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

Nonoperative treatment with antibiotics versus surgery for acute nonperforated appendicitis in children: a pilot randomized controlled trial. Ann Surg 2015; 261: 67-71.

Published: 14th April 2015

Authors: Svensson J, Patkova B, Almström M, Naji H, Hall NJ, Eaton S et al. et al.

Conclusion

Fifty children were enrolled. Of 24 randomized to non operative therapy, two required early surgery, and a third had appendicectomy for recurrent appendicitis at nine months. Within 12 months, a further six children had appendicectomy for recurrent pain or parental preference, but all these appendices were normal on histology.

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