Have the evaluation and treatment of acute appendicitis changed with new technology?

The Surgical Clinics of North America
R T Wilcox, L W Traverso

Abstract

The evaluation and treatment of acute appendicitis remain essentially unchanged for the majority of individuals who present with this disease. Although advancements have been made in laboratory analysis as well as imaging via ultrasonography and CT, nothing can replace careful evaluation by an experienced surgeon. Appendicitis remains a diagnosis based primarily on history and physical examination, with further studies being useful adjuncts in atypical cases--more likely to occur in the very young or very old and most cost effective when ordered by the surgical consultant. Improvement in outcomes has not been demonstrated with routine use of "new technology." The treatment of acute appendicitis continues to be early surgical intervention. Although laparoscopic appendectomy may offer advantages in women of childbearing age and in obese individuals, its routine use is not indicated based upon current reports in the literature. Debate continues regarding the optimal treatment of the periappendiceal mass. Further clinical research regarding early operation compared with intravenous antibiotics with or without drainage, as well as comparison of outcomes with or without interval appendectomy, needs to be performed. With continued res...Continue Reading

References

Apr 1, 1992·AJR. American Journal of Roentgenology·M Rioux
Sep 1, 1995·Annals of Surgery·L C MartinD Sleeman
Mar 1, 1995·Annals of Surgery·C L TempleW J Temple
May 1, 1994·The British Journal of Surgery·J M Ramirez, J Deus
Nov 1, 1993·The British Journal of Surgery·M S Whiteley
Feb 1, 1994·The British Journal of Surgery·M T Caldwell, R G Watson
Jun 1, 1994·Annals of Surgery·R C FrazeeJ B Harrison
Nov 1, 1993·Annals of Surgery·V L VallinaC S McCulloch
Jan 1, 1993·The British Journal of Surgery·S NiteckiM Schein
Apr 1, 1993·AJR. American Journal of Roentgenology·A J MaloneB F Melliere
Jun 1, 1993·American Journal of Surgery·B D SchirmerJ B Hanks
Jul 1, 1995·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·R K OrrD Hartman
Jan 1, 1996·World Journal of Surgery·J B HansenB L Menzies
Mar 1, 1996·The Australian and New Zealand Journal of Surgery·A H Sayed Hassen, R J Cade
May 1, 1996·American Journal of Surgery·L E McCahillW S Helton
Jun 1, 1996·Surgical Endoscopy·P RossiL Moggi
Aug 1, 1996·Emergency Medicine Clinics of North America·T G Sanson, K P O'Keefe
Apr 1, 1996·Acta Paediatrica·H Paajanen, E Somppi
Jun 1, 1996·Journal of Pediatric Surgery·S H Ein, B Shandling
Nov 1, 1996·The American Journal of Emergency Medicine·S N Von TitteL W Ottinger
Feb 1, 1997·AJR. American Journal of Roentgenology·M J LaneR B Jeffrey

❮ Previous
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Citations

Oct 21, 1999·Diseases of the Colon and Rectum·J C Rodríguez-SanjuánA Naranjo
Oct 16, 2010·Journal of Medical Systems·Subhagata ChattopadhyayRudhram Gajendran
Mar 7, 2003·American Journal of Surgery·Toni L Storm-Dickerson, Mark C Horattas
Feb 20, 2004·Current Surgery·Rodrick McKinlay, Michael J Mastrangelo
Feb 20, 2004·Current Surgery·Tommy SheltonRichard W Schwartz
Jan 16, 1999·Gastroenterology Clinics of North America·M S Cappell
Mar 15, 2002·Journal of the American College of Surgeons·Shiuh-Inn LiuRichard A Hodin
Aug 23, 2005·International Journal of Technology Assessment in Health Care·Adèle R WestonStephen Blamey
Feb 3, 2005·Surgical Infections·Inderpal S SarkariaPhilip S Barie
Apr 5, 2002·Journal of the American Academy of Nurse Practitioners·C L Gauf
Feb 26, 2010·World Journal of Emergency Surgery : WJES·Kemal MemisogluEnder Onur
May 8, 2014·PloS One·Inneke WillekensJohan de Mey
Dec 15, 2011·Polski przeglad chirurgiczny·Andrzej Zyluk, Paweł Ostrowski
May 5, 2000·Radiology·B A Birnbaum, S R Wilson
Apr 1, 2014·The Journal of Emergency Medicine·Naveen PoonaiGary Joubert
Dec 1, 2004·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·M Y P ChanY Y Ng
May 30, 2013·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Andrew BarlowMarios Loukas
Jun 17, 2011·The Journal of Obstetrics and Gynaecology Research·Kingsley AgholorFriday Okonofua
Dec 28, 2004·American Journal of Surgery·Kory JonesAlicia J Mangram
May 1, 1999·Seminars in Ultrasound, CT, and MR·R E Mindelzun, R B Jeffrey
Apr 28, 2007·International Journal of Surgery·T AmaleshR Shankar
May 16, 2007·Journal of Pediatric Surgery·Giorgio StefanuttiPiergiorgio Gamba
Dec 17, 2008·International Journal of Surgery·Elizabeth KimEustace S Golladay
Feb 22, 2008·International Journal of Surgery·Hassan Ali MohebbiYashar Moharamzad
Sep 13, 2001·Alimentary Pharmacology & Therapeutics·A Sonnenberg
Apr 18, 2017·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Enver ZeremOmar Zerem
Apr 1, 2003·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·B CaspiZ Appelman
Oct 9, 1999·The Australian and New Zealand Journal of Surgery·C S ChoD T Hardman
May 1, 2004·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·A Andrén-Sandberg, H Kørner
Jul 31, 2001·The Medical Journal of Australia·N J DonnellyC D Holman

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