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Related Experiment Videos

[Appendectomy à froid; a superfluous operation?].

R J Devilee1, G Kootstra

  • 1Academisch Ziekenhuis, afd. Algemene Heelkunde, Maastricht.

Nederlands Tijdschrift Voor Geneeskunde
|April 28, 1990
PubMed
Summary

Delayed appendectomy (à froid) for appendicitis with infiltrate is often unnecessary. Many patients remain asymptomatic, but malignancy must be ruled out in those over 40.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology

Context:

  • Retrospective analysis of 69 patients diagnosed with acute appendicitis with infiltrate.
  • Patients initially received conservative management followed by planned delayed appendectomy (à froid).

Purpose:

  • To evaluate the outcomes and necessity of delayed appendectomy (à froid) following conservative treatment for acute appendicitis with infiltrate.

Summary:

  • Of 69 patients, 61 underwent delayed appendectomy. 43 of these were asymptomatic at surgery. Complications included recurrent symptoms, acute appendicitis, colon carcinoma, carcinoid, and abscess.
  • Delayed appendectomy (à froid) is questioned due to high rates of asymptomatic presentation.

Impact:

  • Suggests reconsidering routine delayed appendectomy (à froid) for appendicitis with infiltrate.
  • Highlights the importance of excluding malignancy in older patients (>40 years) presenting with abdominal symptoms.

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