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Management of the acute appendix mass: a survey of surgical practice.
Irfan, M; Hogan, A M; Gately, R; Lowery, A J; Waldron, R; Khan, W; Barry, K.
Afiliación
  • Irfan M; Department of Surgery, Mayo General Hospital, Castlebar.
Ir Med J ; 105(9): 303-5, 2012 Oct.
Article en En | MEDLINE | ID: mdl-23240283
ABSTRACT
Management of the appendix mass is controversial with no consensus in the literature. Traditionally, the approach has been conservative followed by interval appendicectomy. A survey was distributed to 117 surgeons (100 consultants and 17 final year specialist registrars) to determine how the appendix mass is currently treated in Ireland. In total, 70 surgeons responded. 51 (73%) adopt a conservative approach initially. 48 (68%) favoured interval appendicectomy at six weeks after a period of successful conservative management. 34 (49%) gave risk of recurrence as the reason for performing interval appendicectomy and 16 (22%) would perform interval appendicectomy in order to obtain histological analysis to outrule caecal or appendiceal neoplasm. 44 (63%) opted for a laparoscopic rather than an open approach for interval appendicectomy. No consensus exists in Ireland for management of the appendix mass presenting acutely. The present series demonstrates a trend towards conservative approach initially followed by interval appendicectomy.
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Apendicectomía / Neoplasias del Apéndice / Apendicitis / Pautas de la Práctica en Medicina / Actitud del Personal de Salud / Abdomen Agudo Tipo de estudio: Diagnostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Ir Med J Año: 2012 Tipo del documento: Article
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Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Apendicectomía / Neoplasias del Apéndice / Apendicitis / Pautas de la Práctica en Medicina / Actitud del Personal de Salud / Abdomen Agudo Tipo de estudio: Diagnostic_studies Límite: Humans País/Región como asunto: Europa Idioma: En Revista: Ir Med J Año: 2012 Tipo del documento: Article