Drain Failure in Intra-Abdominal Abscesses Associated with Appendicitis

Horn, Christopher B.; Centeno, Adrian A Coleoglou; Guerra, Jarot; Mazuski, John E.; Bochicchio, Grant V.; Turnbull, Isaiah R.

doi:10.1089/sur.2017.224

Cited by 13 publications

(15 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In the large series from the National Inpatient Sample (NIS) by Horn et al, 25.4% of a total of 2,209 adult patients with appendiceal abscesses who received drains failed conservative management and underwent operative intervention [204].…”

Section: Q47: Does Aspiration Alone Confer Clinical Advantages Overmentioning

confidence: 99%

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

et al. 2020

View full text Add to dashboard Cite

Background and aims: Acute appendicitis (AA) is among the most common causes of acute abdominal pain. Diagnosis of AA is still challenging and some controversies on its management are still present among different settings and practice patterns worldwide. In July 2015, the World Society of Emergency Surgery (WSES) organized in Jerusalem the first consensus conference on the diagnosis and treatment of AA in adult patients with the intention of producing evidence-based guidelines. An updated consensus conference took place in Nijemegen in June 2019 and the guidelines have now been updated in order to provide evidence-based statements and recommendations in keeping with varying clinical practice: use of clinical scores and imaging in diagnosing AA, indications and timing for surgery, use of nonoperative management and antibiotics, laparoscopy and surgical techniques, intra-operative scoring, and perioperative antibiotic therapy.

show abstract

Section: Q47: Does Aspiration Alone Confer Clinical Advantages Overmentioning

confidence: 99%

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Nine cases underwent CT‐guided drainage in the present study, but two cases (22.2%) failed to complete the planned interval period before ILA. In a previous study, 25.4% of 2209 patients with AAM did not experience improvement after abscess drainage and subsequently required surgical treatment 28 . Whether abscess drainage can be performed is not an absolutely critical factor in determining the feasibility of ILA.…”

Section: Discussionmentioning

confidence: 98%

The feasibility of interval laparoscopic appendectomy and appropriate patient selection: A retrospective study of adult appendiceal masses

Fujihata

Kitagami

Kitayama

et al. 2020

Asian J Endoscop Surgery

View full text Add to dashboard Cite

Introduction We examined the safety and effectiveness of interval laparoscopic appendectomy (ILA) for adult appendiceal mass (AAM) and then used a novel white blood cell (WBC) parameter to identify the types of AAM cases for which nonsurgical treatment followed by ILA is effective. Methods We reviewed the cases of 956 patients who had undergone appendectomy between April 2012 and March 2018 at our facility. Of these patients, 49 had AAM, including 34 who underwent ILA. We examined the safety and effectiveness of ILA by comparing it with laparoscopic appendectomy (LA); specifically, the 34 cases treated with ILA were compared with 477 cases of adult uncomplicated appendicitis treated with LA from the same patient cohort. We then examined the factors associated with not successfully completing the planned nonsurgical treatment and interval before ILA. Patient demographics and clinical variables were reviewed. Results Patients who had undergone ILA had longer operative times than those who had undergone LA (P = .0059), but they also had shorter postoperative hospital stays (P < .001). There were no significant differences in other perioperative variables. Multivariate analysis showed that a ratio of WBC count on day 3 and day 0 from the start of nonsurgical treatment (WBC day3/day0) of 0.906 or higher was significantly associated with not completing the nonsurgical treatment and interval before ILA (P = .045). Conclusion A comparison of the procedures found that ILA for AAM was almost as safe and effective as LA for adult uncomplicated appendicitis. The WBC day3/day0 ratio can be an objective parameter to assess the effectiveness of the nonsurgical treatment before ILA earlier in the course of treatment.

show abstract

“…However, among the 9 cases of AAM underwent CT guided drainage in the present study, 2 cases failed to reach ILA (22.2%). In a previous report, Horn reported that 561 patients (25.4%) among 2209 cases of AM failed to improve by drainage and required surgical treatments [27]. Whether abscess drainage can be performed or not is not an absolutely critical factor in completing the ILA procedures.…”

Section: Discussionmentioning

confidence: 99%

The effectiveness and appropriateness of Interval Laparoscopic Appendectomy on adult appendiceal mass, a retrospective cohort

Fujihata

Kitagami

Kitayama

et al. 2019

Preprint

View full text Add to dashboard Cite

Background: Appendiceal mass sometimes requires extended resection and difficult to treat postoperative complications. Interval appendectomy has been performed mainly in the field of pediatric surgery to avoid them. Recently, there are a few reports on interval laparoscopic appendectomy (ILA). We examined not only the safety and effectiveness of ILA for adult appendiceal mass (AAM), but also the appropriateness of ILA for which cases should be treated non-surgically for ILA or converted to surgical treatment. Methods: Among 956 appendectomies performed between April 2012 and March 2018, there were 49 cases of AAM, of which 34 cases underwent ILA; ILA group. The safety and efficacy of ILA were examined by comparing with 477 cases of adult uncomplicated appendicitis underwent laparoscopic appendectomy (LA); LA group. The appropriateness of ILA was examined by comparing with the remaining 15 cases of AAM; non-ILA group. Results: The ILA group had a longer operation time than the LA group, but the postoperative hospital stay was shorter, and no significant difference were found in the bleeding volume, the days required for oral intake of solid food, and the perioperative complications. Examining the factors for failure of non-surgical treatment or relapse of inflammation during interval period, higher WBC day3 / day0 was found to be an independent risk factor. Conclusion: ILA against AAM was almost as safe and effective as LA for adult uncomplicated appendicitis. WBC day3 / day0 may be effective as an objective parameter for judging the termination of non-surgical treatment for ILA. This determination to convert ineffective non-surgical treatment to surgical treatment earlier may reduce the burden on the patient.

show abstract

Drain Failure in Intra-Abdominal Abscesses Associated with Appendicitis

Cited by 13 publications

References 22 publications

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

The feasibility of interval laparoscopic appendectomy and appropriate patient selection: A retrospective study of adult appendiceal masses

The effectiveness and appropriateness of Interval Laparoscopic Appendectomy on adult appendiceal mass, a retrospective cohort

Contact Info

Product

Resources

About