Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis
Journal of Surgery
Volume 4, Issue 2-1, March 2016, Pages: 27-30
Received: Oct. 11, 2015; Accepted: Oct. 12, 2015; Published: Jan. 27, 2016
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Authors
Emad Hokkam, Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt; Department of Surgery, Faculty of Medicine, Jazan University, Jazan, Saudia Arabia
Abdelaziz Gonna, Department of Surgery, Jazan General Hospital, Jazan, Saudia Arabia
Aly Saber, Department of Surgery, Port-Fouad General Hospital, Port-Fouad, Egypt
Ossama Zakaria, Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt; Department of Surgery, Faculty of Medicine, King Faisal University, Saudia Arabia
Abdulhameed Alhazmi, Department of Surgery, Faculty of Medicine, Jazan University, Jazan, Saudia Arabia
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Abstract
Background: For more than 100 years, surgeons have been successfully performing appendectomy to treat acute appendicitis. However; there is recent trend to shift towards a more conservative approach. This work aimed to assess the non- operative management in the treatment of acute uncomplicated appendicitis. Methods: One hundred and sixteen patients with uncomplicated acute appendicitis were enrolled into the study. They were divided into two groups (Group A & Group B). Patients in Group A were subjected to non-operative management with antibiotics while patients in Group B were subjected to appendectomy. All patients were evaluated at hospital discharge, at 30-days and at a median follow-up on year. The primary outcome was the success rate of the non-operative management. Secondary outcomes were the difference of length of hospitalization, time to return to normal activity, and quality-of-life measures between both groups. Results: The success rate of non-operative strategy was 93.3% (42 of 45) at hospital discharge, 88.8% (40 of 45) at 30-days and 82.2% (37 of 45) at a median follow-up of one year. Patients in Group A have a significantly shorter time to return to normal activities. They reported higher quality of life scores. The length of hospitalization was significantly shorter in Group B. Conclusion: Giving intravenous antibiotics to some patients with uncomplicated acute appendicitis instead of having them undergo surgery may be safe and effective.
Keywords
Appendicitis, Antibiotics, Conservative, Appendectomy
To cite this article
Emad Hokkam, Abdelaziz Gonna, Aly Saber, Ossama Zakaria, Abdulhameed Alhazmi, Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis, Journal of Surgery. Special Issue: Gastrointestinal Surgery: Recent Trends. Vol. 4, No. 2-1, 2016, pp. 27-30. doi: 10.11648/j.js.s.2016040201.16
Copyright
Copyright © 2016 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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