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Validating the efficacy of interval appendectomy for acute appendicitis: representative three cases with different
Yuta Kasagi1, Keita Natsugoe2, Takehiko Aoyagi2
1Department of Surgery, National Hospital Organization Fukuoka Higashi Medical Center, Koga, 811-3113, Japan. kasagi@surg2.med.kyushu-u.ac.jp.
Surgical Case Reports
|August 14, 2020
Summary
Interval appendectomy (IA) is a safe and effective treatment for acute appendicitis (AA) with complex causes. This approach offers clear anatomical insights and faster recovery, making it a reasonable option for specific appendicitis cases.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Abdominal Surgery
Background:
- Appendectomy for acute appendicitis (AA) is a common emergency surgery.
- Complex AA cases, like those with abscesses, are often not recommended for immediate surgery.
- Non-operative management followed by interval appendectomy (IA) is an alternative approach for AA.
Purpose of the Study:
- To present three cases of acute appendicitis with specific etiologies managed with interval appendectomy.
- To evaluate the safety, efficacy, and benefits of interval appendectomy in complex appendicitis cases.
Main Methods:
- Case 1: Laparoscopic IA after conservative therapy for AA with intestinal malrotation and abscesses.
- Case 2: Laparoscopic IA for recurrent appendicitis in a patient with ulcerative colitis.
- Case 3: IA after conservative therapy for AA with appendiceal mass, cecal changes, and lymphadenopathy, revealing colorectal carcinoma.
Main Results:
- IA provided clearer anatomical information and facilitated precise therapeutic strategies.
- Patients undergoing IA experienced fewer technical and general operative complications.
- IA resulted in faster recovery and shorter hospital stays across the presented cases.
Conclusions:
- Interval appendectomy is a reasonable and recommended procedure for acute appendicitis with diverse underlying etiologies.
- IA offers advantages in terms of diagnostic clarity, surgical precision, and patient outcomes.
- This approach is particularly beneficial in complex appendicitis cases that are not suitable for immediate emergency surgery.
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