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Interval appendicectomy: a retrospective study

S Eriksson1, J Styrud

  • 1Department of Surgery, Karolinska Institutet at Danderyd Hospital, Sweden.

The European Journal of Surgery = Acta Chirurgica
|December 5, 1998
PubMed
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Open interval appendicectomy has a similar complication rate to acute appendicectomy. This procedure is rarely performed and not routinely recommended, reserved only for specific cases of persistent appendicitis symptoms.

Area of Science:

  • Surgery
  • Gastroenterology

Background:

  • Appendicitis is a common surgical condition.
  • Interval appendicectomy is performed after resolution of acute appendicitis or for chronic appendicitis.
  • The complication rates of interval versus acute appendicectomy require investigation.

Purpose of the Study:

  • To compare the complication rate of open interval appendicectomy with that of acute appendicectomy.
  • To evaluate the indications and outcomes of interval appendicectomy.

Main Methods:

  • Retrospective study conducted at a teaching hospital in Sweden.
  • Included 38 patients who underwent interval appendicectomy for appendiceal abscess or chronic appendicitis.
  • Data collected on operative findings, histological results, and postoperative complications.

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Main Results:

  • The primary indication for interval appendicectomy was appendiceal abscess (32 patients).
  • A small percentage (5%) showed no signs of prior appendicitis; one patient had adenocarcinoma.
  • The complication rate for interval appendicectomy was 13% (5/38), comparable to acute appendicectomy (10%).

Conclusions:

  • Interval appendicectomy demonstrates a similar complication rate to acute appendicectomy.
  • The procedure is infrequently performed and not recommended routinely.
  • Consider interval appendicectomy only for specific indications, such as persistent symptoms suggestive of appendicitis.