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This prospective study from India evaluates the diagnostic accuracy of RIPASA versus Modified Alvarado Score in acute appendicitis, highlighting RIPASA’s superior sensitivity and discrimination in an Asian surgical cohort.
The 10-year follow-up of the APPAC trial demonstrates that antibiotic therapy remains a safe and effective alternative to appendectomy for uncomplicated acute appendicitis, with over 60% of patients successfully avoiding surgery for a decad
Preoperative antibiotics in uncomplicated acute appendicitis do not reduce appendiceal perforation risk but lower surgical site infections. This large multicenter trial clarifies their limited role while awaiting timely appendectomy.