Brady, Richard, Rattan, Rishi, Singhal, Rishi, Angelico, Roberta, Isernia, Roberta Maria, Tutino, Roberta, Peltrini, Roberto, Tejos, Rodrigo, Fajardo, Roosevelt, Elia, Rossella, Morales-Conde, Salvador, Benli, Sami, Fuentes, Sara, de las Casas, Sara Gortázar, de Guzmán Aragón, Sara Ortiz, Vertaldi, Sara, Awad, Selmy, Gentilli, Sergio, Weckmann Lujan, Sergio Alberto, Tayar, Serkan, Althobaiti, Shabab, Di Giovanni, Silvia, Ghedan, Soliman, Pérez-Bertólez, Sonia, Chiappetta, Sonja, Delis, Spiros, Scaringi, Stefano, Çetinkünar, Süleyman, Kykalos, Stylianos, Muhammad Ali, Syed, Krivan, Sylvia, Fung, Tak Lit Derek, Delko, Tarik, Nicolás López, Tatiana, De Campos, Tercio, Calderón Duque, Teresa, Perra, Teresa, Liakakos, Theodore, Daskalakis, Theodoros, Koëter, Tijmen, Zalla, Tiku, González, Tomás Elosua, Campagnaro, Tommaso, Oumar, Toure Alpha, Grossi, Ugo, Sosa, Valentina, Testa, Valentina, Tomajer, Valentina, Andriola, Valeria, Tonini, Valeria, Celentano, Valerio, Voglino, Valerio, Katta, Venkateswara Rao, García Orozco, Víctor Hugo, Turrado-Rodriguez, Victor, Visag-Castillo, Victor, Graham, Victoria, Rachkov, Viktor, Papagni, Vincenzo, Vigorita, Vincenzo, Jiménez Carneros, Virginia, Bellato, Vittoria, Bechstein, Wolf, Altinel, Yuksel, Balciscueta, Zutoia, Pata, Francesco, Di Martino, Marcello, Podda, Mauro, Di Saverio, Salomone, Ielpo, Benedetto, Pellino, Gianluca, Luglio, Gaetano, Pata, F, Di Martino, M, Podda, M, Di Saverio, S, Ielpo, B, Pellino, G, Julio, A, Alshamrani, A, Alturkistani, A, Alghamdi, A, Almalki, A, Orengia, A, Kuvvetli, A, Pisanu, A, Smith, A, Trevino Figueroa, A, Nacion, A, Alhazmi, A, Bouhuwaish, A, Khalid, A, Alsufyani, A, Rubio, A, Bavikatte, A, Kumar, A, Jamiri, A, de San Ildefonso Pereira, A, Porcu, A, Sartori, A, Rocca, A, Sretenovic, A, Anselmo, A, De Luca, A, Charalabopoulos, A, Tzivanakis, A, Bandin, A, Najar, A, Frontali, A, Faisal, A, Roldan, A, Hamid, A, Andre, A, Minaya-Bravo, A, Das, A, Bondurri, A, Costanzi, A, Lucchi, A, Mihailescu, A, Police, A, Zuchini, A, Romano, A, Iossa, A, Chessa, A, Tromba, A, Castaldi, A, Brillantino, A, Ferronetti, A, Giuliani, A, Ramos-De la Medina, A, Tarasconi, A, Picciariello, A, Ioannidis, A, Leppaniemi, A, Rashid, A, Mitul, A, Mehraj, A, Laharwal, A, Iqbal, A, Liarakos, A, Marinis, A, de Andres-Asenjo, B, Matias-Garcia, B, De Simone, B, Creavin, B, Stubbs, B, Goh, B, Jovanovic, B, Sensi, B, Gazia, C, Cerdan, C, Diaz, C, Chacon, C, Yanez, C, Faro, C, Reinke, C, Dominguez, C, Paranjape, C, Thomas, C, Fung, C, De Lucia, C, Jennifer, C, Ovalle-Chao, C, Guerci, C, Kenington, C, Gica, C, Folliero, C, Varela, C, Popowich, D, Delogu, D, Zigiotto, D, Vinci, D, D'Antonio, D, Merlini, D, Moro-Valdezate, D, Keller, D, Nicolaescu, D, Sasia, D, Rodas, E, Linardoutsos, D, Russello, D, Najar-Castaneda, P, Stavrou, H, Rosso, E, Saladino, E, Ricciardi, E, Smith-Singares, E, Baili, E, Douka, E, Guaitoli, E, Francone, E, Vaterlini, E, Pierobon, E, Morales, E, Ros, E, Benzoni, E, Erdas, E, Pinotti, E, Colas-Ruiz, E, Laterza, E, Foianini, E, Cardamone, E, Licardie, E, Marino, F, Alsofyani, F, Qahtani, F, Khan, F, Maraska, F, Saliu, F, Madrid, F, Rosa, F, Luvisetto, F, Alconchel, F, Pareja-Ciuro, F, Neves, F, Agresta, F, Cordera, F, Pardo, F, Mendoza-Moreno, F, Munoz-Flores, F, Silvestri, F, Tropeano, F, Pecchini, F, Serio, F, Colombo, F, Di Marzo, F, Ferrara, F, Lancellotti, F, Litta, F, Martini, F, Roscio, F, Blanco-Antona, F, Barcenas, F, Schlottmann, F, Herrera-Almario, G, van Ramshorst, G, Gallo, G, Luglio, G, Kampouroglou, G, Papadopoulos, G, Arredondo, G, Calini, G, Formisano, G, Galiffa, G, Palini, G, Colucci, G, Pagano, G, Vanni, G, Pattacini, G, Gravante, G, Lisi, G, Bellanova, G, De