Treatment of Acute Uncomplicated Appendicitis 합병증이 생기지 않은 급성 맹장염 치료

Treatment of Acute Uncomplicated Appendicitis

합병증이 생기지 않은 급성 맹장염 치료

합병증이 생기지 않은 급성 맹장염은 수술로 치료하지  않고 항생제로도  치료할수 있고 수술로도 치료 할 수 있다.

• Patients with acute, localized, uncomplicated appendicitis (approximately 80% of all appendicitis cases) are candidates for appendectomy or nonoperative treatment.
• Nonoperative treatment includes analgesia, antibiotics for 7 to 10 days, and careful follow-up.
• With surgery, appendicitis cannot recur, and the incidence of subsequent hospitalization is lower than with nonoperative treatment. Surgery requires general anesthesia and in most instances an overnight hospital stay.
• Nonoperative treatment is associated with a shorter duration of disability than appendectomy, does not routinely require hospitalization, and is not associated with an increased risk of rupture. Over 5 years, approximately 30 to 40% of patients who had been treated with antibiotics will undergo appendectomy, although rates vary with patient characteristics and practice patterns.
• Patients with appendicolith who receive nonoperative treatment are more likely than those without an appendicolith to undergo appendectomy.
• Patients should be informed of the advantages and disadvantages of both strategies and should participate in decision making.