Complicated appendicitis is often used to indicate
perforated appendicitis, but it is also used to include an appendicular mass
and abscess. There is a lot of controversy from the definition of complicated
appendicitis to its management. The management of complicated appendicitis was
conservative treatment with intra-venous antibiotics and fluids followed by an
interval appendectomy in 8 weeks’ time. With the introduction of laparoscopic
appendectomy there has been a shift towards immediate appendectomy. There is no
consensus on what the best management of complicated appendicitis is and often
its management is decided upon by the operating surgeon. In this chapter, after
reviewing the literature, we will discuss the definition, the role of
conservative therapy, percutaneous drainage, the role of interval appendectomy
and immediate appendectomy.
Author(s) Details:
Kumar Hari Rajah
Taylors University School of Medicine and Health Science, Malaysia.
Please see the link here: https://stm.bookpi.org/NVMMS-V6/article/view/14287
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