Non-Operative management of acute appendicitis in children

Authors : Osman UZUNLU, İncinur GENİŞOL ATAMAN
Pages : 628-633
Doi:10.31362/patd.1334830
View : 107 | Download : 65
Publication Date : 2023-10-01
Article Type : Research Paper
Abstract :Purpose: Most studies addressing non-operative management for acute appendicitis have focused on adults, and there are limited data available for children. We aimed to evaluate the results of successful non-operative management in children with acute uncomplicated appendicitis with our “additional criteria” and find which factors could be affecting the success rate and which cases could be candidates for non-operative management. Materials and methods: A total of 26 patients who were diagnosed with acute uncomplicated appendicitis and received non-operative management were re-evaluated retrospectively. Defining uncomplicated appendicitis was based on the duration of symptoms insert ignore into journalissuearticles values(<24 hours);, clinical history, and radiologic findings. The radiologic evaluation was based on ultrasonography and computed tomography. The patients received an intravenous antibiotic combination insert ignore into journalissuearticles values(sulbactam/ampicillin, gentamicin, clindamycin); for five days at the hospital; the treatment was completed after 10 days with an oral antibiotic combination insert ignore into journalissuearticles values(amoxicillin/clavulanate, metronidazole);. The cases have a follow-up period of up to two years. Results: The mean patient age and follow-up time were 10,42±3,65 years and 30,15±5 months, respectively. The mean leukocyte count, C-reactive protein insert ignore into journalissuearticles values(CRP);, and appendix diameter values were 15,82±5,4×109/L, 20,38±33,4mg/dL, and 7.87±1.4 mm on admission. None of the patients had an early failure, complication, or adverse event. Recurrent appendicitis occurred in only one case insert ignore into journalissuearticles values(4%); that was treated by laparoscopic appendectomy during the follow-up. Conclusion: Non-operative management for acute uncomplicated appendicitis in children regarding long-term outcomes with our criteria was satisfactory and initial success rates were excellent.
Keywords : Akut apandisit, apandisit, çocuk, konservatif tedavi, ameliyatsız tedavi

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