Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis

Emad Hokkam; Abdelaziz Gonna; Aly Saber; Ossama Zakaria; Abdulhameed Alhazmi

doi:doi:10.11648/j.js.s.2016040201.16

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Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis

Emad Hokkam, Abdelaziz Gonna, Aly Saber, Ossama Zakaria, Abdulhameed Alhazmi

Published in Journal of Surgery (Volume 4, Issue 2-1)

Received: 11 October 2015 Accepted: 12 October 2015 Published: 27 January 2016

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Abstract

Background: For more than 100 years, surgeons have been successfully performing appendectomy to treat acute appendicitis. However; there is recent trend to shift towards a more conservative approach. This work aimed to assess the non- operative management in the treatment of acute uncomplicated appendicitis. Methods: One hundred and sixteen patients with uncomplicated acute appendicitis were enrolled into the study. They were divided into two groups (Group A & Group B). Patients in Group A were subjected to non-operative management with antibiotics while patients in Group B were subjected to appendectomy. All patients were evaluated at hospital discharge, at 30-days and at a median follow-up on year. The primary outcome was the success rate of the non-operative management. Secondary outcomes were the difference of length of hospitalization, time to return to normal activity, and quality-of-life measures between both groups. Results: The success rate of non-operative strategy was 93.3% (42 of 45) at hospital discharge, 88.8% (40 of 45) at 30-days and 82.2% (37 of 45) at a median follow-up of one year. Patients in Group A have a significantly shorter time to return to normal activities. They reported higher quality of life scores. The length of hospitalization was significantly shorter in Group B. Conclusion: Giving intravenous antibiotics to some patients with uncomplicated acute appendicitis instead of having them undergo surgery may be safe and effective.

Published in	Journal of Surgery (Volume 4, Issue 2-1) This article belongs to the Special Issue Gastrointestinal Surgery: Recent Trends
DOI	10.11648/j.js.s.2016040201.16
Page(s)	27-30
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Appendicitis, Antibiotics, Conservative, Appendectomy

References

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APA Style

Emad Hokkam, Abdelaziz Gonna, Aly Saber, Ossama Zakaria, Abdulhameed Alhazmi. (2016). Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis. Journal of Surgery, 4(2-1), 27-30. https://doi.org/10.11648/j.js.s.2016040201.16

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ACS Style

Emad Hokkam; Abdelaziz Gonna; Aly Saber; Ossama Zakaria; Abdulhameed Alhazmi. Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis. J. Surg. 2016, 4(2-1), 27-30. doi: 10.11648/j.js.s.2016040201.16

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AMA Style

Emad Hokkam, Abdelaziz Gonna, Aly Saber, Ossama Zakaria, Abdulhameed Alhazmi. Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis. J Surg. 2016;4(2-1):27-30. doi: 10.11648/j.js.s.2016040201.16

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@article{10.11648/j.js.s.2016040201.16,
  author = {Emad Hokkam and Abdelaziz Gonna and Aly Saber and Ossama Zakaria and Abdulhameed Alhazmi},
  title = {Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis},
  journal = {Journal of Surgery},
  volume = {4},
  number = {2-1},
  pages = {27-30},
  doi = {10.11648/j.js.s.2016040201.16},
  url = {https://doi.org/10.11648/j.js.s.2016040201.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2016040201.16},
  abstract = {Background: For more than 100 years, surgeons have been successfully performing appendectomy to treat acute appendicitis. However; there is recent trend to shift towards a more conservative approach. This work aimed to assess the non- operative management in the treatment of acute uncomplicated appendicitis. Methods: One hundred and sixteen patients with uncomplicated acute appendicitis were enrolled into the study. They were divided into two groups (Group A & Group B). Patients in Group A were subjected to non-operative management with antibiotics while patients in Group B were subjected to appendectomy. All patients were evaluated at hospital discharge, at 30-days and at a median follow-up on year. The primary outcome was the success rate of the non-operative management. Secondary outcomes were the difference of length of hospitalization, time to return to normal activity, and quality-of-life measures between both groups. Results: The success rate of non-operative strategy was 93.3% (42 of 45) at hospital discharge, 88.8% (40 of 45) at 30-days and 82.2% (37 of 45) at a median follow-up of one year. Patients in Group A have a significantly shorter time to return to normal activities. They reported higher quality of life scores. The length of hospitalization was significantly shorter in Group B. Conclusion: Giving intravenous antibiotics to some patients with uncomplicated acute appendicitis instead of having them undergo surgery may be safe and effective.},
 year = {2016}
}

