interval appendectomyについて(適応、インターバル、メリットやデメリット)

急性虫垂炎の標準治療は手術ですが、抗菌薬治療という強力なオプションにより、保存的に良くなる症例が多くなりました。
そこで、その後に急性虫垂炎が再発する心配が出てきます。

スポンサーリンク

interval appendectomyとは

急性虫垂炎の保存的治療の成功率

 

interval appendectomyのメリットとデメリット

 

適切なinterval appendectomyのインターバル期間

interval appendectomy前に考慮する検査

interval appendectomyの適応

 

 

参考

A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis

A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis | NEJM
Original Article from The New England Journal of Medicine — A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis

Antibiotic Therapy vs Appendectomy for Treatment of Uncomplicated Acute Appendicitis
The APPAC Randomized Clinical Trial

A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis | NEJM
Original Article from The New England Journal of Medicine — A Randomized Trial Comparing Antibiotics with Appendectomy for Appendicitis

Routine Interval Appendectomy Is Not Justified After Initial Nonoperative Treatment of Acute Appendicitis
https://jamanetwork.com/journals/jamasurgery/article-abstract/508940

急性虫垂炎に対する保存的治療後の再発はなぜおこるか ― 病理および超音波所見の検討から―
https://www.jstage.jst.go.jp/article/jjsps/49/2/49_214/_pdf

Antibiotics versus Appendectomy for Acute Appendicitis — Longer-Term Outcomes
https://www.nejm.org/doi/full/10.1056/NEJMc2116018

Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess

Effectiveness of Interval Appendectomy After Conservative Treatment of Pediatric Ruptured Appendicitis with Abscess
The management of patients with acute perforated appendicitis with abscess is controversial. The aim of the present study was to assess the outcomes of treatmen...

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 - World Journal of Emergency Surgery
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...

Interval routine appendectomy following conservative treatment of acute appendicitis: Is it really needed

Interval routine appendectomy following conservative treatment of acute appendicitis: Is it really needed
Conservative management of acute appendicitis (AA) is gradually being adopted as a valuable therapeutic choice in the treatment of selected patients with AA. Th...

 

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