Sobeih, H., Mohamed, H., Ibrahim, I., El-shaer, M. (2024). Acute Appendicitis in children; Is Surgery The Only Treatment Modality?. Benha Medical Journal, 41(1), 246-256. doi: 10.21608/bmfj.2024.259650.1989
Hazem Mohammed Sobeih; Hisham Hussein Mohamed; Ibrahim Eid Ibrahim; Mohamed O El-shaer. "Acute Appendicitis in children; Is Surgery The Only Treatment Modality?". Benha Medical Journal, 41, 1, 2024, 246-256. doi: 10.21608/bmfj.2024.259650.1989
Sobeih, H., Mohamed, H., Ibrahim, I., El-shaer, M. (2024). 'Acute Appendicitis in children; Is Surgery The Only Treatment Modality?', Benha Medical Journal, 41(1), pp. 246-256. doi: 10.21608/bmfj.2024.259650.1989
Sobeih, H., Mohamed, H., Ibrahim, I., El-shaer, M. Acute Appendicitis in children; Is Surgery The Only Treatment Modality?. Benha Medical Journal, 2024; 41(1): 246-256. doi: 10.21608/bmfj.2024.259650.1989
Acute Appendicitis in children; Is Surgery The Only Treatment Modality?
1Professor of General Surgery, Faculty of Medicine, Benha University
2Department of General Surgery, Faculty of Medicine, Benha University
3Lecturer of General Surgery, Faculty of Medicine, Benha University
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.