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