E-ISSN 1658-7820
 

Review Article
Online Published: 19 Dec 2022
 


Non-surgical management of acute appendicitis: a systematic review

Hatem Adel Mohammed Sembawa, Khalid Mohammed Saad Alasmari, Khalid Abduallah Altwairqi, Israa Hassan Alamoudi, Fahad Abdulrahman Alamri, Turki Ali Alshehri, Hameed Awadh Alotaibi, Wedad Ahmed Bahri.


Abstract
Acute appendicitis (AA), one of the most common causes of lower abdominal pain, is the most common diagnosis given to young children admitted to the hospital with acute abdominal pain. According to statistics, the lifetime risk for AA was 9% in the USA, 8% in Europe, and 2% in Africa. Over the past 20 years, a rise in interest in the non-operative care of uncomplicated AA care has developed, most likely due to a more accurate analysis of postoperative complications and costs of surgical interventions, which are primarily connected with minimally invasive techniques, which are on the rise. This study aimed to evaluate the current literature on the non-surgical management of AA, thus, studies discussing the non-surgical management of AA between 2009 and 2022 were included. Initially, the non-operative treatment seemed possible to avoid appendectomy, reducing the need for surgery, surgical risks, and overall costs. Antibiotic therapy has a high success rate and is both feasible and effective; the risk of treatment failure is higher than the risk of appendectomy. Although the conservative treatment had a low overall failure rate, individuals who received upfront surgery had a greater complication risk.

Key words: Non-surgical, non-operative, management, acute, appendicitis, treatment.


 
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How to Cite this Article
Pubmed Style

Sembawa HAM, Alasmari KMS, Altwairqi KA, Alamoudi IH, Alamri FA, Alshehri TA, Alotaibi HA, Bahri WA. Non-surgical management of acute appendicitis: a systematic review. IJMDC. 2023; 7(2): 341-348. doi:10.24911/IJMDC.51-1669840506


Web Style

Sembawa HAM, Alasmari KMS, Altwairqi KA, Alamoudi IH, Alamri FA, Alshehri TA, Alotaibi HA, Bahri WA. Non-surgical management of acute appendicitis: a systematic review. https://www.ijmdc.com/?mno=23284 [Access: October 14, 2025]. doi:10.24911/IJMDC.51-1669840506


AMA (American Medical Association) Style

Sembawa HAM, Alasmari KMS, Altwairqi KA, Alamoudi IH, Alamri FA, Alshehri TA, Alotaibi HA, Bahri WA. Non-surgical management of acute appendicitis: a systematic review. IJMDC. 2023; 7(2): 341-348. doi:10.24911/IJMDC.51-1669840506



Vancouver/ICMJE Style

Sembawa HAM, Alasmari KMS, Altwairqi KA, Alamoudi IH, Alamri FA, Alshehri TA, Alotaibi HA, Bahri WA. Non-surgical management of acute appendicitis: a systematic review. IJMDC. (2023), [cited October 14, 2025]; 7(2): 341-348. doi:10.24911/IJMDC.51-1669840506



Harvard Style

Sembawa, H. A. M., Alasmari, . K. M. S., Altwairqi, . K. A., Alamoudi, . I. H., Alamri, . F. A., Alshehri, . T. A., Alotaibi, . H. A. & Bahri, . W. A. (2023) Non-surgical management of acute appendicitis: a systematic review. IJMDC, 7 (2), 341-348. doi:10.24911/IJMDC.51-1669840506



Turabian Style

Sembawa, Hatem Adel Mohammed, Khalid Mohammed Saad Alasmari, Khalid Abduallah Altwairqi, Israa Hassan Alamoudi, Fahad Abdulrahman Alamri, Turki Ali Alshehri, Hameed Awadh Alotaibi, and Wedad Ahmed Bahri. 2023. Non-surgical management of acute appendicitis: a systematic review. International Journal of Medicine in Developing Countries, 7 (2), 341-348. doi:10.24911/IJMDC.51-1669840506



Chicago Style

Sembawa, Hatem Adel Mohammed, Khalid Mohammed Saad Alasmari, Khalid Abduallah Altwairqi, Israa Hassan Alamoudi, Fahad Abdulrahman Alamri, Turki Ali Alshehri, Hameed Awadh Alotaibi, and Wedad Ahmed Bahri. "Non-surgical management of acute appendicitis: a systematic review." International Journal of Medicine in Developing Countries 7 (2023), 341-348. doi:10.24911/IJMDC.51-1669840506



MLA (The Modern Language Association) Style

Sembawa, Hatem Adel Mohammed, Khalid Mohammed Saad Alasmari, Khalid Abduallah Altwairqi, Israa Hassan Alamoudi, Fahad Abdulrahman Alamri, Turki Ali Alshehri, Hameed Awadh Alotaibi, and Wedad Ahmed Bahri. "Non-surgical management of acute appendicitis: a systematic review." International Journal of Medicine in Developing Countries 7.2 (2023), 341-348. Print. doi:10.24911/IJMDC.51-1669840506



APA (American Psychological Association) Style

Sembawa, H. A. M., Alasmari, . K. M. S., Altwairqi, . K. A., Alamoudi, . I. H., Alamri, . F. A., Alshehri, . T. A., Alotaibi, . H. A. & Bahri, . W. A. (2023) Non-surgical management of acute appendicitis: a systematic review. International Journal of Medicine in Developing Countries, 7 (2), 341-348. doi:10.24911/IJMDC.51-1669840506





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