MATERIAL AND METHOD
519 patients aged between 20 and 65 years who were diagnosed with
uncomplicated AA by abdominal CT in our centre between January 2016 and
January 2019 were retrospectively analysed. Informed consent forms were
signed by all patients. The presence of at least one of the criteria of
7 mm or more appendix diameter and oedema or fluid accumulation around
the appendix was accepted as uncomplicated AA. Patients with abscess,
perforation, widespread inflammation, and tumours as a result of CT,
patients with chronic systemic disease, who did not undergo CT, who
underwent appendectomy during antibiotic therapy, and patients who had
complications during surgical or medical treatment were excluded from
the study. All patients were administered cefuroxime axetil twice a day
by intravenous route for two days. Ciprofloxacin 500 mg and
metronidazole 500 mg were administered orally twice daily for ten days.
After the diagnosis of AA, 223 patients were treated medically, while
296 patients underwent laparoscopic appendectomy (LA). Patients were
divided into two groups. The first group included patients who were
treated medically and the second group included patients who underwent
laparoscopic appendectomy. Groups were compared in terms of age, gender,
WBC, platelet count, MPV, PDW, RDW and serum CRP levels. Patients in the
group treated with antibiotics were questioned whether they developed
recurrent appendicitis after 12 months.