Non-Operative Management of Acute Non-Complicated Appendicitis in Children

Document Type : Original Article

Authors

1 Department of pediatric surgery , Sohag Faculty of Medicine , Sohag university , Egypt

2 Department of pediatric surgery, Faculty of medicine, Sohag university.

Abstract

Background: Acute appendicitis is one of the most common pediatric surgical emergencies worldwide. Classically, it is managed by early appendectomy, either by open or laparoscopic surgery. In the last few years there has been a gradual shift towards conservative or non-operative management of these children.We aimed to compare both approaches of management of acute non-complicated pediatric appendicitis, the operative and non-operative in a more extensive manner.

Patients & methods: We conducted a randomized prospective comparative study in Sohag university hospital comparing appendicectomy versus non-operative treatment for children who were presented with non-complicated acute appendicitis between January 2022 and December 2024.

Results: The study finally included 75 patients with acute non-complicated appendicitis aged between 5 and 16 years. Forty-five of them received appendectomy (25 by open appendectomy and 20 cases by laparoscopy) while the remaining 30 cases were managed conservatively.

Conclusion: Non-operative treatment is a feasible, effective, and safe option for management of acute non-complicated appendicitis in children with similar success rates, lower morbidity, less duration of hospital admission and abstinence from school, work and social activities compared to appendectomy.

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Sohag Medical Journal
Volume 29, Issue 3
Clinical Science Volume
2025
Pages 57-63

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