I think surgery is better. Here is why http://is.gd/Igdvg9.

I agree with the results that in uncomplicated appendicitis initial antibiotic treatment is preferred method but with close monitoring of symptoms and signs whether improvig or disimproving for 24 hours.

I have hesitation in treating all uncomplicated appendicits for many of the reasons cited above. In addition, how can one define what constitutes early appendicits. There is no relaible indictors that can predict the severity of uncomplicated appendicits. Not uncommonly, I have come across gangrenous appendicits with impending rupture that could not have been differentiated pre-operatively.

Uncomplicated acute appendicitis that you can treat without surgery, often are not acute appendicitis but someone else.

It's better make laparoscopic appendectomy, without operation patient every time when fill pain in abdomen will be think that it appendicitis. And two days antibiotic treatment!

I totally agree with Doctor Evgeny Khoronko, especially in young female with PID syndrome

What is the golden standart therapy for uncomplicated acute appendicitis in ASA 1 male patient? open or laparoscopic?

I. 1. How do you make the diagnosis  of early uncomplicated appendicitis?. 2. What is the most probable etiology of the appendicitis? Inflammation or obstruction (by what--- the Payers patch or intraluminal body like a fecalith, etc.)  2.What prodromal etiology is there that is specific to acute appendicial colic or appendicitis ?  3. when do you expect the time when the pain should be  colicky or continuous? 4. When do you expect local peritoneal signs?  5. Is there a fail- safe method to diagnose early appendicitis? 6. What technology will define an early appendicitis? 6. etc, etc., etc.

II. If you can not diagnose "pure, early, appendicitis"  caused by bacteria which is amenable to antibiotic,  how can you justify using antibiotic? Are we back to guesstimating that if the pain disappears, it was early acute appendicitis? vs other diagnoses? If the pain disappears was it coincidental or were you 100% correct that it was early acute appendicitis?

III. The reason is;  variabilities in presentation of right lower quadrant presentations.  I would like to opine  that you observe the clinical progress of the patient  and make your clinical diagnosis rather than empirically shotgun the patient  with an antibiotic upon suspicion of appendicitis.  Is there any technological tool that will make the diagnosis for anyone..... except to help confirm the diagnosis by your own mentation....... unless one only treats the laboratory..

. Drs. Fung and Duntsch  are  on solid ground.    Dr Vasquez said it succinctly.