Is medication possible for acute appendicitis?

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Aim. To study the possibility of antibacterial therapy for acute appendicitis as an alternative to surgical treatment. Material and methods. For the period 1985—2010 diagnostic laparoscopy was performed in 5548 patients with suspected acute appendicitis. Acute phlegmonous or gangrenous appendicitis was observed in 2275 (41.0%) patients who underwent laparoscopic appendectomy. Other acute diseases occurred in 2458 (44.3%) patients. Acute catarrhal appendicitis or secondary inflammation of the appendix were diagnosed in 815 (14.7%) patients; they did not get appendectomy. In-hospital antibacterial therapy has been administered for 1—2 days followed by discharge for outpatient treatment. One patient with acute destructive appendicitis who refused surgery was treated with antibiotics. Results. Antibacterial therapy in 815 patients with acute catarrhal appendicitis allowed to avoid surgical treatment. Complications (appendicular infiltration, abscess), repeated hospitalizations within 1 month were absent. Antibacterial treatment provided recovery in 1 patient with destructive appendicitis who refused surgical treatment. Conclusion. Patients with acute catarrhal appendicitis diagnosed with laparoscopy do not need for appendectomy and can be cured by antibacterial therapy.

Keywords:

acute appendicitis

appendectomy

non-surgical treatment

antibacterial therapy

catarrhal appendicitis

Authors:

Sovtsov S.A.

South Ural State Medical University Ministry of Health of the Russian Federation, Chelyabinsk, Russia

Kriger A.G.

Institut khirurgii im. A.V. Vishnevskogo, Moskva

Pribytkova O.V.

South Ural State Medical University of the Russian Ministry of Healthcare

Smirnov A.V.

Volgograd State Medical University, Volgograd, Russia

ORCID: 0000-0001-5351-6105

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