DOI: 10.36347/sasjm.2023.v09i09.023

Pages: 1037-1042

Background: Acute appendicitis, frequently seen in children, involves an inflamed appendix. Conventionally, surgical removal (appendectomy) has been the go-to treatment. Recently, interest in a conservative approach, utilizing antibiotics and close monitoring, has grown, particularly for uncomplicated cases. This shift aims to reduce surgical intervention, reflecting a changing understanding of the condition. Aim of the study: The aim of the study was to assess the frequency of appendectomy in children after conservative treatment of uncomplicated acute appendicitis. Methods: This prospective observational study spanned from July 2017 to March 2019, conducted at the Department of Paediatric Surgery, Dhaka Medical College Hospital, Bangladesh. It involved 62 children admitted for uncomplicated acute appendicitis. Data collection employed purposive sampling, and MS Office tools were used for data analysis. Results: In this study, the mean age of the total participants was 8.95±2.10 years within a range from 4 years to 12 years. The male-female ratio was 1.6:1. The frequency of appendectomy among the total participants was 4.9% (n=3). After taking conservative treatment, 95.1% (n=59) of patients were successfully discharged. Within six months, 13.0% (n=8) experienced recurrence, and the average hospital stay was 5.26±0.63 days. Conclusion: The frequency of appendectomy in children after conservative treatment of uncomplicated acute appendicitis. So, by using conservative treatment physicians can save a huge number of paediatric patients from the hassles and sufferings of surgery for uncomplicated acute appendicitis.