Acute Appendicitis in children; Is Surgery The Only Treatment Modality? | ||
| Benha Medical Journal | ||
| Article 23, Volume 41, Issue 1, March and April 2024, Pages 246-256 PDF (781.1 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2024.259650.1989 | ||
| Authors | ||
| Hazem Mohammed Sobeih1; Hisham Hussein Mohamed1; Ibrahim Eid Ibrahim* 2; Mohamed O El-shaer3 | ||
| 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. | ||
| Keywords | ||
| Acute Appendicitis; Non-operative Treatment; Appendectomy; Pediatric Appendicitis Score; Antibiotic Therapy | ||
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