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Updated: Jul 15, 2026
06:08
A Novel Method: Super-selective Adrenal Venous Sampling
Published on: September 15, 2017
[Interval appendectomy as routine therapy or only as indicated: the controversy continues]
1Academisch Medisch Centrum/Universiteit van Amsterdam, afd. Chirurgie, Postbus 22.660, 1100 DD Amsterdam.
Nederlands Tijdschrift Voor Geneeskunde
|May 3, 2007
Summary
Interval appendectomy is often unnecessary, increasing patient morbidity and healthcare costs. Performing this surgery only when indicated, particularly for adults, is recommended, but further research is needed for pediatric cases.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Clinical Management
Background:
- Current management of interval appendectomy lacks consensus, despite evidence suggesting a selective approach.
- Traditional interval appendectomy is often performed routinely, lacking strong supporting evidence.
Discussion:
- Routine interval appendectomy in adults is linked to higher morbidity, prolonged hospital stays, and increased costs.
- The risk of recurrent appendicitis in adults is low, and selective surgery does not elevate complication risks.
- Colon malignancy must be excluded in patients over 40 undergoing evaluation for appendicitis.
Key Insights:
- Selective interval appendectomy, based on recurrent symptoms or persistent pain, is advisable for adult patients.
- The necessity and optimal strategy for interval appendectomy in pediatric patients remain uncertain due to potential higher recurrence rates.
Outlook:
- Further high-quality studies are required to establish definitive guidelines for interval appendectomy, especially in pediatric populations.
- Advancements in diagnostic techniques could potentially decrease the incidence of appendiceal masses or abscesses.
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