WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Review Journal for Medical Science and Pharma Professionals

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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  • Index Copernicus
  • SOCOLAR, China
  • Research Bible, Fuchu, Tokyo. JAPAN
  • Cosmos Impact Factor
  • Scientific Indexing Services (SIS)
  • UDLedge Science Citation Index
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Abstract

ANTIBIOTICS VERSUS APPENDECTOMY IN THE TREATMENT OF UNCOMPLICATED ACUTE APPENDICITIS

*Dr. Janan Wadea Hurmiz Zora, Prof. Tayeb Sabir Kareem, Dr. Mohammed Niyazi Gheni

ABSTRACT

Background and Objective: Acute appendicitis is the most common cause of the acute abdomen in young adults,meanwhile appendicectomy is the traditional treatment for acute appendicitis, and recently there is an emergingsupport for trials of conservative management in patients with uncomplicated appendicitis. The aim of this studywas to assess the efficacy of antibiotics in compared to appendectomy in treatment of uncomplicated acuteappendicitis. Patients and Methods: This prospective study was conducted in East Erbil Emergency Hospitalfrom December 2017 till February 2018. A total of 129 patients were allocated randomly, consisted of 75 (58.1%)female and 45 (41.9%) male, all patients who were older than 12 years and diagnosed as acute appendicitis wereallocated randomly to two group 1st antibiotics who received oral and intravenous antibiotic for about 10 days,and 2nd appendectomy group who were conducted to surgery as primary treatment, follow up was done for oneyear. Results: In Antibiotic treated group 21 (32.8%) patients developed complications including 9 (14%)recurrences. Forty three (67.1%) patients experience total recovery with no complications or hospital admissionsfor about one year, while in appendectomy group nine (13.8%) appendixes were normal per-operatively,10(15.3%) patients developed complications after primary appendectomy treatment including wound infection,incisional hernia and intestinal obstruction, and about 46(70.7%) patients experience total recovery with nocomplications or negative appendectomy. Conclusion: Antibiotic treatment seems to be successful option to treatuncomplicated acute appendicitis in patients diagnosed by conventional means.

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