Keywords
Acute Appendicitis, Surgical Treatment, Laparoscopic Appendectomy.
Abstract
The identification of acute appendicitis in clinical settings relies on a combination of the patient’s medical history, physical examination, lab tests, and imaging studies. Typical signs of appendicitis encompass indistinct pain around the navel, loss of appetite/nausea/erratic vomiting, a shift in pain localization to the lower right quadrant, and a mild fever[1]. When patients exhibit these symptoms, there is a roughly 90% chance that they will be diagnosed with acute appendicitis. The standard surgical intervention is laparoscopic appendectomy. Nevertheless, growing research indicates that a regimen of broad-spectrum antibiotics—either piperacillin-tazobactam as a single therapy or in combination with cephalosporins or fluoroquinolones alongside metronidazole—can effectively manage uncomplicated acute appendicitis in around 70% of cases. On computed tomography (CT) scans, specific diagnostic indicators such as an enlarged appendix (with a diameter of 7 mm or more) or the presence of appendicoliths, which are accumulations of fecal matter within the appendix, can signal that a patient is less likely to respond well to an initial antibiotic treatment approach.This article combines our experiences from the treatment of 25 cases of appendicitis and shares insights, while also conducting a review and study of the literature.