Nonoperative approach in children with uncomplicated appendicitis at tertiary care centre
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 2
Abstract
Aim: To evaluate the effectiveness of non-operative approach in children with uncomplicated acute appendicitis using antibiotic as a first treatment plan and to assess the treatment outcome. Material and Method: 60 children with a history of pain in right iliac fossa and diagnosed as the first attack of appendicitis were included. Ultrasound of abdomen confirm the clinical diagnosis. After diagnosis, all patients were given intravenous antibiotics during the period of hospital stay. Patients whose signs and symptoms had improved discharged home after 72 hrs of observation. On discharge, we shift to oral antibiotics for two weeks. Results: 60 children of uncomplicated acute appendicitis were included and managed non-operatively. 36 (60%) were male and 24 (40%) patients were female. Mean age was 8.2±3.1 years and range between 2 to 18 years. Mean duration of symptoms was 2±2.4 days. In the 60 patients who were managed non-operatively for uncomplicated acute appendicitis, non-operative treatment was successful in 43 (71.7%) patients with no treatment failure or recurrence in the follow-up period of 6 months. However, in the remaining 17 (28.3%) patients, non-operative treatment was failed. Treatment failure during initial admission was seen in 12 patients (20%) whereas recurrence was seen in 5 patients (8.3%) cases who were successfully managed during primary admission. Conclusion: Uncomplicated acute appendicitis can be treated successfully by non-operative approach thereby avoiding appendectomy and its associated morbidity and mortality. However, non-operative approach requires monitoring and repeated re-evaluation.
Authors and Affiliations
Mallikarjun V Nisty, Nandkishor D Shinde, Moinuddin Mohammed, Ravindra Devani
Keywords
Related Articles
- EP ID EP472285
- DOI 10.26611/106728
- Views 143
- Downloads 0
A study of profile and outcome of patients with acute pancreatitis at tertiary health care center
Background: Acute pancreatitis is a significant health problem which leads to a quarter of million hospital admissions in USA per year. Aims and Objectives: To Study Profile and Outcome of patients with acute pancreatiti...
Comparative study on post operative complication between mini laparotomy cholecystectomy and standard conventional open cholecystectomy
Background: Surgical procedures like open cholecystectomy (OC) and mini-laparotomy cholecystectomy (MLC) are used for the management of cholelithiasis. Objective: Objective of present work was to compare post operative c...
Study of preoperative clinical risk factors to predict lower extremity amputations
Background: Whether they are defined as minor or major, lower limb amputations constitute a severe health problem, causing high rates of morbidity and mortality and considerable social impact. Objectives: To study preope...
Per operative and histopathological diagnosis in abdominal conditions
Background: Ultrasound has got a sensitivity of 80 to 85 % for diagnosing pyogenic liver Abscess. The following features lead to the diagnosis- Double target sign-seen as wall enhancement with surrounding Hypo dense zone...
Preoperative Serum Albumin as an Independent Predictor of Post-Operative Morbidity
Background: Approximately one-third to one-half of hospitalized patients are malnourished at the time of admission, and this nutritional status can not only adversely affect a patient’s clinical condition, but adversely...