To Determine the Effectiveness of Conservative Treatment Versus Appendectomy in the Management of Acute Uncomplicated Appendicitis.

Authors

  • Mian Anwar Zeb Swat Medical College, Saidu Sharif Swat
  • Muhammad Usman Swat Medical College, Saidu Sharif Swat
  • Farooq Khan Saidu Medical College, Swat
  • Siyab Ahmad Swat Medical College, Saidu Sharif Swat
  • Liaqat Ali Swat Medical College, Saidu Sharif Swat
  • Adnan Badar Saidu Medical College, Saidu Sharif Swat

DOI:

https://doi.org/10.52206/jsmc.2024.14.1.797

Abstract

Background: The vermiform appendix is considered to be a vestigial organ by the most. Its importance in surgery results only from its tendency for inflammation that results in a clinical syndrome known as acute appendicitis. It is the most common indication for emergency abdominal surgery in patients with acute abdomen with a crude annual incidence of 26 per 10,000 populations.
Objectives: To determine the effectiveness of Conservative Treatment Versus appendectomy in the management of Acute
Uncomplicated Appendicitis.
Material and Methods: This randomized control trial was conducted in Department of General Surgery Saidu Group of Teaching Hospital Saidu sharif, from 1st January 2022 to 31st December 2022. A total of 96 cases were enrolled, that were divided into two groups. Informed written consent was taken from each patient. Patients in Group A were subjected to non-operative management with antibiotics while patients in Group B were subjected to appendectomy. Patients in both groups were evaluated for various parameters such as age, gender, pre- and post-operative duration of pain (group B), Alvarado score. Post stratification chi-square test was applied keeping P Value < 0.05 as significant.
Results: Mean and SD for Age, Duration of Stay, Pre & Post Treatment Abdominal Score and Pre and Post Treatment Alvarado Score in Group A was recorded as 35±10.60, 3.0±0.24, 7.0±0.49, 3.0±0.20, 9.0±0.41 and 3.0±1.62 respectively. In the same manner, Mean and SD for Group B was 35±12.53, 5.0±0.41, 7.0±0.35, 3.0±0.35, 3.0±0.20, 9.0±0.41, and 2.5±1.5, respectively. Success rate in Group A was 26 (52%) whereas in Group B it was 36 (72%) patients.
Conclusion: Conservative treatment can be applied safely in the majority of cases of the first attack of uncomplicated acute appendicitis, therefore, avoiding appendectomy and its associated morbidity and mortality.
Keywords: Acute appendicitis, Alvarado Score, Antibiotic treatment, Acute uncomplicated appendicitis, Success rate.

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Additional Files

Published

08-03-2024

How to Cite

1.
Mian Anwar Zeb, Muhammad Usman, Farooq Khan, Siyab Ahmad, Liaqat Ali, Adnan Badar. To Determine the Effectiveness of Conservative Treatment Versus Appendectomy in the Management of Acute Uncomplicated Appendicitis. J Saidu Med Coll Swat [Internet]. 2024 Mar. 8 [cited 2024 Jun. 13];14(1):19-23. Available from: https://jsmc.pk/index.php/jsmc/article/view/797

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