Appendicular abscess surgery
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
Following drain and antibiotics an interval appendectomy is recommended for patients after six to eight weeks. The surgical approach can be either laparoscopic or open (laparotomic).
Surgery
Emergency appendectomy
Indications:
- When patients present with life-threatening signs of peritonitis
- large appendiceal abscess,
- In patients with an extraluminal appendicolith.
Interval Appendectomy
Following drain and antibiotics an interval appendectomy is recommended for patients after six to eight weeks, it is done to :
- Prevent recurrence of appendicitis.[1]
- Exclude neoplasms as a cause (such as carcinoid, adenocarcinoma, mucinous cystadenoma, and cystadenocarcinomas)
Complications of interval appendectomy
Late complication
- Abdominal adhesions
- Fecal fistula[2]
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References
- ↑ Ansaloni L, Catena F, Coccolini F, Ercolani G, Gazzotti F, Pasqualini E, Pinna AD (2011). "Surgery versus conservative antibiotic treatment in acute appendicitis: a systematic review and meta-analysis of randomized controlled trials". Dig Surg. 28 (3): 210–21. doi:10.1159/000324595. PMID 21540609.
- ↑ Singal R, Gupta S, Mittal A, Gupta S, Singh M, Dalal AK, Goyal S, Singh B (2012). "Appendico-cutaneous fistula presenting as a large wound: a rare phenomenon-brief review". Acta Med Indones. 44 (1): 53–6. PMID 22451186.