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Practice changing: Advise interval appendectomy to all conservatively managed patients with perforated appendicitis.
Dr KK Aggarwal,  07 April 2019
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Should an interval appendectomy be done in patients with perforated appendicitis and who have been managed conservatively or nonoperatively with intravenous antibiotics and percutaneous drainage of an abscess, if present? Or, can these patients be followed-up with MRI scans?The Peri–Appendicitis Acuta randomized clinical trial examined this question and found the answer.  It recommends interval appendectomy for patients with perforated appendicitis managed conservati
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