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Interval routine appendectomy following conservative treatment of acute appendicitis: Is it really needed.

Abstract Conservative management of acute appendicitis (AA) is gradually being adopted as a valuable therapeutic choice in the treatment of selected patients with AA. This approach is based on the results of many recent studies indicating that it is a valuable and effective alternative to routine emergency appendectomy. Existing data do not support routine interval appendectomy following successful conservative management of AA; indeed, the risk of recurrence is low. Moreover, recurrences usually exhibit a milder clinical course compared to the first episode of AA. The role of routine interval appendectomy is also questioned recently, even in patients with AA complicated by plastron or localized abscess formation. Surgical judgment is required to avoid misdiagnosis when selecting a conservative approach in patients with a presumed "appendiceal" mass.
PMID
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Authors

Mayor MeshTerms
Keywords

Abscess

Antibiotics

Appendicitis

Interval appendicectomy

Plastron

Surgery

Journal Title world journal of gastrointestinal surgery
Publication Year Start




PMID- 22590661
OWN - NLM
STAT- PubMed-not-MEDLINE
DA  - 20120516
DCOM- 20121002
LR  - 20130529
IS  - 1948-9366 (Electronic)
VI  - 4
IP  - 4
DP  - 2012 Apr 27
TI  - Interval routine appendectomy following conservative treatment of acute
      appendicitis: Is it really needed.
PG  - 83-6
LID - 10.4240/wjgs.v4.i4.83 [doi]
AB  - Conservative management of acute appendicitis (AA) is gradually being adopted as 
      a valuable therapeutic choice in the treatment of selected patients with AA. This
      approach is based on the results of many recent studies indicating that it is a
      valuable and effective alternative to routine emergency appendectomy. Existing
      data do not support routine interval appendectomy following successful
      conservative management of AA; indeed, the risk of recurrence is low. Moreover,
      recurrences usually exhibit a milder clinical course compared to the first
      episode of AA. The role of routine interval appendectomy is also questioned
      recently, even in patients with AA complicated by plastron or localized abscess
      formation. Surgical judgment is required to avoid misdiagnosis when selecting a
      conservative approach in patients with a presumed "appendiceal" mass.
FAU - Sakorafas, George H
AU  - Sakorafas GH
AD  - George H Sakorafas, Dimitrios Sabanis, Christos Lappas, Aikaterini Mastoraki,
      Vasileios Smyrniotis, 4th Department of Surgery, Athens University, Medical
      School, Attikon University Hospital, GR-115 26 Athens, Greece.
FAU - Sabanis, Dimitrios
AU  - Sabanis D
FAU - Lappas, Christos
AU  - Lappas C
FAU - Mastoraki, Aikaterini
AU  - Mastoraki A
FAU - Papanikolaou, John
AU  - Papanikolaou J
FAU - Siristatidis, Charalambos
AU  - Siristatidis C
FAU - Smyrniotis, Vasileios
AU  - Smyrniotis V
LA  - eng
PT  - Journal Article
PL  - China
TA  - World J Gastrointest Surg
JT  - World journal of gastrointestinal surgery
JID - 101532473
PMC - PMC3351492
OID - NLM: PMC3351492
OTO - NOTNLM
OT  - Abscess
OT  - Antibiotics
OT  - Appendicitis
OT  - Interval appendicectomy
OT  - Plastron
OT  - Surgery
EDAT- 2012/05/17 06:00
MHDA- 2012/05/17 06:01
CRDT- 2012/05/17 06:00
PHST- 2011/01/09 [received]
PHST- 2012/03/24 [revised]
PHST- 2012/03/30 [accepted]
AID - 10.4240/wjgs.v4.i4.83 [doi]
PST - ppublish
SO  - World J Gastrointest Surg. 2012 Apr 27;4(4):83-6. doi: 10.4240/wjgs.v4.i4.83.

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