From this study, it can be concluded that patients who meet the following criteria are more likely to fail expectant management and thus should not be considered for the NOM of uncomplicated acute appendicitis. These include the duration of symptoms before presenting to a surgical emergency , the presence of fever within 24 hours of presenting to a surgical emergency, TLC cells/dL, CRP mg/L, appendix diameter mm, modified Alvarado score , and adult appendicitis score .
Expectant management with intravenous antibiotic therapy alone has emerged as an effective alternative to appendectomy for the treatment of uncomplicated acute appendicitis . It is important to identify patients at the onset of the disease who are likely to have successful outcomes for conservative management.
Study Type
OBSERVATIONAL
Enrollment
100
ceftriaxone 1 gm/12 hourly and IV metronidazole 500 mg/8 hourly
Conservative management
Assiut University
Asyut, Egypt
Risk factors of failure of conservative treatment in acute non complicated appendicitis
modified Alvarado score and adult appendicitis score
Time frame: One year
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