Comparing Surgical and Pharmaceutical Techniques for Treating Uncomplicated Appendicitis
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Authors
Normandeau, James
Date of Issue
2023-04-28
Type
Presentation
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Abstract
Objective: To review current literature and determine whether nonoperative management of acute appendicitis provides accelerated recovery when compared to surgical appendectomy after one year in pediatric patients.
Methods: Literature was collected from PubMed. Articles were assessed to determine the success rate, quality of life, hospital recovery time, or return to normal activity for the patient and/or caregiver, following nonoperative management or surgical appendectomy in pediatric patients.
Results: The articles for the most part supported the conclusion that nonoperative management of appendicitis is a safe alternative to appendectomy. Relapse rates typically were around 70% for nonoperative patients. For patients who did not relapse following initial nonoperative treatment, hospital and recovery times were often shorter than patients in the surgical groups. However, when the patients who failed nonoperative management were considered, the data did not show significantly faster recovery time than the surgical groups.
Conclusion: Research suggests that nonoperative management of acute appendicitis does not lead to accelerated patient recovery when compared to surgical management of appendicitis in pediatric patients
MeSH Keywords: Appendectomy; nonoperative; conservative; pediatric; appendicitis