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

Cervical Schwannoma: A Rare Cause of Tracheal Stenosis Misdiagnosed as Asthma | Chapter 12 | Achievements and Challenges of Medicine and Medical Science Vol. 11

Cases of upper tracheal stenosis due to cervical schwannoma are fairly rare, therefore, no treatment has been determined. Additionally, No surgical cases of upper tracheal stenosis caused by cervical schwannoma have been reported in the literature. This is a report of a case of cervical schwannoma with severe upper tracheal stenosis. In this case, a 48-year-old woman was treated with asthma for 4 years at another hospital, however, the patient was admitted to our hospital because of breathing difficulty. CT showed a tracheal stenosis lesion just below the vocal cords, and a biopsy revealed schwannoma. The tumour consisted of spindle-shaped cells, accompanied by collagen fibres, and no mitotic figures or atypia was observed; immunostaining revealed CD34 (-), S100 (+) and β-catenin (-), leading to the diagnosis of low-grade schwannoma. Regarding the treatment, conservative therapy is desired rather than tumor resection of the tumor by surgery, but the size of the tumor on the image and the patient’s condition have not been changed for 7 years. Once a year, conservative treatment is considered an option if the extratracheal tumor has not regrown.

 

Author (s) Details

 

Akira Naomi
Department of Thoracic Surgery, Medical Corporation Kiyosu Respiratory Medical Hospital, Haruhi Respiratory Medical Hospital, Aichi, Japan.

 

Hideyuki Hujiwara
Department of Respiratory Medicine, Medical Corporation Kiyosu Respiratory Medical Hospital, Haruhi Respiratory Medical Hospital, Aichi, Japan.

 

Tatsuhiko Koizumi
Department of Respiratory Medicine, Medical Corporation Kiyosu Respiratory Medical Hospital, Haruhi Respiratory Medical Hospital, Aichi, Japan.

 

Yukari Sakurai
Department of Respiratory Medicine, Medical Corporation Kiyosu Respiratory Medical Hospital, Haruhi Respiratory Medical Hospital, Aichi, Japan

 

Yasuo Kohashi
Department of Respiratory Medicine, Medical Corporation Kiyosu Respiratory Medical Hospital, Haruhi Respiratory Medical Hospital, Aichi, Japan.

 

Yukiko Yoneda
Department of Respiratory Medicine, Medical Corporation Kiyosu Respiratory Medical Hospital, Haruhi Respiratory Medical Hospital, Aichi, Japan.

 

Yuka Kitamura
Department of Thoracic Surgery, Medical Corporation Kiyosu Respiratory Medical Hospital, Haruhi Respiratory Medical Hospital, Aichi, Japan.

 

Yoshinobu Hattori
Department of Thoracic Surgery, Medical Corporation Kiyosu Respiratory Medical Hospital, Haruhi Respiratory Medical Hospital, Aichi, Japan.

 

Yuji Saitou
Department of Respiratory Medicine, Medical Corporation Kiyosu Respiratory Medical Hospital, Haruhi Respiratory Medical Hospital, Aichi, Japan.

 

Please see the book here:- https://doi.org/10.9734/bpi/acmms/v11/3806

Report on the Conservative Treatment of Ewing’s Sarcoma of the Uterus in Young Women | Chapter 5 | Research Trends and Challenges in Medical Science Vol. 5

 

Ewing sarcoma-primitive neuroectodermal tumors (ES/PNETs) constitute a family of neoplasms
characterized by a continuum of neuroectodermal differentiations. ES/PNET of the uterus is rare.
There are 48 cases of ES/PNET of the uterus published in the literature as far as we know. We
describe a case of Ewing sarcoma of the uterus occurring in a 17-year-old woman presenting with a
two-month history of pelvic pain. After surgical excision and microscopic, immunohistochemical, and
electron microscopy examination, the diagnosis of Ewing sarcoma of the uterus was suggested. This
report will discuss the diagnosis and surgical and clinical management of Ewing uterine sarcoma in
young women, according to the available literature. In spite of the rarity of ES/PNETs, they should be
taken into account in the differential diagnosis of uterine neoplasms in young women.

Author (s) Details

Giuseppe Loverro
Department of Obstetrics and Gynecology, University Hospital Policlinico of Bari and University of Bari “Aldo Moro”, School of Medicine, Piazza Giulio Cesare 11, 70124 Bari, Italy.

Leonardo Resta
Department of Pathology, University Hospital Policlinico of Bari and University of Bari “Aldo Moro”, Piazza Giulio Cesare 11, 70124 Bari, Italy.

Edoardo Di Naro
Department of Obstetrics and Gynecology, University Hospital Policlinico of Bari and University of Bari “Aldo Moro”, School of Medicine, Piazza Giulio Cesare 11, 70124 Bari, Italy.

Anna Maria Caringella
Department of Obstetrics and Gynecology, University Hospital Policlinico of Bari and University of Bari “Aldo Moro”, School of Medicine, Piazza Giulio Cesare 11, 70124 Bari, Italy.

Salvatore Andrea Mastrolia
Department of Obstetrics and Gynecology, University Hospital Policlinico of Bari and University of Bari “Aldo Moro”, School of Medicine, Piazza Giulio Cesare 11, 70124 Bari, Italy.

Mario Vicino
Department of Obstetrics and Gynecology, University Hospital Policlinico of Bari and University of Bari “Aldo Moro”, School of Medicine, Piazza Giulio Cesare 11, 70124 Bari, Italy.

Massimo Tartagni
Department of Obstetrics and Gynecology, University Hospital Policlinico of Bari and University of Bari “Aldo Moro”, School of Medicine, Piazza Giulio Cesare 11, 70124 Bari, Italy.

Luca Maria Schonauer
Department of Obstetrics and Gynecology, University Hospital Policlinico of Bari and University of Bari “Aldo Moro”, School of Medicine, Piazza Giulio Cesare 11, 70124 Bari, Italy.

View Book :- https://bp.bookpi.org/index.php/bpi/catalog/book/264