Conservative treatment of acute appendicitis

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Federico Coccolini
Paola Fugazzola
Massimo Sartelli
Enrico Cicuttin
Maria Grazia Sibilla
Gioacchino Leandro
Gian Luigi de' Angelis
Federica Gaiani
Francesco Di Mario
Matteo Tomasoni
Fausto Catena
Luca Ansaloni

Keywords

appendicitis, conservative, complicated, uncomplicated, review, adult, children, treatment

Abstract

Acute appendicitis has been considered by surgeons a progressive disease leading to perforation for more than 100 years. In the last decades the theories about this concept gained attention, especially in adults. However, appendectomy for acute appendicitis remains the most common urgent/emergent surgical procedure. At present, accumulating evidences are showing the changing in clinical practice towards the non-operative management of several cases of acute appendicitis either non-complicated or complicated. The present review aims to show the literature results regarding the non-operative management of acute appendicitis in non-complicated and in complicated cases.

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