Abstract

Acute appendicitis is the most common cause of acute abdomen. Although surgery is the gold standard in the treatment of acute appendicitis, conservative treatment has become an alternative to surgical treatment in suitable patients. In this study, we aimed to determine the follow-up results and early signs of the need for surgery in patients diagnosed with uncomplicated acute appendicitis and followed up with medical treatment. In this research, 38 patients who were diagnosed with acute appendicitis between December 2017 and April 2021 and were not operated on at the time of diagnosis and were treated medically were evaluated retrospectively. Patients who were followed up with medical treatment were operated upon development of complications. Patients were evaluated in terms of age, gender, blood tests and treatment processes. A total of 38 patients, 19 male and 19 female, mean age was 37.55±15.32. 30 patients were treated with conservative treatment. 8 patients were operated due to complications during follow-up. Patients who were followed up with conservative treatment and developed complications during follow-up were operated on a mean of 3.5±0.75 days after hospitalization. There was a statistically significant decrease in the percentages of leukocytes, C-reactive protein and neutrophils on the 2nd day after medical treatment in non-operated patients. No significant decrease was observed in the 2nd day values of the patients who required surgery. We believe that there are predictors of the success of conservative treatment in patients with uncomplicated acute appendicitis. Although the number of patients included in our study is small, larger and multicenter studies are needed to reach more valuable results.

Key words: Acute appendicitis, appendectomy, conservative treatment