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- W4237689597 abstract "Clinical assessment is the mainstay of diagnosis, and this may be complemented by laboratory and imaging findings. Most patients exhibit a leukocytosis (with neutrophilia) and/or elevated C-reactive protein. Imaging should be performed if the diagnosis is unclear. Computerized tomography (CT) has 94% sensitivity and 95% specificity in diagnosing appendicitis. Prompt appendicectomy remains the management of choice and may be performed either by an open or laparoscopic approach. A single preoperative antibiotic dose covering both aerobic and anaerobic organisms should be administered within 1 hour of surgery as this reduces the incidence of post-appendicectomy wound infection and intra-abdominal abscess. Thromboprophylaxis should also be routinely prescribed. Whilst the majority of patients undergo appendicectomy, there is evidence that some patients can be managed non-operatively with antibiotic therapy alone. However, there is a significant risk of recurrent appendicitis within 1 year and approximately 30% of conservatively managed patients will ultimately require surgery." @default.
- W4237689597 created "2022-05-12" @default.
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- W4237689597 date "2015-11-20" @default.
- W4237689597 modified "2023-10-17" @default.
- W4237689597 title "Acute appendicitis" @default.
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- W4237689597 doi "https://doi.org/10.1002/9781118662915.ch31" @default.
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