Muthanna Medical Journal
Volume 10, Issue 1, 2023 Page 85-92
http://dx.doi.org/10.52113/1/1/2023-85-92
Monier Al-Tae ¹*, Omar Atta ²
Correspondence author: monier23@gmail.com
¹ D Department of Surgery, Ibn Sina Training Hospital, Baghdad
² Department of Urology, Ibn Sina Training Hospital, Baghdad
² Department of Urology, Ibn Sina Training Hospital, Baghdad
Received 11 January 2023; revised February 28, 2023; accepted 24 March 2023, available online 21 April 2023.
Copyright © 2023 Monier Al-Taei, et al. This is article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Copyright © 2023 Monier Al-Taei, et al. This is article distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited
Abstract
Appendicitis is a common surgical emergency that has traditionally been treated with surgery. However, there is increasing interest in non-operative management of uncomplicated acute appendicitis with antibiotics alone. This study aimed to assess the efficacy of non-operative management of uncomplicated acute appendicitis. This was a retrospective study of patients with uncomplicated acute appendicitis who were managed with antibiotics alone. Patients were identified from electronic medical records, and data were collected on demographics, clinical presentation, laboratory and radiological investigations, treatment, and outcomes. The primary outcome was successful non-operative management, defined as resolution of symptoms and signs of appendicitis without the need for surgery. A total of 42 patients were included in the study. Successful non-operative management was achieved in 35 patients (83.3%), while the remaining 7 patients (16.6%) required surgery due to persistent or worsening symptoms. No major complications were reported in the non-operative management group. Non-operative management of uncomplicated acute appendicitis with antibiotics alone appears to be a safe and effective alternative to surgery. Our findings are consistent with previous studies that have reported high success rates for non-operative management. However, further research is needed to determine the optimal patient selection criteria for non-operative management and to compare the long-term outcomes of non-operative and surgical management.
Keywords: Appendicitis, Surgery, Non-operative management contaminants