::INDO AMERICAN JOURNAL OF PHARMACEUTICAL SCIENCES::

CODEN : IAJPBB
issn 2349-7750

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TITLE:

IMPORTANCE OF CONSERVATIVE MANAGEMENT IN THE TREATMENT OF ACUTE NONCOMPLICATED APPENDICITIS

AUTHORS:

Dr Asim Khan, Dr Syeda Mahrukh Shakir, Dr Mubashir Bhutta

ABSTRACT:

Aim: To evaluate the role of non-operative management of acute non complicated appendicitis in terms of its cost effectiveness and associated morbidity and mortality. Venue and Duration: This prospective observational study was conducted at the surgical Unit-II of Bahawal Victoria Hospital, Bahawalpur for one-year duration from September 2019 to September 2020. Methodology: The study included 100 unselected patients with early acute uncomplicated appendicitis, diagnosed on the basis of clinical history and examination supported by laboratory tests. Of the 100 patients, 65 received intravenous antibiotics for two days followed by oral antibiotic therapy for 7 days, while 35 control patients were randomized to surgery. The data was collected in the forms developed for the study. Patients were monitored and monitored for the course of various diseases. Results: There were 65 men and 35 women with an average age of 20. Right iliac pain associated with nausea, vomiting and anorexia were common symptoms, while fever, tachycardia and rebound tenderness in the right iliac fossa were common symptoms. The patients were randomly divided into two groups. Group 1 (treated conservatively) improved after a quiet stay of 2 to 4 days. Relapse occurred in 6 operated patients. Postoperative complications occur in only one patient. The period of stay in the hospital was 3 to 6 days. In group 2 (treated with surgery), one patient had a perforated appendix with an appendix. Postoperative complications developed in six patients. The stay in the hospital lasted from 4 to 9 days. In our study, no mortality was observed in both groups. Conclusion: Patients treated conservatively with antibiotics experienced mild pain with less pain medication. While morbidity, mortality and surgery costs are all avoided, the relapse rate is not insignificant. Key words: acute appendicitis, conservative management, relapse