MH900311832

SURGERY

An increasing amount of evidence supports the use of antibiotics (Abx.) instead of surgical removal for treating patients with uncomplicated acute appendicitis.

From Finland comes research showing that uncomplicated acute appendicitis confirmed by computed tomography (CT) can be treated without going under the knife (scalpel)!

The uncomplicated appendicitis patients were divided into 2 groups: those given Abx. vs. those that underwent surgery. Abx was initially intravenous – Invan® (ertapenem)(1 g/d) for 3 days – followed by 7 days of oral – levofloxacin-Levoquin ® (500 mg once daily) and metronidazole -Flagyl® (500 mg 3 times per day).

The primary endpoint for antibiotic-treated patients was discharge from the hospital without the need for surgery and no recurrent appendicitis during a 1-year follow-up period.

Prompt the surgeon if antibiotics could save you the scalpel!