scholarly journals INTERVAL APPENDECTOMY FOR APPENDICEAL ABSCESS IN ADULT.

2003 ◽  
Vol 64 (9) ◽  
pp. 2089-2094 ◽  
Author(s):  
Dai MAEDA ◽  
Masato FUJISAKI ◽  
Takayuki TAKAHASHI ◽  
Shinobu HIRAHATA ◽  
Shusaku KAMEI ◽  
...  
2015 ◽  
Vol 110 ◽  
pp. S560
Author(s):  
Hiromitsu Kinoshita ◽  
Masato Kondo ◽  
Shoichi Kitano ◽  
Yukiko Kumata ◽  
Ryosuke Kita ◽  
...  

2016 ◽  
Vol 82 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Ghaleb Darwazeh ◽  
Steven C. Cunningham ◽  
Gopal C. Kowdley

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.


2010 ◽  
Vol 71 (9) ◽  
pp. 2222-2226
Author(s):  
Katsuhiko MURAKAWA ◽  
Misa MASUYAMA ◽  
Takamasa YAMAMOTO ◽  
Kazuyuki YAMAMOTO ◽  
Yoshihiro MURAKAMI ◽  
...  

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 811
Author(s):  
Federica Pederiva ◽  
Rossana Bussani ◽  
Vennus Shafiei ◽  
Daniela Codrich ◽  
Edoardo Guida ◽  
...  

Whilst most surgeons agree that conservative treatment of appendiceal abscess in children is an adequate treatment, the need for subsequent interval appendectomy is still controversial. We analyzed the histopathology in interval appendectomy in search of signs of inflammation. All patients admitted between 2010 and 2017 with appendiceal abscess and scheduled for interval appendectomy were reviewed. The specimens were evaluated for grade of inflammation, type and distribution of cellular infiltrate, presence of necrosis or hemorrhage and infiltrate in the serosa. Forty-two patients had appendiceal abscess and were treated conservatively. Seven underwent emergent appendectomy. Thirty-three out of 35 patients underwent elective interval appendectomy. Thirty-two specimens were revised. Carcinoid tumor or other malignant lesions were not found. All of them presented some amount of inflammation, grade 1 to 2 in 53%, grade 3 to 4 in 47%. Twenty-five percent of the specimens had signs of necrosis accompanied by hemorrhage and in more than the half (53%) the infiltrate extended to the serosa. Conclusions: Although the appendix was mostly found not macroscopically inflamed intraoperatively, histology confirmed a certain grade of inflammation even months after the conservative treatment. No correlation was found between histopathologic findings and lapse of time between abscess treatment and interval appendectomy.


BMC Surgery ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Chih-Cheng Luo ◽  
Kuang-Fu Cheng ◽  
Chen-Sheng Huang ◽  
Hung-Chieh Lo ◽  
Sheng-Mao Wu ◽  
...  

JAMA Surgery ◽  
2013 ◽  
Vol 148 (8) ◽  
pp. 703 ◽  
Author(s):  
Matthew J. Furman ◽  
Mitchell Cahan ◽  
Philip Cohen ◽  
Laura A. Lambert

2021 ◽  
Vol 44 ◽  
pp. 100933
Author(s):  
J. Takahashi ◽  
T. Sato ◽  
N. Kobayashi ◽  
M. Sado ◽  
M.S. Aung ◽  
...  

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

2009 ◽  
Vol 174 (8) ◽  
pp. 874-877 ◽  
Author(s):  
Emmanuel Hornez ◽  
Gabriel Gellie ◽  
Fabrice Entine ◽  
Sébastien Ottomani ◽  
Tristan Monchal ◽  
...  
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