Interval Appendectomy for Perforated Appendicitis in Children

1998 ◽  
Vol 8 (4) ◽  
pp. 209-214 ◽  
Author(s):  
ANTHONY J. BUFO ◽  
RASIK S. SHAH ◽  
MARY H. LI ◽  
NANCY A. CYR ◽  
ROBERT S. HOLLABAUGH ◽  
...  
Keyword(s):  
Perforated Appendicitis ◽  
Interval Appendectomy

scholarly journals Antibiotics in acute appendicitis. When and how? A general review

2019 ◽  
Vol 6 (1) ◽  
pp. 30-33
Author(s):  
L. Alecu ◽  
C. Niţipir ◽  
Iulian Slavu ◽  
V. Braga ◽  
D. Mihăilă ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Antibiotic Treatment ◽  
Complication Rate ◽  
Acquired Resistance ◽  
Perforated Appendicitis ◽  
Interval Appendectomy ◽  
Bacterial Proliferation ◽  
Long Period ◽  
Clinical Surveillance ◽  
Relapse Rates

Introduction: An increasing interest exits towards the use of antibiotics in the treatment of uncomplicated acute appendicitis.Discussion: For a long period of time, surgery was the only treatment for acute appendicitis. Due to recent research in the etiology of acute appendicitis which seems to be driven by intraluminal bacterial proliferation, new data suggests that for non-perforated appendicitis confirmed with the help of CT, antibiotics may play a central role in the treatment. As relapse rates amount in some cases to only 5% after antibiotic treament, a discussion is required regarding the risks of interval appendectomy and its use. The debate regarding the optimal antibiotic course is on-going as some surgeons advocate for amoxicillin/clavulanic while others, due to acquired resistance recommend Ertapenem.Conclusion:  Selective antibiotic treatment for selected forms of acute appendicitis, uncomplicated without perforation is safe and has a relatively low complication rate. However, certain mentions must be made:  surgery must not be delayed if failure of antibiotics exists as it can lead to higher rates of peritonitis. Close clinical surveillance is of utmost importance

Treatment of suspected acute perforated appendicitis with antibiotics and interval appendectomy

2014 ◽  
Vol 49 (3) ◽  
pp. 447-450 ◽  
Author(s):  
Pradeep P. Nazarey ◽  
Steven Stylianos ◽  
Evelio Velis ◽  
Jason Triana ◽  
Jeannette Diana-Zerpa ◽  
...  
Keyword(s):  
Perforated Appendicitis ◽  
Interval Appendectomy

scholarly journals Early vs Interval Appendectomy for Children With Perforated Appendicitis

2011 ◽  
Vol 146 (6) ◽  
pp. 660 ◽  
Author(s):  
Martin L. Blakely ◽  
Regan Williams ◽  
Melvin S. Dassinger ◽  
James W. Eubanks ◽  
Peter Fischer ◽  
...  
Keyword(s):  
Perforated Appendicitis ◽  
Interval Appendectomy

A Systematic Review of Perforated Appendicitis and Phlegmon: Interval Appendectomy or Wait-and-See?

2016 ◽  
Vol 82 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Ghaleb Darwazeh ◽  
Steven C. Cunningham ◽  
Gopal C. Kowdley
Keyword(s):  
Systematic Review ◽  
Hospital Stay ◽  
Perforated Appendicitis ◽  
Length Of Hospital Stay ◽  
Nonoperative Treatment ◽  
Nonsurgical Treatment ◽  
Morbidity Rate ◽  
Interval Appendectomy ◽  
Appendiceal Abscess ◽  
Nonsurgical Management

Patients with appendiceal abscess or phlegmon have been traditionally managed with antibiotics and radiologically guided drainage of the abscess. Many studies have questioned the need for interval appendectomy. A systematic review of the nonsurgical treatment of patients with an appendiceal abscess or phlegmon was undertaken. The rate of recurrence after nonsurgical management, morbidity and length of hospital stay was measured. PubMed and Cochrane databases were queried to identify 21 studies reporting the morbidity of nonsurgical treatment of appendiceal phlegmon or abscess, and five studies reporting the morbidity of performing interval appendectomy. Repeat nonsurgical management was compared with that of performing interval appendectomy. The studies included a total of 1943 patients, of which 1400 patients were managed nonsurgically and 543 patients underwent interval appendectomy. Nonoperative treatment had a mean recurrence of 12.4 per cent, a morbidity of 13.3 per cent, and the length of hospital stay was 9.6 days. The mean morbidity rate and length of hospital stay for patients who underwent interval appendectomy was 10.4 per cent and 5.0 days, respectively. Interval appendectomy and repeat nonoperative management in case of recurrence are associated with similar morbidity; however, elective interval appendectomy implies additional operative costs to prevent recurrence in one of eight patients.

Interval appendectomy after perforated appendicitis: what are the operative risks and luminal patency rates?

2012 ◽  
Vol 177 (1) ◽  
pp. 127-130 ◽  
Author(s):  
Corey W. Iqbal ◽  
E. Marty Knott ◽  
Vincent E. Mortellaro ◽  
Keely M. Fitzgerald ◽  
Susan W. Sharp ◽  
...  
Keyword(s):  
Perforated Appendicitis ◽  
Interval Appendectomy
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