Nobili, G, Necchi, G, Sinibaldi, G, Bacchiocchi, G, Bagaglini, G, Maggi, G, Izzo, G, Argenio, G, Brisinda, G, Esposito, G, Frazzetta, G, De Luca, G, Nigri, G, Sica, G, Martin-Martin, G, Ugon, G, Martinez-Mier, G, Machain Vega, G, Nari, G, Nikaj, H, Neri, I, San Roman, I, Fidoshev, I, Martinez, I, Negoi, I, Ortega, I, Vicente Rodriguez, I, Cornejo, I, Mora-Guzman, I, al-Najami, I, Romic, I, Balciscueta, I, Olivier, J, Lammel-Lindemann, J, Dziakova, J, Salinas, J, Jovanovic, J, Reyes, J, Salas, J, Diaz-Elizondo, J, Parreira, J, Bellido, J, Salamea, J, Martin del Olmo, J, Ordonez, J, Junaid, S, Davies, J, Sahnan, K, Bekele, K, Voon, K, Siragusa, L, Petagna, L, Ferrario, L, Giordano, L, Nespoli, L, Pio, L, Moletta, L, Curella, L, Taglietti, L, Bonavina, L, Conti, L, Perez-Sanchez, L, Cabrera Vargas, L, Sanchez-Guillen, L, Tallon-Aguilar, L, Khan, M, Spampinato, M, Viola, M, Malet, M, Angrisani, M, Calussi, M, Catarci, M, Giordano, M, Materazzo, M, Milone, M, Pellicciaro, M, Marino, M, Moreno Villamizar, M, Lolli, M, Bellini, M, Lemma, M, Chiarello, M, Montes-Manrique, M, Rodriguez-Lopez, M, Serradilla-Martin, M, Peter, M, Paniagua-Garcia-Senorans, M, Rutegard, M, Salo, M, Silveri, M, Veroux, M, Nardi, M, Rottoli, M, Tolonen, M, Pedraza Ciro, M, Zuluaga, M, Iacobone, M, Montuori, M, Ali, M, Garcia Dominguez, M, Paola, M, Piccoli, M, Campanelli, M, De Rosa, M, Manigrasso, M, Maruccia, M, Torre, M, Zuolo, M, Pera, M, Weerasekera, M, Prieto, M, Thway, M, Shaat, M, Azfar, M, Shalaby, M, Raza, M, Younis, M, Elhadi, M, Althomali, M, Al Amri, N, Dudi-Venkata, N, Alselaim, N, Smart, N, Trelles, N, Falco, N, Petrucciani, N, Antonacci, N, Cillara, N, Gica, N, Pecorelli, N, Tamini, N, Machairas, N, Feituri, N, Ortega Torrecilla, N, Avila Mercado, O, Alaamer, O, Irkorucu, O, Alsherif, O, Buonomi, O, Valles-Guerra, O, Ioannidis, O, Hernandez Palmas, O, Sanz Guadarrama, O, Bozbiyik, O, Rodrigues, P, Milito, P, Panaccio, P, Dorovinis, P, Prieto, P, Baroffio, P, Marsanic, P, Ajawin, P, Koh, P, Anoldo, P, Major, P, Alharthi, Q, Lui, R, Caruso, R, Brady, R, Rattan, R, Singhal, R, Angelico, R, Isernia, R, Tutino, R, Peltrini, R, Tejos, R, Fajardo, R, Elia, R, Morales-Conde, S, Benli, S, Fuentes, S, de las Casas, S, de Guzman Aragon, S, Vertaldi, S, Awad, S, Gentilli, S, Weckmann Lujan, S, Tayar, S, Althobaiti, S, Di Giovanni, S, Ghedan, S, Perez-Bertolez, S, Chiappetta, S, Delis, S, Scaringi, S, Cetinkunar, S, Kykalos, S, Muhammad Ali, S, Krivan, S, Fung, T, Delko, T, Nicolas Lopez, T, De Campos, T, Calderon Duque, T, Perra, T, Liakakos, T, Daskalakis, T, Koeter, T, Zalla, T, Gonzalez, T, Campagnaro, T, Oumar, T, Grossi, U, Sosa, V, Testa, V, Tomajer, V, Andriola, V, Tonini, V, Celentano, V, Voglino, V, Katta, V, Garcia Orozco, V, Turrado-Rodriguez, V, Visag-Castillo, V, Graham, V, Rachkov, V, Papagni, V, Vigorita, V, Jimenez Carneros, V, Bellato, V, Bechstein, W, Altinel, Y, Balciscueta, Z, Institut Català de la Salut, [Pata F] General Surgery Unit, UOC di Chirurgia, Nicola Giannettasio Hospital, CS, Italy. La Sapienza University, Rome, Italy. [Di Martino M] Division of Hepatobiliary and Liver Transplantation Surgery, A.O.R.N. Cardarelli, Naples, Italy. [Podda M] Department of Surgical Science, University of Cagliari, Cagliari, Italy. [Di Saverio S] Department of Surgery, Madonna del Soccorso General Hospital, San Benedetto del Tronto, Italy. [Ielpo B] Hepatobiliary division, Hospital del Mar, Universitat Pompeu Fabra, Barcelona, Spain. [Pellino G] Department of Advanced Medical and Surgical Sciences, Universitá degli Studi della Campania ‘‘Luigi Vanvitelli’’, Policlinico CS, Naples, Italy. Unitat de Cirurgia de Còlon i Recte, Vall d’Hebron Hospital Universitari, Barcelona, Spain, and Vall d'Hebron Barcelona Hospital Campus

