From
StayCurrentMD
Non-Operative Management of Appendicitis: 2018 Pediatric Surgery Practice Gap #2
With Dr. Todd Ponsky
Educational content from recorded physician discussions — not medical advice. Talk to your (or your child's) care team about your situation.
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What the experts said
Non-operative management of perforated appendicitis has been known for a long time.
Treating appendicitis with antibiotics had equal outcome measures compared to initial operative management.
There was a 15% risk of recurrence of appendicitis at one-year follow-up with non-operative management.
Non-operative management resulted in decreased hospital stays compared to operative management.
Non-operative management resulted in decreased days of disability compared to operative management.
Non-operative management of appendicitis is an option with risks and benefits that need to be taken into account.
The choice between operative and non-operative appendicitis management remains dealer's choice.
APSA was not making a flat out recommendation to start doing non-operative appendicitis.
The data on non-operative appendicitis management is becoming more clear.