Conservative Management of Acute Uncomplicated Appendicitis: A First Line Therapy in Tertiary Care Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 9
Abstract
Background: Acute appendicitis is one of the commonest cause of acute abdomen. For more than 100 years, surgeons have been successfully performing appendectomy to treat acute appendicitis. However, there is a recent trend to shift towards a more conservative approach. There has been a wide discussion and controversy on the surgical and non-surgical treatment of acute uncomplicated appendicitis. This work aimed to assess the effectiveness of non-operative conservative management in the treatment of acute uncomplicated appendicitis. Method: This was a single tertiary care level hospital based study done within the duration from 1st September 2016 to 31st January 2018. 180 patients with clinical and radiological features of acute appendicitis presenting within 48 hrs of onset of the symptoms were enrolled. The patients received a broad spectrum antibiotic and symptomatic treatment. The patients were followed up for 6 months. Results: Total 180 patients were enrolled. 108 (60%) of patients were female and 72 (40%) patients were males with mean age of 36 years. 144 (80%) patients successfully responded with the conservative treatment with antibiotics while 36 (20%) patients failed. No mortality was recorded in our study. Out of 36 patients who failed, 13 patients developed appendicular abscess, 12 patients had perforation of appendix while 11 patients had appendicular lump. Conclusions: Conservative management can be established as the first line of management for uncomplicated acute appendicitis patients having first attack successfully, but it should be followed with close monitoring of patients.
Authors and Affiliations
Dr C. K. Dutt
Keywords
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