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Interval appendectomy. A retrospective study.

A Mosegaard, O S Nielsen

Acta Chirurgica Scandinavica

|January 1, 1979

Summary

This summary is machine-generated.

Routine appendectomy à froid for periappendicular abscess is not recommended. Conservative management with follow-up is preferred, with surgery reserved for persistent or symptomatic cases, especially in patients over 40 to rule out coecal cancer.

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Area of Science:

Surgery
Gastroenterology

Background:

Periappendicular abscesses present a surgical challenge.
Management strategies have evolved, necessitating evaluation of historical approaches.

Purpose of the Study:

To evaluate the efficacy and necessity of immediate appendectomy à froid for periappendicular abscess.
To determine optimal management pathways and identify patients requiring further investigation.

Main Methods:

Retrospective analysis of 79 patients with periappendicular abscess over a 5-year period.
Comparison of outcomes between immediate appendectomy à froid and conservative management.
Follow-up assessment including questionnaires and clinical evaluation.

Main Results:

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Appendectomy à froid was performed on 70 patients, with a 13% complication rate.

Immediate surgery was deemed unnecessary in 14% of cases.

No recurrence was observed in 7 patients managed conservatively after an average 2.4-year follow-up.

Conclusions:

Appendectomy à froid is not recommended as a routine procedure for periappendicular abscess.
Conservative management with close monitoring is advised, with surgery reserved for symptomatic or unclear cases.
Colon imaging (X-ray or coloscopy) is recommended for patients over 40 to exclude coecal cancer.