[Treatment of acute appendicitis: Retrospective analysis].

Area of Science:

• Gastroenterology
• Surgical Innovation
• Emergency Medicine

Background:

• Acute appendicitis is a leading cause of emergency abdominal surgery globally.
• Treatment strategies for appendicitis are evolving, with a trend towards reduced appendectomies.
• Conservative management is increasingly successful for select appendicitis cases.

Purpose of the Study:

• To compare conservative and surgical treatment outcomes for acute appendicitis.
• To evaluate complication and recurrence rates in appendicitis patients.
• To analyze the effectiveness of different appendicitis treatment modalities.

Main Methods:

• Retrospective analysis of 117 patients diagnosed with acute appendicitis.
• Categorization of patients into complicated/uncomplicated and surgically/conservatively treated groups.
• Statistical analysis using Student t test and Fisher's exact test over a 1-year follow-up.

Main Results:

• 41% of complicated and 13% of uncomplicated appendicitis cases were treated conservatively.
• No conservative treatment failures were observed; 24% of conservatively treated patients experienced recurrence.
• Laparoscopic appendectomy showed lower morbidity and shorter hospitalization than open appendectomy; negative appendectomy rate was 11%.

Conclusions:

• Conservative treatment is favored for complicated appendicitis, with antibiotic treatment playing a key role.
• While conservative treatment is an option for uncomplicated appendicitis, it's not the primary choice.
• Routine elective appendectomy post-conservative treatment is not indicated; laparoscopic appendectomy offers advantages over open procedures.