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March 1, 2024Benha Medical JournalOpen Access

Acute Appendicitis in children; Is Surgery The Only Treatment Modality?

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Authors

HSHazem SobeihHMHisham MohamedIIIbrahim Ibrahim

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Overview

Randomized trial reveals antibiotic therapy matches appendectomy safety in pediatric uncomplicated acute appendicitis, suggesting non-operative care reduces hospitalization.

Key Points

  • Hospital discharge occurred earlier following non-operative therapy, and treatment showed comparable safety to surgical appendectomy in pediatric uncomplicated acute appendicitis.
  • Among 120 analyzed patients with a pediatric appendicitis score of 7, non-operative management significantly reduced total hospitalization days compared to appendectomy.
  • Prospective randomized controlled trial findings support non-operative antibiotic therapy as a viable clinical alternative to surgery, though broader validation remains necessary.

Cite This Study

Sobeih et al. (2024) studied this question.

synapsesocial.com/papers/68e76bccb6db6435876e17e3https://doi.org/10.21608/bmfj.2024.259650.1989
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Suspected Simple Appendicitis in Children: Should We Use a Nonoperative, Antibiotic-Free Approach? An Observational Study2024 · 5 citations
  2. 2Non-operative treatment strategy versus surgery for children with simple appendicitis: non-inferiority randomised controlled trial2026
  3. 3NONOPERATIVE TREATMENT FOR ACUTE UNCOMPLICATED APPENDICITIS IN CHILDHOOD2026
  4. 4Comparison of Non-Operative Treatment and Appendectomy in Non-Perforate Appendicitis in Children2023
  5. 5Nonoperative Management of Uncomplicated Acute Appendicitis: A Systematic Review and Meta‐Analysis of Randomized Clinical Trials Comparing Antibiotic Treatment and Appendectomy in Children and Adolescents2026 · 1 citations