Non-operative treatment of acute appendicitis

ABSTRACT

In this retrospective study, 300 patients of acute appendicitis treated conservatively are reviewed. Patients were seen in the emergency department and diagnosis was based upon history, physical findings, and investigations. All patients were admitted in the ward, had antibiotics [various regimens] and close clinical observation. 284 patients [95%] responded to conservative management. 6 patients needed emergency appendicectomy. 55 patients came with recurrence of symptoms in the follow up period. Out of these 55, only 18 patients needed appendicectomy. Finally the pathologic basis of the conservative treatment and results of this study are discussed