An interval appendectomy is performed after completing
non-operative treatment of complicated appendicitis to prevent recurrence.
However, the indication for interval appendectomy following the management of
an appendicular mass remains a subject of debate. There is currently no
consensus regarding the necessity of interval appendectomy. Typically, the
decision is made by the attending surgeon, with a prevailing trend towards
omitting interval appendectomy in favour of monitoring patients through
computed tomography and colonoscopy. The advent of advanced diagnostic tools
has led to a reevaluation of the necessity of interval appendectomy. This
review aims to examine the role and significance of interval appendectomy in
the management of appendicular mass. A literature review was conducted by using
secondary sources from 1990 to 2023. Keywords such as “interval appendectomy”,
“appendicular mass”, “delayed appendectomy” and “appendicular phlegmon” were
used. Based on all the available
evidence that has been reviewed, interval appendectomy can be safely omitted
after successful conservative treatment for an appendicular mass. Nonetheless,
further randomised prospective studies are needed to assess the role of
interval appendectomy in the management of appendicular mass.
Author(s) Details
Kumar H.R.
Department of Surgery, School of Medicine, Faculty of Medicine and Health
Science, Taylor’s University, 47500 Subang Jaya, Malaysia.
Please see the book here :- https://doi.org/10.9734/bpi/msup/v3/6782
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