Acute Appendicitis in children; Is Surgery The Only Treatment Modality?

Sobeih, Hazem Mohammed; Mohamed, Hisham Hussein; Ibrahim, Ibrahim Eid; El-shaer, Mohamed O

doi:10.21608/bmfj.2024.259650.1989

Acute Appendicitis in children; Is Surgery The Only Treatment Modality?

Document Type : Original Article

Authors

¹ Professor of General Surgery, Faculty of Medicine, Benha University

² Department of General Surgery, Faculty of Medicine, Benha University

³ Lecturer of General Surgery, Faculty of Medicine, Benha University

10.21608/bmfj.2024.259650.1989

Abstract

Background: Historically, appendectomy has been the treatment of choice for children with acute appendicitis. Nevertheless, there is growing interest in the effectiveness and security of non-invasive methods. This study aimed to comparing a non-operative therapy approach to appendectomy in children with simple acute appendicitis in terms of efficacy, safety, and cost-effectiveness. Methods: This prospective randomized controlled clinical experiment was undertaken at Benha University Hospital from December 2022 to December 2023. The study comprised children between the ages of 4 and 16 who had uncomplicated acute appendicitis (PAS = 7). Appendectomy and non-operative (antibiotic therapy) patient groups were established. Extensive examinations were conducted, encompassing clinical, laboratory, and radiographic studies. Results: 120 patients out of a total of 133 were studied (60 in each group). Significant variations were noted in PAS, laboratory tests, days of hospitalization, and problems prior to release across the groups.. Conclusion: Significant disparities in outcomes between non-operative and appendectomy treatments in pediatric patients with uncomplicated acute appendicitis are suggested by the study. Non-operative therapy has exhibited potential advantages in some instances, including decreased hospitalization and equivalent safety results.

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