In Reply Acute appendicitis presents as a spectrum varying in severity from uncomplicated (acute suppurative) to moderately severe (acute gangrenous) to severe (perforated with abscess). The traditional treatment was open appendectomy for all forms of appendicitis and has evolved to same-day laparoscopic surgery in most instances. With the frequent use of ultrasonography and computed tomography in the diagnosis of acute appendicitis and advances in interventional radiology, the treatment of perforated appendicitis with peri-appendiceal abscess evolved to percutaneous drainage and interval appendectomy.
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Kristo G, Itani KMF. Complicated and Uncomplicated Acute Appendicitis Are Different Diseases—Do Not Compare Apples With Oranges—Reply. JAMA Surg. 2019;154(8):783. doi:10.1001/jamasurg.2019.1059
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