This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Non-operative treatment versus appendectomy for acute non-perforated appendicitis in children: five-year follow up of a randomized controlled pilot trial. Ann Surg 2020; 271: 1030-1035.

Published: 22nd July 2020

Authors: Patkova B, Svenningsson A, Almström M, Eaton S, Wester T, Svensson JF et al.

Conclusion

The original study included 50 children. After at least five years, there were no failures in the appendicectomy group. Eleven of 24 children in the non-operative group had appendicectomy, nine within a year of randomization (only two had histological appendicitis). Two further children had appendicectomy with proven histology between one and five years.

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