Subjects
Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT], covid-19, surgery, coronavirus, sars-cov-2, appendicectomy, laparoscopy, nom, management, Enquestes, Apendicectomia, COVID-19 (Malaltia), surgery, Surgical Procedures, Operative::Digestive System Surgical Procedures::Appendectomy [ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT], Apendicitis, Pandèmia de COVID-19, 2020, Appendectomy, Humans, Appendiciti, Pandemics, Cirurgia, Pandemic, SARS-CoV-2, COVID-19, Digestive System Diseases::Gastrointestinal Diseases::Gastroenteritis::Digestive System Diseases::Gastrointestinal Diseases::Appendicitis [DISEASES], Otros calificadores::Otros calificadores::/cirugía [Otros calificadores], técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS], Appendicitis, Apendicitis - Cirurgia, Other subheadings::Other subheadings::/surgery [Other subheadings], Settore MED/18, Settore MED/18 - Chirurgia Generale, Acute Disease, enfermedades del sistema digestivo::enfermedades gastrointestinales::gastroenteritis::enfermedades del sistema digestivo::enfermedades gastrointestinales::apendicitis [ENFERMEDADES], intervenciones quirúrgicas::procedimientos quirúrgicos del sistema digestivo::apendicectomía [TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS], Human
Abstract

Background In 2020, ACIE Appy study showed that COVID-19 pandemic heavily affected the management of patients with acute appendicitis (AA) worldwide, with an increased rate of non-operative management (NOM) strategies and a trend toward open surgery due to concern of virus transmission by laparoscopy and controversial recommendations on this issue. The aim of this study was to survey again the same group of surgeons to assess if any difference in management attitudes of AA had occurred in the later stages of the outbreak. Methods From August 15 to September 30, 2021, an online questionnaire was sent to all 709 participants of the ACIE Appy study. The questionnaire included questions on personal protective equipment (PPE), local policies and screening for SARS-CoV-2 infection, NOM, surgical approach and disease presentations in 2021. The results were compared with the results from the previous study. Results A total of 476 answers were collected (response rate 67.1%). Screening policies were significatively improved with most patients screened regardless of symptoms (89.5% vs. 37.4%) with PCR and antigenic test as the preferred test (74.1% vs. 26.3%). More patients tested positive before surgery and commercial systems were the preferred ones to filter smoke plumes during laparoscopy. Laparoscopic appendicectomy was the first option in the treatment of AA, with a declined use of NOM. Conclusion Management of AA has improved in the last waves of pandemic. Increased evidence regarding SARS-COV-2 infection along with a timely healthcare systems response has been translated into tailored attitudes and a better care for patients with AA worldwide.

