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خرید پکیج

تعداد آیتم قابل مشاهده باقیمانده : 3 مورد

Comparison of antibiotics versus appendectomy for nonperforated appendicitis

Comparison of antibiotics versus appendectomy for nonperforated appendicitis

	Antibiotics	Appendectomy
Advantages	Avoid surgery and anesthesia Shorter duration of disability compared with surgery Not associated with an increased risk of appendix rupturing compared with surgery	Appendicitis almost never recurs after appendectomy Lower incidence of subsequent hospitalization than nonoperative management
Disadvantages	10 to 20% failure rate at 30 days* 30 to 40% recurrence rate at 1 year* 40 to 50% recurrence rate at 5 years* Small risk of missed neoplasm (mostly in older patients)	Requires surgery and anesthesia Longer duration of disability required to recover from surgery

* The lower percentage has been reported by trials excluding patients with appendicolith; the higher percentage has been reported by trials including patients with appendicolith.

Reference:

Talan DA, Di Saverio S. Treatment of acute uncomplicated appendicitis. N Engl J Med 2021; 385:1116.

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