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APPENDICITIS AND APPENDECTOMY; RECENT EVIDENCE IN PRESENTATION AND MANAGEMENT

Mohammed Abdullah Mohammed AlGhamdi, Rayan Omar Mohammed Almuathin, Ahmed Ali Alamamir Alghamdi, Yousef Abdulqader Abdulrahman Fatani

Context: Appendicitis is considered to be the commonest cause of surgical emergencies around the world. Incidence of appendicitis has varied among different studies and different populations. Generally, the overall risk of developing appendicitis at any point of life of a male individual can be up to 12%, whereas the overall risk of developing appendicitis at any point of life of a male individual can be up to 23.1%. Aim of work: In this review, we will discuss the most recent evidence regarding appendicitis presentation, management, and surgical treatment. Methodology: We did a systematic search for appendicitis and appendectomy using PubMed and Google Scholar search engines. The terms used in the search were: appendicitis, appendectomy, presentation, diagnosis, management, and treatment. Conclusions: Clinical picture of appendicitis includes vague pain (that will later localize to the right lower abdominal quadrant), fever, anorexia, vomiting, tenderness, and guarding (in severe cases with perforation). Definitive treatment of appendicitis is appendectomy, which can be open or laparoscopic. Open appendectomy had been the procedure of choice before the introduction of laparoscopic techniques, which have proven to be associated with better outcomes, less complications, and lower costs. Antibiotics should be given in some cases along with surgery. Keywords: appendicitis, appendectomy, abdominal surgery, acut abdomen

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