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[Treatment of acute appendicitis: history and evolution of practices]

Thibaut Charrier1, Franck Zinzindohoué

  • 1Service de chirurgie digestive, hôpital européen Georges-Pompidou, AP-HP, 75015 Paris, France.

La Revue Du Praticien
|May 21, 2013
PubMed

Since the princeps description of the appendectomy by Mac Burney in 1891, the treatment of appendicitis is still based on the resection of the appendix. The better quality of the pre-operative imaging leads to a significant decreased of unnecessary appendectomies during the last 30 years. The laparoscopic approach did not make a real change and is not the gold standard except in obese patient or young female. The question of an exclusive medical treatment is still a matter of debate, but it remains not recommended.

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