{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T23:15:42Z","timestamp":1792710942681,"version":"4.5.0"},"reference-count":28,"publisher":"Index Copernicus","issue":"SUPLEMENT 1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2023,10,12]]},"abstract":"<jats:p>&lt;b&gt;&lt;br&gt;Introduction:&lt;\/b&gt; Acute appendicitis is one of the most frequent emergencies in hospitals around the world; it requires early surgical treatment in complicated cases. One of the challenges that the surgeon faces during appendectomy is when the base of  the appendix is compromised by either a perforation or gangrene. To show the surgical strategies that have been reported, as  well as the complications associated with a compromised appendicular base in a complicated acute appendicitis.&lt;\/br&gt; &lt;b&gt;&lt;br&gt;Methods:&lt;\/b&gt; A bibliographic search was carried out in the databases of Pubmed, Embase, Web of Science, and Google Scholar.  The search expression (\u201cappendiceal stump closure\u201d OR \u201cClosure of the appendiceal stump\u201d OR \u201cManagement of appendiceal  stump\u201d) was used to search for articles. The inclusion criteria were observational studies (case reports, case series, or cross-sectional, case-control, or cohort studies).&lt;\/br&gt;  &lt;b&gt;&lt;br&gt;Discussion:&lt;\/b&gt; Different techniques have been reported for the treatment of a compromised appendicular base. Among the  most used are primary closure, partial resection of the cecum, cecostomy tube, ileocecectomy, and right hemicolectomy. The  most frequent complications are surgical site infection, intra-abdominal abscess, postoperative ileus, intestinal obstruction,  and others.&lt;\/br&gt; &lt;b&gt;&lt;br&gt;Conclusions:&lt;\/b&gt; The appendicular base, compromised by necrosis or perforation, requires adequate treatment in order to prevent dehiscence of the appendicular stump sutures and fecal peritonitis. A number of surgical options have been reported.&lt;\/br&gt;<\/jats:p>","DOI":"10.5604\/01.3001.0053.6868","type":"journal-article","created":{"date-parts":[[2023,10,13]],"date-time":"2023-10-13T16:08:10Z","timestamp":1697213290000},"page":"65-70","source":"Crossref","is-referenced-by-count":15,"title":["Complicated acute appendicitis with compromised appendiceal base: A review of surgical strategies"],"prefix":"10.5604","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8297-6901","authenticated-orcid":false,"given":"Jose","family":"Caballero-Alvarado","sequence":"first","affiliation":[{"name":"Surgery Department, Regional Hospital of Trujillo, Trujillo, Peru, School of Medicine, Antenor Orrego Private University, Trujillo, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6943-5550","authenticated-orcid":false,"given":"Victor","family":"Lau Torres","sequence":"additional","affiliation":[{"name":"Surgery Department, Regional Hospital of Trujillo, Trujillo, Peru,  School of Medicine, Nacional University of Trujillo, Trujillo, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9011-6116","authenticated-orcid":false,"given":"Katherine Lozano","family":"Peralta","sequence":"additional","affiliation":[{"name":"School of Medicine, Antenor Orrego Private University, Trujillo, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5918-8261","authenticated-orcid":false,"given":"Carlos","family":"Zavaleta-Corvera","sequence":"additional","affiliation":[{"name":"School of Medicine, Antenor Orrego Private University, Trujillo, Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3689","reference":[{"key":"613461r1","doi-asserted-by":"crossref","unstructured":"Jaschinski T., Mosch C., Eikermann M., Neugebauer E.A.M.: Laparoscopic versus open appendectomy in patients with suspected appendicitis: a systematicreview of meta-analyses of randomised controlled trials. 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