Management of acute appendicitis: The antibiotics debate

Abstract

Appendicitis is one of the most frequent causes for an acute abdomen requiring emergent abdominal surgery worldwide. It has a lifetime risk of 8.6 percent in males and 6.9 percent in females (1). Traditionally, operative management has been the dominant strategy for managing acute appendicitis. However, in recent times, there is much debate about implementing conservative medical management with antibiotics first to treat uncomplicated appendicitis. This article reviews the treatment strategies for acute uncomplicated appendicitis in light of contemporary research to determine if non-operative management is a feasible alternative.

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