DOI: http://dx.doi.org/10.18203/2349-2902.isj20214481

Simple versus complicated appendicitis

Mahendra Pal Singh

Abstract


Aim of this study is to understand appendicitis in its various presentations. We encounter patients in different stages of the disease. One end of the spectrum is presenting with simple acute appendicitis while other extreme is represented by serious cases of perforated appendicitis. In between cases with various stages of complications could be seen. Simple appendicitis progresses towards complicated one in its natural course. Rise in intraluminal pressure leads to gangrenous perforation. Expertise of the treating surgeon lies in timely detection and intervention. Desired and favorable results are possible to achieve with judicious use of gastrointestinal surgical techniques by the expert. Present study reviews the literature, different research papers and studies available. My own clinical experience in the understanding of appendicitis and its management has enabled me to shape up the article.


Keywords


Perforated appendicitis, Appendectomy, Surgical exploration, Intestinal obstruction, Colonic mucous fistula

Full Text:

PDF

References


Salminen P. Paajanen H. Rautio T. Antibiotic therapy vs appendectomy for treatment of uncomplicated acute appendicitis: the APPAC randomized clinical trial. J Am Med Assoc. 2015;313:2340-2.

Anderson RE, Petzold MG. Non-surgical treatment of appendiceal abscess or Phlegmon: a systematic review and meta-analysis Am surgery. 2007;246:741-8.

Simillis C, Symeorides P, Shorthouse AJ, Tekkis PP. A meta-analysis comparing conservative treatment versus acute appendectomy for complicated appendicitis (abscess or Phlegmon). Surgery. 2010;147(6):818-29.

Helling TS, Soltys DT, Seals S. Operative versus non-operative management in the care of patients with complicated appendicitis Am J surgery. 2017;214:1195-200.

Young KA, Neuhaus NM, Fluck M. Outcomes of complicated appendicitis: as conservative management as smooth as it seems? Am J Surg. 2018;215;586-92.

Saar S, Talving P, Laos J. Delay between onset of symptoms and surgery in act app. increases perioperative morbidity: a prospective study. World J Surg. 2016;40:1308-14.

Barreto SG, Travers E, Thomas T, Mackillop E, Tiong L, Lorimen M et al. Acute perforated appendicitis: An analysis of risk factors to guide surgical decision-making. Indian J Med Sci. 2010;64:58-65.

Drake FT, Motley NF, Farrokhi ET, Florence MG, Johnson MG, Mock C et al. Time to appendectomy and risk of Perforation in Acute appendicitis. J AMA Surg. 2014;149:837-44.

Omari AH, Khammarh MR, Qasaimeh GR, Shammari AK, Yaseen MK, Hammori SK. Acute Appendicitis in the elderly: risk factors for perforation. World J. Emerg Surg. 2014;9:6.

Perez KS, Allen SR. Complicated Appendicitis and consideration for interval appendectomy. JAAPA. 2018;31:35-41.