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

Management of Perforated Peptic Ulcer: A Review of Operative and Non-operative Approaches | Chapter 6 | Medical Science: Updates and Prospects Vol. 2

 

Perforated peptic ulcer represents the second most prevalent complication associated with peptic ulcer disease, and its management is categorised into surgical and non-surgical approaches. Surgical intervention encompasses the closure of the ulcer utilising an omental patch, which can be executed through either open or laparoscopic techniques. In cases of larger ulcers, surgical resection in the form of partial gastrectomy is performed. Non-surgical treatment modalities include the administration of intravenous antibiotics, endoscopy, and stent placement, primarily reserved for patients deemed unsuitable for surgical intervention. Eradication of Helicobacter pylori is another area where intervention may enhance clinical outcomes and reduce the risk of ulcer recurrence. It is imperative that the surgical treatment of a perforated peptic ulcer is not delayed, as postponement can lead to increased mortality. This review aims to examine the role of laparoscopic surgery in the management of perforated peptic ulcers. Additionally, it will explore the significance of non-operative treatment and the eradication of Helicobacter pylori in the management of perforated peptic ulcers.

 

 

Author(s) Details

Kumar H.R.
Taylor University School of Medicine and Health Science, 47500 Subang Jaya, Malaysia.

 

Please see the book here :- https://doi.org/10.9734/bpi/msup/v2/6716