Appendicular abscess surgery
Appendicular abscess Microchapters |
Diagnosis |
Treatment |
Case Studies |
Appendicular abscess surgery On the Web |
American Roentgen Ray Society Images of Appendicular abscess surgery |
Risk calculators and risk factors for Appendicular abscess surgery |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Aditya Ganti M.B.B.S. [2]
Overview
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]
{{#ev:youtube|SRMOktFZim0}}
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.