Skip to main content

The Controversial Role of Interval Appendectomy

  • Chapter
  • First Online:
Controversies in Pediatric Appendicitis

Abstract

The merits of non-operative management of both uncomplicated and complicated appendicitis have already been discussed earlier in this publication. The focus of this chapter is on what happens next and whether an interval appendectomy is necessary. As a surgeon, how do you decide whether or not to perform an interval appendectomy, and how can the surgical literature help us to make the right decision?

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Svensson JF, Patkova B, Almstrom M, et al. Nonoperative treatment with antibiotics versus surgery for acute nonperforated appendicitis in children: a pilot randomized controlled trial. Ann Surg. 2015;261(1):67–71.

    Article  Google Scholar 

  2. Tanaka Y, Uchida H, Kawashima H, et al. Long-term outcomes of operative versus nonoperative treatment for uncomplicated appendicitis. J Pediatr Surg. 2015;50(11):1893–7.

    Article  Google Scholar 

  3. Minneci PC, Lodwick DL, Sulkowski JP, et al. The effectiveness of patient choice in non-operative versus surgical management of uncomplicated acute appendicitis. JAMA Surg. 2016;151(5):408–15.

    Article  Google Scholar 

  4. Andersson RE, Petzold MG. Nonsurgical treatment of appendiceal abscess or phlegmon: a systematic review and meta-analysis. Ann Surg. 2007;246:741–8.

    Article  Google Scholar 

  5. Puapong D, Lee SL, Haigh PI, Kaminski A, Liu I-LA, Applebaum H. Routine interval appendectomy in children is not indicated. J Pediatr Surg. 2007;42(9):1500–3.

    Article  Google Scholar 

  6. Svensson JF, Johansson R, Kaiser S, Wester T. Recurrence of acute appendicitis after non-operative treatment of appendiceal abscess in children: a single-centre experience. Pediatr Surg Int. 2014;30(4):413–6.

    Article  Google Scholar 

  7. Ein SH, Langer JC, Daneman A. Nonoperative management of pediatric ruptured appendix with inflammatory mass or abscess: presence of an appendicolith predicts recurrent appendicitis. J Pediatr Surg. 2005;40(10):1612–5.

    Article  Google Scholar 

  8. Fawkner-Corbett D, Jawaid WB, McPartland J, Losty PD. Interval appendectomy in children clinical outcomes, financial costs and patient benefits. Pediatr Surg Int. 2014;30(7):743–6.

    Article  Google Scholar 

  9. Tanaka Y, Uchida H, Kawashima H, et al. More than one-third of successfully nonoperatively treated patients with complicated appendicitis experienced recurrent appendicitis: is interval appendectomy necessary? J Pediatr Surg. 2016;51(12):1957–61.

    Article  Google Scholar 

  10. Hall NJ, Jones CE, Eaton S, Stanton MP, Burge DM. Is interval appendicectomy justified after successful nonoperative treatment of an appendix mass in children? A systematic review. J Pediatr Surg. 2011;46(4):767–71.

    Article  Google Scholar 

  11. Mazziotti MV, Marley EF, Winthrop AL, Fitzgerald PG, Walton M, Langer JC. Histopathologic analysis of interval appendectomy specimens: support for the role of interval appendectomy. J Pediatr Surg. 1997;32(6):806–9.

    Article  CAS  Google Scholar 

  12. Lewin J, Fenyo G, Engstrom L. Treatment of appendiceal abscess. Acta Chir Scand. 1988;154:123–5.

    CAS  PubMed  Google Scholar 

  13. Zhang HL, Bai YZ, Zhou X, Wang WL. Nonoperative treatment of appendiceal phlegmon or abscess with an appendicolith in children. J Gastrointest Surg. 2013;4:766–70.

    Article  Google Scholar 

  14. Mahida JB, Lodwick DL, Nacion KM, et al. High failure rate of non-operative management of acute appendicitis with an appendicolith in children. J Pediatr Surg. 2016;51(6):908.

    Article  Google Scholar 

  15. Henderson L, Fahily C, Folaranmi S, et al. Management and outcome of neuroendocrine tumours of the appendix – a two centre UK experience. J Pediatr Surg. 2014;49(10):1513–7.

    Article  Google Scholar 

  16. Sakorafas GH, Sabanis D, Lappas C, et al. Interval routine appendectomy following conservative treatment of acute appendicitis: is it really needed. World J Gastrointest Surg. 2012;4(4):83–6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Demetri J. Merianos .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Peters, A.W., Merianos, D.J. (2019). The Controversial Role of Interval Appendectomy. In: Hunter, C. (eds) Controversies in Pediatric Appendicitis. Springer, Cham. https://doi.org/10.1007/978-3-030-15006-8_12

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-15006-8_12

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-15005-1

  • Online ISBN: 978-3-030-15006-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics