Is interval appendicectomy justified after successful nonoperative treatment of an appendix mass in children? A systematic review

Hall, Nigel; Jones, Ceri; Eaton, Simon; Stanton, Michael; Burge, D.M.

doi:10.1016/j.jpedsurg.2011.01.019

Cited by 52 publications

(38 citation statements)

References 29 publications

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“…Although not covered in this consensus guideline, the value of interval appendectomy after initial non-operative treatment of an appendicular mass is still subject of debate. Some opt for an interval appendectomy based upon the chance of missing an underlying and untreated malignancy (incidence 6 %) and the chance of developing recurrent appendicitis (incidence 5–44 %) [101–103]. Both can be avoided with an interval appendectomy, although data are lacking on its benefits.…”

Section: Pre-operative Carementioning

confidence: 99%

Diagnosis and management of acute appendicitis. EAES consensus development conference 2015

et al. 2016

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Unequivocal international guidelines regarding the diagnosis and management of patients with acute appendicitis are lacking. The aim of the consensus meeting 2015 of the EAES was to generate a European guideline based on best available evidence and expert opinions of a panel of EAES members. After a systematic review of the literature by an international group of surgical research fellows, an expert panel with extensive clinical experience in the management of appendicitis discussed statements and recommendations. Statements and recommendations with more than 70 % agreement by the experts were selected for a web survey and the consensus meeting of the EAES in Bucharest in June 2015. EAES members and attendees at the EAES meeting in Bucharest could vote on these statements and recommendations. In the case of more than 70 % agreement, the statement or recommendation was defined as supported by the scientific community. Results from both the web survey and the consensus meeting in Bucharest are presented as percentages. In total, 46 statements and recommendations were selected for the web survey and consensus meeting. More than 232 members and attendees voted on them. In 41 of 46 statements and recommendations, more than 70 % agreement was reached. All 46 statements and recommendations are presented in this paper. They comprise topics regarding the diagnostic work-up, treatment indications, procedural aspects and post-operative care. The consensus meeting produced 46 statements and recommendations on the diagnostic work-up and management of appendicitis. The majority of the EAES members supported these statements. These consensus proceedings provide additional guidance to surgeons and surgical residents providing care to patients with appendicitis. Electronic supplementary materialThe online version of this article (doi:10.1007/s00464-016-5245-7) contains supplementary material, which is available to authorized users.

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Section: Pre-operative Carementioning

confidence: 99%

Diagnosis and management of acute appendicitis. EAES consensus development conference 2015

et al. 2016

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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 .…”

Section: Discussionmentioning

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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“…If this is the case, the patient is normally discharged after complete resolution of symptoms and patient can be followed up in clinic to decide if an elective appendicectomy at a later date is necessary. 5 The decision to carryout interval appendicectomy has to be made based on individual patients as recent evidence has revealed that after successful conservative management, there is low recurrence rates 8,9 and there are no advantages in proceeding with an interval appendicectomy in terms of wound infection and hospital stay. 10 Common complications of appendicitis include perforation, peritonitis and abscess formation and complications associated with the surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

A rare complication of acute appendicitis: Superior mesenteric vein thrombosis

Bakti

Hussain

El-Hasani

2011

International Journal of Surgery Case Reports

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Is interval appendicectomy justified after successful nonoperative treatment of an appendix mass in children? A systematic review

Cited by 52 publications

References 29 publications

Diagnosis and management of acute appendicitis. EAES consensus development conference 2015

Diagnosis and management of acute appendicitis. EAES consensus development conference 2015

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

A rare complication of acute appendicitis: Superior mesenteric vein thrombosis

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