Articles Tagged With: appendectomy
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Quality Improvement Initiative Leads to Significant Opioid Prescribing Reductions
Providers helped pediatric patients manage pain well after appendectomy.
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Oral Moxifloxacin vs. Intravenous Ertapenem Followed by Oral Levofloxacin and Metronidazole for Acute Appendicitis
A randomized controlled clinical trial found that a seven-day course of oral moxifloxacin was not noninferior to two days of intravenous ertapenem followed by five days of levofloxacin and metronidazole in adults with uncomplicated acute appendicitis.
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Managing Appendicitis Medically
A multicenter, randomized trial showed that 10 days of antibiotics results in comparable outcomes as surgery. Three in 10 patients treated with antibiotics required surgery within 90 days.
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Early Trial Results Suggest Many Acute Appendicitis Patients Could Safely Delay or Avoid Surgery
In a study, 70% of patients with appendicitis who were treated with antibiotics avoided surgery at 90 days. This creates possibilities for patients and providers for a common diagnosis in the ED.
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Should Acute Appendicitis Be Managed Without Appendectomy?
A retrospective cohort study that used national insurance claims data found patients with acute appendicitis who were treated nonsurgically had higher rates of complications and higher overall cost of care.
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Medical Treatment of Acute Appendicitis in Children
A meta-analysis demonstrated a 90.5% success rate of medical treatment compared to appendectomy for acute uncomplicated appendicitis in children 5-15 years of age. There was a nearly nine-fold higher risk of failure with antibiotic treatment, indicating that appendectomy remains the standard of care.