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Aseptic intussuscepted incidental appendectomy: three successful cases
Evangelia Rachmani1, Zacharias Zachariou, Ulf Kessler
1Department of Pediatric Surgery, Inselspital, University of Berne, Berne, Switzerland.
World Journal of Pediatrics : WJP
|June 19, 2013
Summary
Aseptic intussuscepted incidental appendectomy (AIIA) is a safe surgical technique for infants, showing appendix necrosis with an intact cecum in case studies. Further prospective evaluation is recommended for this appendectomy method.
Area of Science:
- Pediatric surgery
- Surgical innovation
- Gastrointestinal surgery
Background:
- Incidental appendectomy is a debated surgical procedure.
- A modified technique was developed for secure application in infants.
- The study aimed to evaluate this novel approach in a pediatric population.
Observation:
- Aseptic intussuscepted incidental appendectomy (AIIA) was performed on three infant patients.
- The technique aims to induce appendix necrosis while preserving the cecal wall integrity.
- Post-procedure, necrotic appendix was observed in diapers of two infants.
Findings:
- No perioperative morbidity was associated with the AIIA procedure in the three patients.
- Autopsy and histological examination confirmed complete appendix necrosis.
- The cecal wall remained intact in all cases, demonstrating the technique's safety for the cecum.
Implications:
- The modified AIIA technique appears to be a secure method for incidental appendectomy in infants.
- This approach warrants further investigation through prospective studies.
- The findings may influence future surgical practices for incidental appendectomies in pediatric patients.
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