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Evaluating conservative treatment for acute appendicitis with lump formation.
Ajaz Ahmad Malik1, Mohd Lateef Wani, Shadab Nabi Wani
1Department of General Surgery and Allied Specialities, Sher-i-Kashmir Institute of Medical Sciences Srinagar, Jammu and Kashmir, India.
Journal of Emergencies, Trauma, and Shock
|March 15, 2012
Summary
Conservative treatment for appendicitis with lump formation is effective, showing a low recurrence rate. Routine interval appendectomy is not recommended after initial non-operative management.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Interval appendectomy following acute appendicitis with phlegmon (lump formation) is debated.
- The study investigates recurrence risk after non-operative appendicitis treatment and compares interval appendectomy efficacy.
Purpose of the Study:
- To determine the risk of recurrent appendicitis after initial non-operative management of phlegmon.
- To evaluate factors influencing recurrence and compare outcomes of interval appendectomy versus observation.
Main Methods:
- Prospective study of 763 patients with acute appendicitis from June 2006 to June 2008.
- Focus on 220 patients (28.8%) with phlegmon treated conservatively.
- Follow-up for appendicitis recurrence.
Main Results:
- Conservative treatment succeeded in 213 of 220 patients (96.8%).
- The recurrence rate was 13.1%, with all recurrences within six months.
- Mean follow-up duration was 26±18 months.
Conclusions:
- Conservative management of appendicitis with phlegmon is effective with a low recurrence rate.
- Routine interval appendectomy is not cost-effective and not advised after successful conservative treatment.
- Non-operative management is a viable option for appendicitis with lump formation.
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