What is your Gender?
  • A) male

  • B) female

What is your age?
  • A) 25>

  • B) 25-35

  • C) 36-45

  • D) 46-55

  • E) 56-65

  • F) 65<

What is your current position?
  • A) Consultant in Pediatric Surgery

  • B) Specialist in Pediatric Surgery

  • C) Pediatric Surgery Fellow

  • D) Pediatric Surgery Resident

  • E) Retired Pediatric Surgeon

Where did you complete your Pediatric Surgery training? 
In which region of Saudi Arabia are you currently practicing?
  • A) Central (Riyadh and Qasim)

  • B) Western (Mecca, Medina, Jeddah)

  • C) Eastern (Dammam, Khafji, Al Hasa)

  • D) Northern (Tabuk, Jouf, Hail)

  • E) Southern (Asir, Najran, Jizan)

How many years have you been practicing as a pediatric surgeon ?
  • A) Currently in training

  • B) Less than 5 years

  • C) 5 - 10 years

  • D) 11 - 20 years

  • F) more than 20 years

In your individual practice, approximately how many appendectomies do you perform per year ?
  • A) 0-25

  • B) 26-50

  • C) 51-75

  • D) 76-100

  • E) >100

What is your preferred method of appendectomy?
  • A) Open

  • B) Laparoscopic

Do you prefer to have pre-operative imaging even when the physical and history support a diagnosis of appendicitis?
If Yes then what kind of imaging do you obtain ?
  • A) No, I don’t prefer preoperative imaging

  • B) Yes, Ultrasound

  • C) Yes, CT

  • D) Yes, Plain radiograph

  • E) Other

You are performing a laparoscopic appendectomy for suspected acute uncomplicated appendicitis and the appendix appears structurally normal. You do not find any other obvious cause for the patient’s symptoms.
Do you remove this appendix ?
  • A) Yes

  • B) No

Why would you choose to remove this appendix ? Check all that apply.
  • A) I would not remove the appendix

  • B) The possibility of microscopic /Endo appendicitis

  • C) To prevent future appendicitis

  • D) To avoid future confusion for the patient as to whether they have had their appendix removed or not

  • E) It improves symptoms post-op

  • F) The operative consent dictated that you were going to remove the appendix

  • G) Patient/parent preference based on the consent discussion beforehand

  • H) Obligation to do something since the child is already in surgery

  • I) This is how I was trained

Why would you choose NOT to remove this appendix ? Check all that applies
  • A) I would remove the appendix

  • B) Based on the scenario there is no evidence that the appendix is causing the patient’s symptoms

  • C) Unnecessary risk of postoperative complications

  • D) Possible use of the appendix in reconstructive benefit in the future

  • E) This is how I was trained

Do you feel that there are sufficient guidelines on the topic of weather or not to remove a normal-appearing appendix during laparoscopy for suspected acute appendicitis ?
  • A) Yes

  • B) No

In your individual practice, have you ever removed an appendix that pathology later deemed to be normal (negative appendectomy)?
  • A) Yes

  • B) No