Dave Talan: Non-Operative Antibiotic Treatment of Appendicitis
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Show Notes
Acute appendicitis is the most common reason for emergency abdominal surgery. Untreated appendicitis, when associated with rupture, can lead to abscess, peritonitis, sepsis, and death. Uncomplicated appendicitis (i.e., localized appendicitis), which has traditionally been treated with urgent appendectomy, accounts for approximately 80% of cases. In the past three decades, numerous trials of nonoperative treatment in patients with acute uncomplicated appendicitis have been conducted, and the use of antibiotic agents as a first strategy has become acknowledged as a safe option, including with emergency department care and then discharge with outpatient management. In this lecture, I review the expected outcomes associated with initial operative and nonoperative treatment of acute uncomplicated appendicitis and offer guidance on counseling patients to help them chose between the two approaches.
To watch the lecture, and learn more about the speaker, please visit https://www.continulus.com/library/?collection=emergency+medicine&chapter=bowel