Published
2022

11. Inequalities in screening policies and perioperative protection for patients with acute appendicitis during the pandemic: Subanalysis of the ACIE Appy study

Author

Pellino, G., Podda, M., Pata, F., Di Saverio, S., Ielpo, B., Caruso, R., Gravante, G., Orengia, A., Chowdary, A., Kulkarni, A., Kuvvetli, A., Navarro, A., Smith, A., Ibiricu, A. C., Nacion, A. J. D., Alsaleh, A., Alhazmi, A., Elmabri, A., Wani, A., Rencuzogullari, A., Lasarte, A. S., Rubio, A. V., Bavikatte, A., Kumar, A., Jamiri, A. -R., Padilla, A. M. A., Cacurri, A., de San Ildefonso, A., Porcu, A., Sartori, A., Rocca, A., Paz Yanez, A., Becaria, A., Solis-Pena, A., Sretenovic, A., Urbistondo, A., Bandin, A., Najar, A., De Luca, A., Boddy, A., Charalabopoulos, A., Tzivanakis, A., Amendola, A., de Velasco, A. R. -G., Yildirim, A. C., Frontali, A., Toure, A. O., Garcia-Granero, A., Martinez Roldan, A., Larrainzar, A. S., Ratnayake, A. S., Gonzalez-Ganso, A. M., Minaya-Bravo, A. M., Das, A., Bondurri, A., Costanzi, A., Lucchi, A., Mazzari, A., Musig, A., Peloso, A., Piano, A., Police, A., Mihailescu, A., Pouy, A., Romano, A., Iossa, A., Leonetti, A. C., Guariniello, A., Isaac, A., Bovi, A. P. D., Chessa, A., Tromba, A., Martinez, A. A., Brillantino, A., Caira, A., Castaldi, A., Ferronetti, A., Giuliani, A., Prestera, A., Ramos-De la Medina, A., Tarasconi, A., Tornambe, A., Picciariello, A., Ioannidis, A., Leppaniemi, A., Khan, A., Rashid, A., Perez-Sanchez, A. L. E., Mittal, A., Mitul, A. R., Mehraj, A., Laharwal, A., Dorisme, A., Marinis, A., Iqbal, A., Moncada, A., Braccio, B., Alkhafaji, B., de Andres Asenjo, B., Martin-Perez, B., De Simone, B., Perez, B. S., Creavin, B., Cali, B., Pascotto, B., Stubbs, B., Retes, B. Z., Jovanovic, B., Goh, B. K. P., Sensi, B., Biddau, C., Gazia, C., Vallicelli, C., Fagundes, C. A., Santacruz, C. C., Chirico, C., Diaz, C. J. G., Petrola, C., Rodriguez, C. S., Benitez, C. Y., Dammaro, C., Lo Faro, C., Reinke, C., Paez, C. D., Oliva, C., Paranjape, C., Thomas, C., Chia, C. F., Kong, C. K., De Lucia, C., Chao, C. O., Arcudi, C., Guerci, C., Chia, C., Parise, C., Folliero, C., Varela, C., Ferguson, D. M., Camacho, D., Popowich, D., Lima, D. S., Rega, D., Delogu, D., Zigiotto, D., Vinci, D., D'Antonio, D., Parini, D., Merlini, D. A., Zimmerman, D. D. E., Moro-Valdezate, D., Pertile, D., Giusti, D. M., Keller, D. S., Tarik, D., Kalivaci, D., Mazingi, D., Maldonado-Pintado, D. G., Sasia, D., Linardoutsos, D., Osilli, D., Murrone, D., Russello, D., Rodas, E., Roa, E. A. A., Ricciardi, E., Rosso, E., Saladino, E., Flores-Villalba, E., Ajs, E. R., Smith-Singares, E., Baili, E., Kouroumpas, E., Bourmpouteli, E., Douka, E., Martin-Perez, E., Guaitoli, E., Samadov, E., Francone, E., Vaterlini, E., Morales, E., Pena, E., Zhao, E., Del Pozo Andres, E., Benzoni, E., Erdas, E., Pinotti, E., Colas-Ruiz, E., Aytac, E., Laterza, E., Agastra, E., Foianini, E., Moscoso, E., Laviano, E., Marra, E., Cardamone, E., Licardie, E., Mpaili, E., Pinna, E., Varo, E., Navarro, F. M., Marino, F., Medas, F., Romano, F., Maraska, F., Saliu, F., Madrid, F., Rosa, F., Mastella, F., Gheza, F., Luvisetto, F., Alconchel, F., Vieira, F. M., Pareja, F., Agresta, F., Luna, F., Bonilla, F., Cordera, F., Burdio, F., Mendoza-Moreno, F., Flores, F. M., Aranda, F. P., Taylor, F., Ramos, F. L., Fernandes, F., Tropeano, F. P., Balestra, F., Bianco, F., Ceci, F., Colombo, F., Di