Non-operative Treatment of Acute Non-perforated Appendicitis
Status:
Completed
Trial end date:
2020-12-01
Target enrollment:
Participant gender:
Summary
Gold Standard treatment of appendicitis is appendectomy but non-operative treatment of
non-perforated appendicitis with antibiotics is also under trial. Although appendectomy is
curative but it is an invasive procedure done under general anesthesia with different risks
and complications during and after operation, leading to disturbance of child daily routines
and activities. Reported rates of perioperative complications are from 5% - 10%, with serious
complications occurring in 1% to 7% of patients.
Children presenting with acute (<2 days) right iliac fossa pain with pediatric appendicitis
score >7, with none of the following on ultrasonography: abscess formation, or loss of the
echogenic sub-mucosal layer of the appendix or presence of an appendicolith or
periappendiceal fluid collection will be labeled as having appendicitis.
After diagnosis we divided the patients into two groups.patients in group A will be treated
with antibiotics and appendectomy is done for group B patients.