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Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
Published on: March 15, 2024
[Indications for medical treatment of acute appendicitis]
Guillaume Geri1, Thibaut Charrier, Jean-Luc Mainardi
1Université Paris-Descartes, service de chirurgie digestive, unité mobile de microbiologie clinique, Hôpital européen Georges-Pompidou, AP-HP, 75015 Paris, France.
Abstract:
The acute appendicitis (AA) is an infection of the vermiform appendix and conservative antibiotic treatment is regularly mentioned since 50 years. Its success depends on the susceptibility of bacteria to empiric antibiotic therapy. The main bias of the studies comparing conservative antibiotic treatment versus appendectomy is that AA can not be proven histologically during medical treatment. However, after antibiotic conservative, 12-23% of patients are operated early after revaluation, and 11 to 15% in the first year for a total of 25% to 40% failure of conservative antibiotic treatment when proposed in first intention. In case of complicated appendicitis, severe infection and peritonitis, surgical treatment should be carried out urgently and remains the gold standard.
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