Interval appendectomy for acute appendicitis

Freitas, Michael S.; Glick, Philip L.

doi:10.1016/j.jpedsurg.2008.12.030

Cited by 8 publications

(4 citation statements)

References 19 publications

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“…The actual necessity for interval appendectomy following mass‐forming appendicitis is still a subject of debate . Some authors advocate that mass‐forming appendicitis should be treated non‐surgically and that elective appendectomy be performed after an 8–12‐week interval because of the high incidence of recurrent episodes of appendicitis . Ein et al .…”

Section: Discussionmentioning

confidence: 99%

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Role of the transumbilical laparoscopic‐assisted single‐channel, single‐port procedure in an interval appendectomy for pediatric mass‐forming appendicitis: A preliminary retrospective analysis

Ohno

2014

Asian J Endoscop Surgery

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Section: Discussionmentioning

confidence: 99%

“…The inflammatory process may become “walled‐off” in some patients, thus resulting in a periappendiceal mass, either a phlegmon or an abscess. Interval appendectomy for such a mass‐forming appendicitis has become popular and is usually performed 8–12 weeks after initial conservative treatment .…”

Section: Introductionmentioning

confidence: 99%

Role of the transumbilical laparoscopic‐assisted single‐channel, single‐port procedure in an interval appendectomy for pediatric mass‐forming appendicitis: A preliminary retrospective analysis

Ohno

2014

Asian J Endoscop Surgery

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“…Nach völligem Abheilen des Infiltrates oder des Abszesses kann die Intervallappendektomie erfolgen [7].…”

Section: Konservative Therapieunclassified

Appendizitis

Schimpl

2010

Monatsschr Kinderheilkd

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Die Appendizitis ist die häufigste zu einer chirurgischen Intervention führende abdominale Erkrankung. Klinische präsentiert sie sich mit einer Vielzahl von Symptomen, von akut einsetzenden Bauchschmerzen bis hin zu uncharakteristischen Krankheitszeichen (Inappetenz, Fieber, Übelkeit, Erbrechen). Der Häufigkeitsgipfel liegt zwischen dem 6. und 12. Lebensjahr. Besonders schwierig kann sich die Diagnose einer akuten Appendizitis bei Kleinkindern gestalten, da die Symptome uncharakteristisch sind und es rasch zur Perforation kommt. Eine erfolgreiche Behandlung setzt eine akkurate Diagnose, gefolgt von einer Appendektomie vor Appendixperforation voraus. Faktoren, die zu einer nahezu 100%igen Überlebensrate und signifikanten Reduktion der postoperativen Komplikationen und Langzeitmorbidität führten, sind der diagnostische Einsatz von Ultraschall und CT, kindergerechte Anästhesie-und Operationstechniken, die pädiatrische Intensivpflege und die peri-und postoperative antibiotische Therapie. AbstractAppendicitis is the most frequent intraabdominal disease requiring surgical intervention. The clinical presentation can vary from acute abdominal pain to unspecific symptoms such as loss of appetite, fever, nausea and vomiting. The age of maximum frequency for appendicitis is between 6 and 12 years. Diagnosing acute appendicitis can be particularly challenging in young children, where symptoms are uncharacteristic and perforation can occur rapidly. The main factors influencing the outcome of appendicitis include accurate diagnosis followed by appendectomy prior to appendix perforation. Factors contributing to an almost 100% survival rate and a significant reduction in postoperative complications and long-term morbidity include the use of ultrasound and CT, anesthesia and surgical techniques especially suited to children, pediatric intensive care, as well as periand postoperative antibiotic therapy.

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“…After successful nonoperative treatment, traditional surgical teaching has been that an interval appendicectomy (IA) should be performed to prevent recurrence of acute appendicitis. Recently, however, this practice has been questioned [4] because the risk of recurrence of acute appendicitis may be low and there is a morbidity associated with IA.…”

mentioning

confidence: 99%