Abdominal pain is the most common reason for consultation in the emergency department, and most of the times, its cause is an episode of acute appendicitis. However, the misdiagnosis rate of acute appendicitis is high due to the unusual presentation of the symptoms. Therefore, the clinician has to be very alert in order to establish a correct diagnosis.
Part of the book: Current Issues in the Diagnostics and Treatment of Acute Appendicitis
Diagnostic scores should be part of the initial evaluation of patients suspected of acute appendicitis. This approach could be very helpful in order to make an early diagnosis and to stratify the cases for observation, further investigation, or surgical intervention.
Part of the book: Current Issues in the Diagnostics and Treatment of Acute Appendicitis
In this article, I am presenting a variety of working models for closure of skin defects of different shapes along with their corresponding indications and mode of use. These working models can be enlarged or reduced in size using a regular copying machine in order to evaluate the best possibilities related to the position of the incision. The great advantage of this method is that the geometric results are always predictable. Furthermore, this method will improve the survival of the flaps and the cosmetic results. In summary, the surgeon can use a variety of skin incisions taking advantage of the minimal tension lines of the skin and also taking into consideration the anatomical characteristics of the region involved. In this article, I have used the minimal tension lines of the skin, because they are easy to demonstrate by simple measures, such as pinching of the skin in different directions. In addition, the surgeon can assess the mobility and the elasticity of the skin on an individual basis.
Part of the book: Trauma and Emergency Surgery