The Negative Appendectomy—A Benign Misjudgment?

Jj, Tepas; Nl, Simstein; Wj, Wagner; Jt, Mullen

doi:10.1093/milmed/142.4.302

Cited by 3 publications

(1 citation statement)

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“…Conventional 'excision' appendectomy performed for 'negative appendix' renders a considerable morbidity [6,13,22,29], presenting a high price for retrospective unnecessary surgery. Attempts to substantially reduce postoperative complications are worthwhile and numer ous.…”

Section: Introductionmentioning

confidence: 99%

Surgical Inversion: The Safer Way to Operate a Noninflammatory Appendix

Meiser¹

1987

Dig Surg

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From April 1979 to March 1985, 538 patients underwent surgical inversion and 156 excision of a noninflammatory appendix. Early postoperative morbidity comprised 0.7% light and 0.3% severe complications after inversion vs. 5.7% light and 2.5% severe complications after excision, late morbidity, 2.3% light vs. 5.5% light and 0.9% severe complications, respectively. As elucidated by comparison with data reported from the pertinent literature and statistical evaluation, inversion was proven to be superior to classic excision in terms of early and late complication rate.

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Section: Introductionmentioning

confidence: 99%

Surgical Inversion: The Safer Way to Operate a Noninflammatory Appendix

Meiser¹

1987

Dig Surg

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Blande Appendix: Inversions-?Appendektomie? oder ?Amputations?-Appendektomie?

Meissner

1980

Langenbecks Arch Chiv

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Normal or scarred appendixes may be removed by amputation or inversion. Inversion is appealing for its high degree of asepsis, but criticized for the possibility of organ retention with consecutive invagination. The risks and advantages of amputation appear to be exactly the opposite. For objective comparison, a prospective study was undertaken, using both procedures in 400 cases of solitary and 40 cases of complementary appendectomies at a random number key. Wound infection was observed in 0.5% following inversion, in 8% following amputation as a solitary procedure. Both methods were equally followed by wound infections which performed as complementary procedures. However, inversion was free of enterogenous infection in all cases. Technical precautions were taken to facilitate sloughing of inverted appendixes. No clinical symptoms indicating retention or correlated complications were observed.

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