Conservative Management of Acute Appendicitis in a Tertiary Care Center

Authors

  • Ramesh Chhaganbhai Badhiya
  • R. M. Jitia
  • Haresh B. Vala

DOI:

https://doi.org/10.37506/ijphrd.v14i4.18644

Keywords:

Acute appendicitis, Anorexia, Lower Abdomen, Tenderness

Abstract

Background and Aim: Appendectomy is the most favored treatment of appendicitis in most of the cases. Considered safe
and routine surgery few patients develop complications of surgery like recurrent pain, obstruction, wound complications
and rarely fistula and death. Present study was done with an aim to study the outcome of conservative treatment in acute
appendicitis using antibiotic therapy.
Material and Methods: The present study was a prospective study conducted at the medical institute and associated
hospital for a period of 2 years. All the patients attending our emergency department with pain in the lower abdomen
were assessed clinically for signs of acute appendicitis. Injection ceftriaxone and injection metronidazole was given for
48-72 hours. Patients who responded for i.v. antibiotics were switched to tablet ciprofloxacin and tablet metronidazole for
7 days and followed for 6 months.
Results: In this present study, 200 patients were included. 168 patients had migratory abdominal pain in the present
study. Anorexia was seen in 180 patients and absent in 20 patients. 174 patients had nausea and vomiting. Tenderness in
the right inguinal fossa was seen in all the patients. Rebound tenderness was seen in 68 patients and absent in 132 patients.
Conclusion: The overall success rate of conservative treatment according to the present study was 82%. However, there
were 12% failures and 6% recurrences in the present study. The success rate of conservative treatment in patients with
MAS 4-6 is more than the patients with MAS 7-9 according to the present study.

Author Biographies

Ramesh Chhaganbhai Badhiya

Assistant Professor, Department of Surgery, Shantabaa Medical College & General Hospital Amreli, Gujarat

R. M. Jitia

Assistant Professor, Department of Surgery, Shantabaa Medical College & General Hospital Amreli, Gujarat

Haresh B. Vala

Assistant Professor, Department of Surgery, Shantabaa Medical College & General Hospital Amreli, Gujarat

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Published

2022-10-10

How to Cite

Ramesh Chhaganbhai Badhiya, R. M. Jitia, & Haresh B. Vala. (2022). Conservative Management of Acute Appendicitis in a Tertiary Care Center. Indian Journal of Public Health Research & Development, 13(4), 360–364. https://doi.org/10.37506/ijphrd.v14i4.18644