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TY - JOUR
T1 - Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis
AU - Emad Hokkam
AU - Abdelaziz Gonna
AU - Aly Saber
AU - Ossama Zakaria
AU - Abdulhameed Alhazmi
Y1 - 2016/01/27
PY - 2016
N1 - https://doi.org/10.11648/j.js.s.2016040201.16
DO - 10.11648/j.js.s.2016040201.16
T2 - Journal of Surgery
JF - Journal of Surgery
JO - Journal of Surgery
SP - 27
EP - 30
PB - Science Publishing Group
SN - 2330-0930
UR - https://doi.org/10.11648/j.js.s.2016040201.16
AB - Background: For more than 100 years, surgeons have been successfully performing appendectomy to treat acute appendicitis. However; there is recent trend to shift towards a more conservative approach. This work aimed to assess the non- operative management in the treatment of acute uncomplicated appendicitis. Methods: One hundred and sixteen patients with uncomplicated acute appendicitis were enrolled into the study. They were divided into two groups (Group A & Group B). Patients in Group A were subjected to non-operative management with antibiotics while patients in Group B were subjected to appendectomy. All patients were evaluated at hospital discharge, at 30-days and at a median follow-up on year. The primary outcome was the success rate of the non-operative management. Secondary outcomes were the difference of length of hospitalization, time to return to normal activity, and quality-of-life measures between both groups. Results: The success rate of non-operative strategy was 93.3% (42 of 45) at hospital discharge, 88.8% (40 of 45) at 30-days and 82.2% (37 of 45) at a median follow-up of one year. Patients in Group A have a significantly shorter time to return to normal activities. They reported higher quality of life scores. The length of hospitalization was significantly shorter in Group B. Conclusion: Giving intravenous antibiotics to some patients with uncomplicated acute appendicitis instead of having them undergo surgery may be safe and effective.
VL - 4
IS - 2-1
ER -

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Author Information

Emad Hokkam

Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Abdelaziz Gonna

Department of Surgery, Jazan General Hospital, Jazan, Saudia Arabia
Aly Saber

Department of Surgery, Port-Fouad General Hospital, Port-Fouad, Egypt
Ossama Zakaria

Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
Abdulhameed Alhazmi

Department of Surgery, Faculty of Medicine, Jazan University, Jazan, Saudia Arabia

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APA Style

Emad Hokkam, Abdelaziz Gonna, Aly Saber, Ossama Zakaria, Abdulhameed Alhazmi. (2016). Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis. Journal of Surgery, 4(2-1), 27-30. https://doi.org/10.11648/j.js.s.2016040201.16

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ACS Style

Emad Hokkam; Abdelaziz Gonna; Aly Saber; Ossama Zakaria; Abdulhameed Alhazmi. Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis. J. Surg. 2016, 4(2-1), 27-30. doi: 10.11648/j.js.s.2016040201.16

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AMA Style

Emad Hokkam, Abdelaziz Gonna, Aly Saber, Ossama Zakaria, Abdulhameed Alhazmi. Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis. J Surg. 2016;4(2-1):27-30. doi: 10.11648/j.js.s.2016040201.16

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@article{10.11648/j.js.s.2016040201.16,
  author = {Emad Hokkam and Abdelaziz Gonna and Aly Saber and Ossama Zakaria and Abdulhameed Alhazmi},
  title = {Conservative Treatment Versus Appendectomy for Acute Uncomplicated Appendicitis},
  journal = {Journal of Surgery},
  volume = {4},
  number = {2-1},
  pages = {27-30},
  doi = {10.11648/j.js.s.2016040201.16},
  url = {https://doi.org/10.11648/j.js.s.2016040201.16},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2016040201.16},
  abstract = {Background: For more than 100 years, surgeons have been successfully performing appendectomy to treat acute appendicitis. However; there is recent trend to shift towards a more conservative approach. This work aimed to assess the non- operative management in the treatment of acute uncomplicated appendicitis. Methods: One hundred and sixteen patients with uncomplicated acute appendicitis were enrolled into the study. They were divided into two groups (Group A & Group B). Patients in Group A were subjected to non-operative management with antibiotics while patients in Group B were subjected to appendectomy. All patients were evaluated at hospital discharge, at 30-days and at a median follow-up on year. The primary outcome was the success rate of the non-operative management. Secondary outcomes were the difference of length of hospitalization, time to return to normal activity, and quality-of-life measures between both groups. Results: The success rate of non-operative strategy was 93.3% (42 of 45) at hospital discharge, 88.8% (40 of 45) at 30-days and 82.2% (37 of 45) at a median follow-up of one year. Patients in Group A have a significantly shorter time to return to normal activities. They reported higher quality of life scores. The length of hospitalization was significantly shorter in Group B. Conclusion: Giving intravenous antibiotics to some patients with uncomplicated acute appendicitis instead of having them undergo surgery may be safe and effective.},
 year = {2016}
}

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