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Question
Hello doctor,
The doctor asked me how dangerous appendicitis without surgery is? If appendicitis is detected without surgery, how long can the patient last? Thank you doctor.
Anonymous customer
Answer
Answered by Specialist II Phan Thanh Nguyen - General Surgery Department, Vinmec Central Park International General Hospital.
Hello,
With the question “How dangerous is appendicitis without surgery? , the doctor would like to answer as follows:
Until now the standard treatment for appendicitis is still surgical removal of the inflamed appendix. This is the classic treatment and is accepted by all clinicians worldwide ever since. From 2004 to now, there have been a number of studies on non-operative treatment of uncomplicated appendicitis with antibiotics.
Results from these studies show that the success rate of antibiotic therapy for uncomplicated appendicitis is 90%, 10% are unresponsive and have complications requiring surgical intervention. Follow-up of patients who successfully treated for uncomplicated appendicitis within 1 year had 30% recurrent appendicitis.
So treatment of uncomplicated appendicitis with antibiotics cannot completely treat appendicitis and the disease will have a very high risk of recurrence in a short time. Therefore, the gold standard of treatment for appendicitis remains surgical removal of the inflamed appendix. This is an effective method to help definitively treat appendicitis.
Therefore, if a patient has appendicitis, it should be diagnosed by a doctor with complications (appendiceal peritonitis, appendicitis). If appendicitis has complications, immediate surgery is required. If appendicitis is uncomplicated and the patient wants to be treated with antibiotics, they should be treated with intravenous antibiotics and closely monitored at a medical facility with an inpatient department specializing in Gastroenterology.
If you still have questions about appendicitis, you can go to a hospital under Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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