Although appendectomy is the most commonly performed emergency operation septic complications of appendectomy remain a major source of morbidity. Historically, @entity1442 has been treated by appendectomy with cecostomy and/or drainage tubes. Our objective was to evaluate the use of ileocecal resection for the immediate treatment of @entity1442 . We examined the cases of all @entity1 undergoing ileocecal resection for @entity698 from August 1989 through April 2000. There were 92 @entity1 (60 male and 32 female) with a median age of 34 (range 6-71). @entity490 was present in 98 per cent of @entity1 with duration of 5.1+/-0.6 days. Right lower quadrant tenderness was present in 91 per cent with accompanying right lower quadrant mass in 30 per cent. Temperature on admission was 38.0+/-0.1 degrees C with a white blood cell count of 15,300+/-500. Preoperative radiological studies included abdominal X-rays (33), contrast enemas (two), CT scans (41), and abdominal ultrasound (17); these studies yielded a correct preoperative diagnosis in 89 per cent. Previous appendectomy had been performed in six @entity1 with failed percutaneous @entity6177 in five. There were 94 cecal resections performed in 92 @entity1 . The extent of surgical resection varied between @entity1 and ranged from partial cecectomy (34) to ileocecectomy (55) to ileocecectomy with diverting ileostomy (five). @entity6177 were present at operation in 46 cases (50%), and drains were placed in 38 (41%). Skin incisions were packed open in most cases (65); there was skin closure in 27. There was no mortality encountered in this period. There were 25 complications in 23 @entity1 (25%). Complications included @entity86 (10; 11%), wound @entity281 (10; 11%), @entity1744 (two) and @entity358 (one). Reoperation was required in seven @entity1 and CT-guided percutaneous drainage in five @entity1 . Anastomic leaks occurred in two cases of partial cecectomy and required conversion to ileocecectomy. Mean hospital stay was 10.5+/-1.0 days with adjusted hospital costs of  31,689+/-3018. We conclude that definitive treatment of @entity1442 can be performed by resection of the involved areas of the ileocecum. This can be accomplished with a primary @entity254 obviating the need for ileostomy and secondary operation. This aggressive surgical approach may reduce infectious complications and reduce hospital costs.

Ileocecectomy is definitive treatment for XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity698 :: ('MESH:D001064', 'Disease') :: ['appendicitis'] @entity6177 :: ('MESH:D018784', 'Disease') :: ['Intra-abdominal abscesses', 'drainage of intra-abdominal abscesses'] @entity254 :: ('MESH:C563598', 'Disease') :: ['anastomosis'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity1442 :: ('MESH:D020178', 'Disease') :: ['advanced appendicitis'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary embolus'] @entity86 :: ('MESH:D019106', 'Disease') :: ['postoperative abscess'] @entity490 :: ('MESH:D015746', 'Disease') :: ['Abdominal pain'] @entity1744 :: ('MESH:D043183', 'Disease') :: ['partial small bowel obstruction']
@entity1442 :: (MESH:D020178,Disease) :: ['advanced appendicitis']
