To compare the safety and efficacy of conservative treatment with antibiotic versus appendicectomy for the primary treatment of uncomplicated acute appendicitis

Registration ID: IJNRD_198934

Published ID: IJNRD2306209

DOI: http://doi.one/10.1729/Journal.34692

Dr.DEWAT RAM NAKIPURIA , DR VINOD KR RAMTEKE

CONSERVATIVE TREATMENT,ANTIBIOTICS, ACUTE APPENDICITIS, APPENDICECTOMY.

Background:Appendicits as pain in Rt Iliac fossa is is commonest Surgical Emergency and Appendicectomy is one of the commonest procedures in surgery,the rate of normal appendices removed is still about 15–30%, beside Appendicectomy bring morbidities,huge economic burden and work loss.The aim of this study was to assess the safety & efficacy of treating uncomplicated Acute appendicitis conservatively with antibiotics only.Methods:Patients with clinical and radiological features of acute appendicitis with Alvrado score more than 7 were allocated equally in conservative antibiotic group and surgical group randomally.Follow up was done till 6 month.Broad-spectrum antibiotics & symptomatic treatment done in conservative and appendicectomy in surgery group. The follow-up period was of 06 months.Results:Study included 100 patients,65 male and 35 female patients with age group 12-60 yrs. 85% patients have responded to conservative management.10% patients developed perforated appendicitis (4%), appendicular abscess (2%) and appendicular mass (4%) as treatment failure.6% patients in subsequent follow up period of 6 months developed recurrent appendicitis and were operated. The success rate of appendectomy group is 100% by definition, but surgery related morbidities, cost and prolonged hospital stay is much higher in comparative to conservative group..Conclusions:Our result shows that conservative management with many advantages as high success rate,lower recurrence rate and shorter hospitalization stay,less cost & morbidities should be tried to treat uncomplicated acute appendicitis.

Published Paper   E-Certificate

Dr.DEWAT RAM NAKIPURIA & DR VINOD KR RAMTEKE (June-2023). To compare the safety and efficacy of conservative treatment with antibiotic versus appendicectomy for the primary treatment of uncomplicated acute appendicitis. INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT, 8(6), c70-c75. http://doi.one/10.1729/Journal.34692

Volume 8 Issue 6, June-2023

Pages : c70-c75

Paper Reg. ID: IJNRD_198934

Published Paper Id: IJNRD2306209

Downloads: 000121996

Research Area: Medical Science

Country: GHAZIABAD, UTTAR PRADESH, India

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Published Paper URL: https://ijnrd.org/viewpaperforall?paper=IJNRD2306209

Crossref DOI: http://doi.one/10.1729/Journal.34692

Journal Name: INTERNATIONAL JOURNAL OF NOVEL RESEARCH AND DEVELOPMENT(IJNRD)

ISSN: 2456-4184 | IMPACT FACTOR: 8.76 Calculated By Google Scholar | ESTD YEAR: 2016

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