Evaluation of Conservative Management versus Appendectomy in Non-Complicated Acute Appendicitis | ||||
| Zagazig University Medical Journal | ||||
| Articles in Press, Accepted Manuscript, Available Online from 26 August 2025 | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2025.400051.4034 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mostafa M. ELAidy1; Mohamed A. Sultan2; Mohamed Ahmed Elbadawy Ibrahim  3; Mohamed M. Almeniawy4
| ||||
| 1Assistant Professor of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| 2Professor of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| 3Department of General Surgery, Faculty of Medicine, Zagazig University, Egypt | ||||
| 4Lecturer of General Surgery , Faculty of Medicine, Zagazig University, Egypt | ||||
| Abstract | ||||
| Background: Acute appendicitis is one of the most common surgical emergencies worldwide. Traditionally, appendectomy has been considered the gold standard treatment. However, conservative management with antibiotics has recently gained attention for non-complicated cases. This study aimed to get the better management and improving outcomes of patients with acute non complicated appendicitis (regarding efficacy and complication rate). Methods: A prospective cohort study was conducted at the General Surgery Department, Zagazig University Hospitals, on 32 patients with acute uncomplicated appendicitis. Patients were divided equally into two groups: Group A (conservative management, n=16) 56.3% females, 43.8% males. Group B (appendectomy, n=16) 31.3% females and 68.8% males. Results: Found that in non-operative management group (Group A), 12 patients (75%) had successful outcomes. Two patients (12.5%) experienced treatment failure and underwent appendectomy. One patient (6.25%) experienced recurrence that was managed conservatively, while another (6.25%) had a recurrent complicated attack requiring surgical intervention. In the surgical group (Group B), 11 patients (68.75%) had successful outcomes. Two patients (12.5%) had a normal appendix upon surgery (negative appendectomy), two patients (12.5%) developed deep surgical site infections, and one patient (6.25%) developed an incisional hernia. Notably, there were no negative appendectomies among the failed cases in the conservative group, whereas the rate of negative appendectomy in the surgical group was 12.5%. Conclusion: that the use of antibiotic conservative therapy as a primary treatment for the selected criteria of uncomplicated acute appendicitis is the best way to confirm diagnosis and get proper treatment. | ||||
| Keywords | ||||
| Acute appendicitis; Conservative Management; Non-Complicated | ||||
|
Statistics Article View: 3 |
||||
