Is an interval appendectomy still necessary in perforated appendicitis with inflammatory mass/abcess
We reviewed our experience in non-operative management without an interval appendectomy (IA), for patients who presented with perforated appendicitis with an abcess or inflammatory mass from November 2012 to November 2017 retrospectively. The data included age, sex, duration of symptoms, presence of...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Society of Turaz Bilim
2018-12-01
|
| Series: | Medicine Science |
| Subjects: | |
| Online Access: | http://www.ejmanager.com/fulltextpdf.php?mno=293816 |
| _version_ | 1827360494810300416 |
|---|---|
| author | Kivilcim Karadeniz Cerit Rabia Ergelen Ruslan Asadov Merve Yilmaz Tural Abdullayev Tolga Dagli Gursu Kiyan |
| author_facet | Kivilcim Karadeniz Cerit Rabia Ergelen Ruslan Asadov Merve Yilmaz Tural Abdullayev Tolga Dagli Gursu Kiyan |
| author_sort | Kivilcim Karadeniz Cerit |
| collection | DOAJ |
| description | We reviewed our experience in non-operative management without an interval appendectomy (IA), for patients who presented with perforated appendicitis with an abcess or inflammatory mass from November 2012 to November 2017 retrospectively. The data included age, sex, duration of symptoms, presence of appendicolith/ abcess on CT imaging, WBC and CRP levels, antibiotic treatment, fever at presentation, percutan drainage procedure and complications, recurrent abscess, total length of hospitalization, follow-up period. A total of 32 patients were treated with nonoperative management during the study period. Nonoperative management without an IA was successful in 31 patients (96%). Study patients included were admitted to the surgical ward for observation. The mean age of the patients was 9.74±3.55 years. 19 male and 13 female patients were included in the study. The mean duration of symptoms was 8.75±4.69 days. The mean number of Ct scans was 1.21±0.42 per patient. Percutan drainage was performed in 10 patients. The mean of WBC levels at presentation was 19030.00±7192.24 cells/μL and CRP levels was 156.61±94.23 mg/dl. Intravenous
piperacillin-tazobactam (Tazosin®, Pfizer, New York, NY) were given 400 mg/kg/day in four divided doses. Diet were started to the patients who were afebrile and had diminished abdominal pain during observation. The mean length of hospitalization was 13.03±5.82 days. The mean duration of follow-up period 34.65±20.48 months. Nonoperative management without IA is a preferable choice for perforated appendicitis with abcess or mass. [Med-Science 2018; 7(4.000): 781-4] |
| first_indexed | 2024-03-08T06:49:00Z |
| format | Article |
| id | doaj.art-518673f1b8754831aa2aeac93dbba9dc |
| institution | Directory Open Access Journal |
| issn | 2147-0634 |
| language | English |
| last_indexed | 2024-03-08T06:49:00Z |
| publishDate | 2018-12-01 |
| publisher | Society of Turaz Bilim |
| record_format | Article |
| series | Medicine Science |
| spelling | doaj.art-518673f1b8754831aa2aeac93dbba9dc2024-02-03T07:28:54ZengSociety of Turaz BilimMedicine Science2147-06342018-12-0174781410.5455/medscience.2018.07.8783293816Is an interval appendectomy still necessary in perforated appendicitis with inflammatory mass/abcessKivilcim Karadeniz Cerit0Rabia ErgelenRuslan AsadovMerve YilmazTural AbdullayevTolga DagliGursu KiyanMarmara University Faculty of Medicine, Department of Pediatric Surgery, Istanbul Turkey Marmara University Faculty of Medicine, Department of Radiology, Istanbul Turkey Emsey Hospital, Department of Pediatric Surgery, Istanbul TurkeyWe reviewed our experience in non-operative management without an interval appendectomy (IA), for patients who presented with perforated appendicitis with an abcess or inflammatory mass from November 2012 to November 2017 retrospectively. The data included age, sex, duration of symptoms, presence of appendicolith/ abcess on CT imaging, WBC and CRP levels, antibiotic treatment, fever at presentation, percutan drainage procedure and complications, recurrent abscess, total length of hospitalization, follow-up period. A total of 32 patients were treated with nonoperative management during the study period. Nonoperative management without an IA was successful in 31 patients (96%). Study patients included were admitted to the surgical ward for observation. The mean age of the patients was 9.74±3.55 years. 19 male and 13 female patients were included in the study. The mean duration of symptoms was 8.75±4.69 days. The mean number of Ct scans was 1.21±0.42 per patient. Percutan drainage was performed in 10 patients. The mean of WBC levels at presentation was 19030.00±7192.24 cells/μL and CRP levels was 156.61±94.23 mg/dl. Intravenous piperacillin-tazobactam (Tazosin®, Pfizer, New York, NY) were given 400 mg/kg/day in four divided doses. Diet were started to the patients who were afebrile and had diminished abdominal pain during observation. The mean length of hospitalization was 13.03±5.82 days. The mean duration of follow-up period 34.65±20.48 months. Nonoperative management without IA is a preferable choice for perforated appendicitis with abcess or mass. [Med-Science 2018; 7(4.000): 781-4]http://www.ejmanager.com/fulltextpdf.php?mno=293816Perforated appendicitisnonoperative treatmentpercutaneous drainageabcessinflammatory massinterval appendectomy |
| spellingShingle | Kivilcim Karadeniz Cerit Rabia Ergelen Ruslan Asadov Merve Yilmaz Tural Abdullayev Tolga Dagli Gursu Kiyan Is an interval appendectomy still necessary in perforated appendicitis with inflammatory mass/abcess Medicine Science Perforated appendicitis nonoperative treatment percutaneous drainage abcess inflammatory mass interval appendectomy |
| title | Is an interval appendectomy still necessary in perforated appendicitis with inflammatory mass/abcess |
| title_full | Is an interval appendectomy still necessary in perforated appendicitis with inflammatory mass/abcess |
| title_fullStr | Is an interval appendectomy still necessary in perforated appendicitis with inflammatory mass/abcess |
| title_full_unstemmed | Is an interval appendectomy still necessary in perforated appendicitis with inflammatory mass/abcess |
| title_short | Is an interval appendectomy still necessary in perforated appendicitis with inflammatory mass/abcess |
| title_sort | is an interval appendectomy still necessary in perforated appendicitis with inflammatory mass abcess |
| topic | Perforated appendicitis nonoperative treatment percutaneous drainage abcess inflammatory mass interval appendectomy |
| url | http://www.ejmanager.com/fulltextpdf.php?mno=293816 |
| work_keys_str_mv | AT kivilcimkaradenizcerit isanintervalappendectomystillnecessaryinperforatedappendicitiswithinflammatorymassabcess AT rabiaergelen isanintervalappendectomystillnecessaryinperforatedappendicitiswithinflammatorymassabcess AT ruslanasadov isanintervalappendectomystillnecessaryinperforatedappendicitiswithinflammatorymassabcess AT merveyilmaz isanintervalappendectomystillnecessaryinperforatedappendicitiswithinflammatorymassabcess AT turalabdullayev isanintervalappendectomystillnecessaryinperforatedappendicitiswithinflammatorymassabcess AT tolgadagli isanintervalappendectomystillnecessaryinperforatedappendicitiswithinflammatorymassabcess AT gursukiyan isanintervalappendectomystillnecessaryinperforatedappendicitiswithinflammatorymassabcess |