Nonoperative management in acute, uncomplicated appendicitis

After the publication of multiple trials testing antibiotics versus appendectomy, guidelines now include antibiotic therapy as an option for patients with acute, uncomplicated (ie, localized) appendicitis.1 Nonoperative management avoids short-term risks and morbidity associated with surgery but entails a longer course of antibiotic therapy, and, significantly, a large share of patients ( ∼30%) will fail nonoperative management, requiring appendectomy due to recurrent appendicitis.2 When presented with both options, ∼10% to 30% of patients/caregivers will choose nonoperative management.
Source: Surgery - Category: Surgery Authors: Source Type: research