For appendicitis, surgery is best

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If children have appendicitis, surgery is better than antibiotics. This is the result of an international study in which 936 patients between the ages of 5 and 16 were examined.

The children and adolescents suspected of having appendicitis without breakthrough were randomly divided into two groups: surgery or antibiotics. “Support for treating uncomplicated appendicitis without surgery has increased in the scientific literature. “We investigated whether treating children with simple appendicitis with antibiotics is worse (or possibly better) than removing the appendix, by comparing the failure rates for the two forms of therapy,” Peter Shawn and his co-authors and authors wrote in their scientific work.

Surgery is required after medication
The outcome was collected after one year. It was considered a failure if appendicitis persisted after drug treatment and surgery had to be performed, or if surgery was performed without appendicitis even being present. “Treatment failed in 153 (34 percent) of 452 patients in the antibiotic group, compared with 28 (seven percent) of 394 patients in the surgical removal of the appendix group,” the study team noted.

The conclusion: surgery is more successful than trying to treat appendicitis with antibiotics. Clinical examination and imaging were used to suspect inflammation. If there is a breakthrough, surgery is required.

The study was conducted in the Department of Surgery at Children’s Mercy Hospital in Kansas City, Minnesota.

Source: Krone

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