The Role of Interval Appendectomy in the Treatment of Complicated Appendicitis: A Review of Current Perspectives | Chapter 4 | Medical Science: Updates and Prospects Vol. 3

 

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

Complicated Appendicitis: An Update | Chapter 11 | New Visions in Medicine and Medical Science Vol. 6

 

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