scholarly journals NONSURGICAL TREATMENT AND INTERVAL APPENDECTOMY FOR APPENDICEAL ABSCESS

2010 ◽  
Vol 71 (9) ◽  
pp. 2222-2226
Author(s):  
Katsuhiko MURAKAWA ◽  
Misa MASUYAMA ◽  
Takamasa YAMAMOTO ◽  
Kazuyuki YAMAMOTO ◽  
Yoshihiro MURAKAMI ◽  
...  
Keyword(s):  
Nonsurgical Treatment ◽  
Interval Appendectomy ◽  
Appendiceal Abscess

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.

Clinical Outcomes for Interval Appendectomy in the Treatment of Acute Appendicitis With an Appendiceal Abscess or Mass

2015 ◽  
Vol 110 ◽  
pp. S560
Author(s):  
Hiromitsu Kinoshita ◽  
Masato Kondo ◽  
Shoichi Kitano ◽  
Yukiko Kumata ◽  
Ryosuke Kita ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Clinical Outcomes ◽  
Interval Appendectomy ◽  
Appendiceal Abscess

Nonsurgical Treatment of Appendiceal Abscess or Phlegmon

2007 ◽  
Vol 246 (5) ◽  
pp. 741-748 ◽  
Author(s):  
Roland E. Andersson ◽  
Max G. Petzold
Keyword(s):  
Nonsurgical Treatment ◽  
Appendiceal Abscess

scholarly journals The Histopathology of the Appendix in Children at Interval Appendectomy

Children ◽  
2021 ◽  
Vol 8 (9) ◽  
pp. 811
Author(s):  
Federica Pederiva ◽  
Rossana Bussani ◽  
Vennus Shafiei ◽  
Daniela Codrich ◽  
Edoardo Guida ◽  
...  
Keyword(s):  
Conservative Treatment ◽  
Carcinoid Tumor ◽  
Interval Appendectomy ◽  
Appendiceal Abscess ◽  
Cellular Infiltrate ◽  
Adequate Treatment ◽  
Malignant Lesions ◽  
Grade 3 ◽  
Histopathologic Findings ◽  
Subsequent Interval

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.

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 ◽  
...  
Keyword(s):  
Interval Appendectomy ◽  
Appendiceal Abscess

scholarly journals Therapeutic effectiveness of percutaneous drainage and factors for performing an interval appendectomy in pediatric appendiceal abscess

BMC Surgery ◽  
2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Chih-Cheng Luo ◽  
Kuang-Fu Cheng ◽  
Chen-Sheng Huang ◽  
Hung-Chieh Lo ◽  
Sheng-Mao Wu ◽  
...  
Keyword(s):  
Percutaneous Drainage ◽  
Therapeutic Effectiveness ◽  
Interval Appendectomy ◽  
Appendiceal Abscess

Diagnostic Percutaneous Cholecystoscopy After Nonsurgical Treatment of Gallstones

1991 ◽  
Vol 1 (1) ◽  
pp. 127-136 ◽  
Author(s):  
Salam F. Zakko ◽  
Salman Rashid ◽  
Gale R. Ramsby
Keyword(s):  
Nonsurgical Treatment

Nonsurgical treatment of patients with leriche syndrome

2009 ◽  
Vol 56 (S 01) ◽  
Author(s):  
H Krankenberg ◽  
H Reichenspurner ◽  
M Ismail ◽  
T Tübler
Keyword(s):  
Nonsurgical Treatment ◽  
Leriche Syndrome
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