Outcome of Conservative treatment of acute appendicitis in young females

M. Abdelrahman, Emad; G. Elgohary, Husein; Abdelaziz, Abdelaziz Adel; Abuelnasr, Mohamed I.

doi:10.21608/bmfj.2024.295528.2097

Outcome of Conservative treatment of acute appendicitis in young females

Articles in Press

Document Type : Original Article

Authors

¹ Assistant Professor of General Surgery Faculty of Medicine, Benha University

² Professor of General, Faculty of Medicine, Benha University

³ Department General Surgery, Faculty of Medicine, Benha University, Egypt

⁴ Lecturer of General, Faculty of Medicine, Benha University

10.21608/bmfj.2024.295528.2097

Abstract

Introduction: Acute appendicitis is the commonest emergency in general surgery, the treatment of it is whether surgical or conservative. The aim of this study is to demonstrate the effects of conservative treatment
Aim: evaluate the outcomes of conservative treatment of appendicitis in young patients.
Patients and methods: this study included 92 young female patients diagnosed with acute appendicitis, eligible patients will be recruited from outpatient clinic, emergency department and general surgery department of Benha University and general surgery department of Benha teaching hospital.
Results: With a median follow-up of nine to twelve months, 61 (66.3%) underwent effective management without surgery and successfully finished the original NOT. In the patients who failed the NOT in our trial, there were no appendiceal perforations. The findings of a recent meta-analysis [17], which incorporated several studies regarding the safety and effectiveness of NOT in cases of UAA, are in line with this. It demonstrated that NOT for UAA is successful, with a success rate of 66% at the last follow-up.
Conclusion: Approximately half of appendicitis patients had successful conservative treatment. Patients with lower age and body mass index but higher chest problems and previous GIT symptoms exhibited more positive response to conservative treatment.

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