How effective is nonsurgical treatment in comparison to an appendectomy for appendicitis?

Updated: Jul 23, 2018
  • Author: Sandy Craig, MD; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Bonadio et al reported that of 203 children with perforated appendicitis, those who underwent early appendectomy (n = 122) had significantly better outcomes than those who received medical management (n = 81). [58] The early appendectomy group had shorter hospitalization stays, received fewer parenteral antibiotics, underwent fewer radiologic studies and other invasive procedures (percutaneous drainage, central venous catherization), and had fewer inpatient febrile episodes, as well as had fewer postadmission intraabominal complications and/or fewer unscheduled postdischarge readmissions. [58]

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