,
Rakotonaivo Mamisoa Judicael,
Razafimandimby Y. M.,
Rasoaherinomenjanahary Fanjandrainy,
Samison Luc Hervé
Introduction: Appendicitis is an acute inflammation of the appendix. Appendectomy remains one of the most frequently performed digestive surgeries in the world. The degree of urgency of this surgery and the increasingly proven efficacy of antibiotics still remains a debate. The main objectiveof our study is to compare the therapeutic results of a programmed appendectomy initially treated by antibiotic versus emergency appendectomies performed from the outset in casesof simple acute appendicitis. Patients and method: Our comparative study was carried out at the Joseph Ravoahangy Andrianavalona University Hospital from 01th August 2021 to 31th July 2022. Group A included simple acute appendicitis patients who underwent emergency surgery, while group B included patients who had been treated with antibiotics for ten days before undergoing surgery. Results: Our cohort of 95 patients comprised 70 patients (group A) versus 25 patients (group B). Twenty-three patients (92%) in group B had a Clavien-Dindo I score compared with 74.3% in group A. Parietal infections were 21% (group A) vs 4% (group B). There was no significant difference inpatient outcome between the two groups. Conclusion: Antibiotic therapy has already proved effective in the treatment of simple acute appendicitisin recent years, and means that emergency surgery can be avoided. However, the timingof surgery remains debatable in fragile patients.
| Published in | European Journal of Clinical and Biomedical Sciences (Volume 10, Issue 3) |
| DOI | 10.11648/j.ejcbs.20241003.11 |
| Page(s) | 38-41 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Antibiotic, Appendectomy, Appendicitis, Emergency Treatment
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APA Style
Prudence, R. F. C. F., Judicael, R. M., M., R. Y., Fanjandrainy, R., Hervé, S. L. (2024). Scheduled Surgery and Antibiotic Therapy in Catarrhal Acute Appendicitis. European Journal of Clinical and Biomedical Sciences, 10(3), 38-41. https://doi.org/10.11648/j.ejcbs.20241003.11
ACS Style
Prudence, R. F. C. F.; Judicael, R. M.; M., R. Y.; Fanjandrainy, R.; Hervé, S. L. Scheduled Surgery and Antibiotic Therapy in Catarrhal Acute Appendicitis. Eur. J. Clin. Biomed. Sci. 2024, 10(3), 38-41. doi: 10.11648/j.ejcbs.20241003.11
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Download@article{10.11648/j.ejcbs.20241003.11,
author = {Rahantasoa Finaritra Casimir Fleur Prudence and Rakotonaivo Mamisoa Judicael and Razafimandimby Y. M. and Rasoaherinomenjanahary Fanjandrainy and Samison Luc Hervé},
title = {Scheduled Surgery and Antibiotic Therapy in Catarrhal Acute Appendicitis},
journal = {European Journal of Clinical and Biomedical Sciences},
volume = {10},
number = {3},
pages = {38-41},
doi = {10.11648/j.ejcbs.20241003.11},
url = {https://doi.org/10.11648/j.ejcbs.20241003.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20241003.11},
abstract = {Introduction: Appendicitis is an acute inflammation of the appendix. Appendectomy remains one of the most frequently performed digestive surgeries in the world. The degree of urgency of this surgery and the increasingly proven efficacy of antibiotics still remains a debate. The main objectiveof our study is to compare the therapeutic results of a programmed appendectomy initially treated by antibiotic versus emergency appendectomies performed from the outset in casesof simple acute appendicitis. Patients and method: Our comparative study was carried out at the Joseph Ravoahangy Andrianavalona University Hospital from 01th August 2021 to 31th July 2022. Group A included simple acute appendicitis patients who underwent emergency surgery, while group B included patients who had been treated with antibiotics for ten days before undergoing surgery. Results: Our cohort of 95 patients comprised 70 patients (group A) versus 25 patients (group B). Twenty-three patients (92%) in group B had a Clavien-Dindo I score compared with 74.3% in group A. Parietal infections were 21% (group A) vs 4% (group B). There was no significant difference inpatient outcome between the two groups. Conclusion: Antibiotic therapy has already proved effective in the treatment of simple acute appendicitisin recent years, and means that emergency surgery can be avoided. However, the timingof surgery remains debatable in fragile patients.},
year = {2024}
}
TY - JOUR T1 - Scheduled Surgery and Antibiotic Therapy in Catarrhal Acute Appendicitis AU - Rahantasoa Finaritra Casimir Fleur Prudence AU - Rakotonaivo Mamisoa Judicael AU - Razafimandimby Y. M. AU - Rasoaherinomenjanahary Fanjandrainy AU - Samison Luc Hervé Y1 - 2024/10/29 PY - 2024 N1 - https://doi.org/10.11648/j.ejcbs.20241003.11 DO - 10.11648/j.ejcbs.20241003.11 T2 - European Journal of Clinical and Biomedical Sciences JF - European Journal of Clinical and Biomedical Sciences JO - European Journal of Clinical and Biomedical Sciences SP - 38 EP - 41 PB - Science Publishing Group SN - 2575-5005 UR - https://doi.org/10.11648/j.ejcbs.20241003.11 AB - Introduction: Appendicitis is an acute inflammation of the appendix. Appendectomy remains one of the most frequently performed digestive surgeries in the world. The degree of urgency of this surgery and the increasingly proven efficacy of antibiotics still remains a debate. The main objectiveof our study is to compare the therapeutic results of a programmed appendectomy initially treated by antibiotic versus emergency appendectomies performed from the outset in casesof simple acute appendicitis. Patients and method: Our comparative study was carried out at the Joseph Ravoahangy Andrianavalona University Hospital from 01th August 2021 to 31th July 2022. Group A included simple acute appendicitis patients who underwent emergency surgery, while group B included patients who had been treated with antibiotics for ten days before undergoing surgery. Results: Our cohort of 95 patients comprised 70 patients (group A) versus 25 patients (group B). Twenty-three patients (92%) in group B had a Clavien-Dindo I score compared with 74.3% in group A. Parietal infections were 21% (group A) vs 4% (group B). There was no significant difference inpatient outcome between the two groups. Conclusion: Antibiotic therapy has already proved effective in the treatment of simple acute appendicitisin recent years, and means that emergency surgery can be avoided. However, the timingof surgery remains debatable in fragile patients. VL - 10 IS - 3 ER -
Visceral Surgery Department, Joseph Ravoahangy Andrianavalona University Hospital, Antananarivo, Madagascar
Visceral Surgery Department, Joseph Ravoahangy Andrianavalona University Hospital, Antananarivo, Madagascar
Visceral Surgery Department, Joseph Ravoahangy Andrianavalona University Hospital, Antananarivo, Madagascar
Visceral Surgery Department, Androva University Hospital, Antananarivo, Madagascar
Visceral Surgery Department, Joseph Ravoahangy Andrianavalona University Hospital, Antananarivo, Madagascar
