Antibiotics in appendicectomy.

Antibiotics versus appendicectomy in the management of acute appendicitis: an ongoing debate

Appendicitis remains the commonest cause of the acute abdomen in young adults and the mainstay of treatment at most centres remains an appendicectomy [1]. This is despite the fact that many other intra-abdominal pathologies, such as diverticulitis, are routinely managed conservatively with antibiotics. A study by Varadhan et al (2012) aimed to assess the safety and efficacy of antibiotic treatm...

Meta‐analysis of antibiotics versus appendicectomy for non‐perforated acute appendicitis

BACKGROUND For more than a century, appendicectomy has been the treatment of choice for appendicitis. Recent trials have challenged this view. This study assessed the benefits and harms of antibiotic therapy compared with appendicectomy in patients with non-perforated appendicitis. METHODS A comprehensive search was conducted for randomized trials comparing antibiotic therapy with appendicect...

Laparoscopic Appendicectomy

Laparoscopic appendicectomy in mid trimester

Appendicectomy is the commonest non obstetric indication for surgical intervention during gestation. Laparoscopic approach is proven to be superior to open surgery in gravid patients with suspected appendicitis. It excludes other pathologies that can mimic appendicitis and entail pregnancy risks and remove the inflamed appendix at the same setting which is therapeutic. We report a case of acute...

Negative appendicectomy and perforation rates after laparoscopic appendicectomy

1Department of Surgery, Division of Visceral Surgery and Transplantation, University of Berne, Berne, Switzerland, 2University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario, Canada, and 3Duke Clinical Research Institute, Durham, North Carolina, USA Correspondence to: Professor U. Güller, Department of Surgery, Division of Visceral Surgery and Transplantation, University of Be...