Arch Dis Child. Published Online First: 27 February 2008. doi:10.1136/adc.2008.138966
Archimedes |
Is Interval Appendectomy necessary after successful conservative treatment of appendiceal mass in children?
1 University of Otago, Christchurch, New Zealand
* To whom correspondence should be addressed. E-mail: maud.meates-dennis{at}otago.ac.nz.
Accepted 7 February 2008
Abstract
Clinical Bottom Line
• Most patients who have had an appendiceal mass successfully treated conservatively do not get a recurrence of appendicitis (Recommendation Grade B)
• The few patients who get recurrence may do so within months of initial presentation (Recommendation Grade B)
• Interval appendectomy is not necessary or cost-effective for managing appendiceal masses. Rather, patients should be alerted to the possibility of a recurrence of appendicitis and encouraged to seek medical attention early should that occur, so an appendectomy can be undertaken at that time. (Recommendation Grade A)
Keywords: appendectomy, appendiceal abscess, appendiceal mass, interval appendectomy
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