Marzo, F., Ferrara, F., Lancellotti, F., Lazzarin, F., Litta, F., Martini, F., Pizza, F., Roscio, F., Virdis, F., Antona, F. B., Ramirez, F. C., Fernandez, F. M., Llinares, F. O., Quezada, F., Schlottmann, F., Herrera-Almario, G., Massaferro, G., Bislenghi, G., van Ramshorst, G., Gallo, G., Luglio, G., Bointas, G., Kampouroglou, G., Papadopoulos, G., Manrique, G. A., Calini, G., Nastri, G., Formisano, G., Galiffa, G., Palini, G. M., Colucci, G., Pagano, G., Vanni, G., Pattacini, G. C., De Paola, G., Lisi, G., Partida, G., Bellanova, G., De Nobili, G., Necchi, G. S., Sinibaldi, G., Tebala, G., Bagaglini, G., Izzo, G., Argenio, G., Brisinda, G., Candilio, G., Di Grezia, G., Esposito, G., Faillace, G., Frazzetta, G., La Gumina, G., Nigri, G., Romeo, G., Amatriain, G. C., Ortega, G., Martin-Martin, G., Stavrou, G. A., Gunadi, Ugon, G. A., Machain, G., Marcucci, G., Martinez-Mier, G., Machain, G. M., Nari, G., Calvo, H., Fathy, H., Hamilton, Ahmed, H., Faraj, H., Nava, H., Macias, H. O., Nikaj, H., Solano, H., Khan, H. A., Alarcon, H. S., Ebied, H., Giani, I., Ateca, I. V., Neri, I., San Roman, I. A., Fidoshev, I., Rodriguez, I. M., Negoi, I., Ortega, I., Bernescu, I., Russo, I. S., Rodriguez, I. V., Palomares, I., Baltazar, I., Torrejimeno, I. J., Jurado, I. M. C., Reccia, I., Hussain, I., Toledo, I. B., Mora-Guzman, I., al-Najami, I., Dogaru, I., Romic, I., Balciscueta, I., Kenington, J. C., Sagolsem, J., Jang, J. Y., Olivier, J., Lammel-Lindemann, J., Dziakova, J., Villavicencio, J. I. R., Salinas, J., Pejanovic, J., Parreira, J. G., Perez, J. 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G., Ribeiro, M. A. F., Viola, M., Angrisani, M., Calussi, M., Cannistra, M., Catarci, M., Cereda, M., Conte, M., Giordano, M., Pellicciaro, M., Marino, M. V., Vaterlini, M. E., Jimenez, M. F., Lolli, M. G., Bellini, M. I., Lemma, M., Chiarello, M. M., Nicola, M., Arrigo, M., Mejia, M. C., Manrique, M. M., Rodriguez-Lopez, M., Serradilla-Martin, M., Lara, M. Z., Martinez, M., Bagnall, M., Peter, M., Lara, M. C., Gomez, M. J., Paniagua-Garcia-Senorans, M., Gonzalez, M. P., Rutegard, M., Salo, M., Franceschilli, M., Silveri, M., Veroux, M., Pezzulo, M., Nardi, M., Rottoli, M., Tolonen, M., Ciro, M. P., Zuluagua, M., Cannavo, M., Cervellera, M., Iacobone, M., Montuori, M., Dominguez, M. G., Bingol-Kologlu, M., Tahir, M., Lim, M., Wilson, M. S. J., Wilson, M., Campanelli, M., Bisaccia, M., De Rosa, M., Maruccia, M., Paterno, M., Pisano, M., Torre, M., Trevino, M., Zuolo, M., Bartolome, M. A. H., Farina, M., Pera, M., Calvo, M. P., Sotelo, M., Thway, M. M., Hassan, M., Hassan, M. S. 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Subjects
medicine.medical_specialty, business.industry, COVID-19, Perioperative, Appendicitis, COVID-19 testing, humans, healthcare disparities, mass screening, perioperative care, Perioperative Care, Settore MED/18 - Chirurgia Generale, Healthcare Disparitie, COVID-19 Testing, Pandemic, Acute appendicitis, medicine, Humans, Mass Screening, Surgery, Appendiciti, Healthcare Disparities, Intensive care medicine, business, Human
Abstract

Acute appendicitis remains a common reason for hospital admission. Reports have suggested a reduction in patients attending emergency departments during the acute phase of the SARSCoV- 2 pandemic. Moreover, a global surge in conservative management of acute appendicitis has recently been registered by the Appy Study of the Association of Italian Surgeons in Europe (ACIE)1. This is a treatment option that has been known for some years, although quite seldom used before the pandemic2–4. As most countries are experiencing new waves of the pandemic, the attitude of surgeons towards SARS-CoV-2 screening policies and personal protective equipment (PPE) used during the management of patients with acute appendicitis need to be established. According to a subanalysis of the ACIE Appy Study, half of surgeons globally were testing patients for SARS-CoV-2 only when symptomatic or there was suspicion of infection; approximately 12 per cent did not test patients at all (Fig. 1 and Table S1). There were regional differences. In Europe, respondents tested all patients (50.8 per cent) or those with suspected infection (43.9 per cent), with only 5.3 per cent not being tested at all. In the USA, the majority of participants only tested patients with a suspected infection (65.6 per cent). A similar picture of testing only those with a suspected infection was also reported from Latin America (57.2 per cent), Asia/Middle East (76.8 per cent), and Africa (41.7 per cent). Even more worrisome, 58.3 per cent of respondents from Africa and 27.6 per cent from Latin America were not testing patients at all before appendicectomy. Concerning the screening modality, most respondents used PCR alone or in combination with chest imaging. Serology was rarely used overall and never in Africa (Fig. 1 and Table S2 ). It is now accepted that chest imaging is not routinely required and that PCR is an accurate screening modality. Serology might, however, be useful to shed light on the disease course and previous exposure to the virus, but respondents from some countries still have restricted access to this test. In terms of PPE during appendicectomy, most African respondents did not use different PPE compared with the prepandemic period in patients who tested negative for COVID-19. More concerning is that 58.3 per cent did not use different PPE in untested patients. This differed from other regions where the rate of those not considering a change of PPE in untested patients did not exceed 22 per cent. One in 10 respondents from Latin America also reported that they were not using different PPE compared with the prepandemic phase in patients who tested positive for COVID-19. These data, and taking into account the high prevalence of acute appendicitis, leads to the conclusion that omission of routine patient screening may have contributed to local clusters among patients and threatened the safety of healthcare workers5. In this respect, it is likely that limited access to PPE explains the attitude of surgeons towards patients with unknown SARSCoV- 2 status or those infected, raising ethical concerns about the safety of surgical staff. It is of outmost importance that, even during challenging times and stress on economic stability, industrialized countries make efforts to sustain low-income countries and those with limited resources. This would ensure equal working conditions, safer treatment for patients with acute appendicitis, and better control of the pandemic

