Non-Operative Management of Appendicitis: 2018 Pediatric Surgery Practice Gap #2

Join us as we continue our review of the top 10 practice gaps of 2018, first presented at last year's update course by APSA's Practice Development Committee. Number two, Givens. So number two, was talking about non-operative management of appendicitis. Um so, we've known about non-operative management of perforated appendicitis for a long time. Um, but this was just kind of appendicitis in general and it emphasized that, uh, treating with antibiotics, uh, had kind of equal outcome measures in terms of initial operative management. There was like a 15% risk of recurrence of appendicitis at a one-year follow-up. But otherwise, you had decreased hospital stays and decreased days of disability. So, we're not telling you what, uh, that that the the world changed to non-operative or or operative treatment of appendicitis, all we're saying with this is, non-operative management is a, is an option. It has some risks and benefits that that need to be taken into account and then make a decision accordingly. You know, my whole take on that was, it's great to see that information. I still think it's dealer's choice. I don't think a flat out recommendation was being made by APSA to start doing non-operative appendicitis. I think it was showing that the data is becoming more clear, and it's still dealer's choice on whether people do one versus the other. Right.