Published
2021

12. Cecal Volvulus following a Right Nephrectomy for Wilms' Tumor: Should We Need to Close the Lateral Peritoneum?

Author

Gonzalez-Urquijo M, Ovalle-Chao C, Flores-Villalba E, de Jesus Garza-Luna U, Velazco-De La Garza JH, and Garza-Serna U

Abstract

Wilms' tumor (WT) accounts for 90% of all pediatric renal malignant tumors. The most common postoperative complication based on the National Wilms' Tumor Study is small bowel obstruction. We report on a 2-year-old girl with postoperative bowel obstruction following a right nephrectomy for WT. The patient was reintervened 48 hours after surgery and a cecal volvulus was found. Here, we will describe possible causes of this postoperative complication and discuss management.

Published
2018
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13. Laparoscopic partial splenectomy for congenital splenic cyst in a pediatric patient: Case report and review of literature.

Author

Garza-Serna U, Ovalle-Chao C, Martinez D, Flores-Villalba E, Diaz-Elizondo JA, and Garza-Luna UJ

Abstract

Non-parasitic splenic cysts (NPSC) are a rare condition that makes difficult to know their true incidence and represent 10% of all benign splenic cysts, they can be either congenital with the presence of epithelial lining that originate from invagination of the capsular mesothelial lining or post-traumatic with absence of epithelial lining. We present our management of a splenic congenital cyst in a pediatric patient. A 10-year-old female patient presented to the clinic complaining with a 3-week abdominal pain at the left upper quadrant. An ultrasound showed an enlarged spleen with a thinned walled cystic image on the lower pole of 5cm. An abdominal CT confirmed the presence of a splenic cyst at the lower pole of the spleen of 5cm in diameter. Three-port laparoscopic partial splenectomy was done isolating and dividing the lower splenic artery and vein and the lower pole of the spleen with a vessel sealing device. Management of a non-parasitic splenic cyst is controversial: cystectomy, fenestration, percutaneous drainage and sclerotherapy have been previously described, most of them aiming to preserve spleen function and avoiding overwhelming post-splenectomy infection. Partial splenectomy seems the most effective one in terms of preserving spleen function and avoiding recurrence., (Copyright © 2017 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Published
2017
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