What is the main treatment for uncomplicated appendicitis?

• A. Observation and diet modification
• B. Antibiotics only
• C. Surgery and antibiotics
• D. Intravenous fluids only

Answer: (C)

The main treatment for uncomplicated appendicitis is surgery, specifically an appendectomy, combined with antibiotics to prevent infection. The surgical removal of the inflamed appendix is considered the definitive treatment because it directly addresses the underlying cause of the condition, which is the obstruction and subsequent inflammation of the appendix. While antibiotic therapy can be effective in managing symptoms and may even lead to resolution of the inflammation, it does not remove the risk of recurrence or complications associated with an inflamed appendix.

In cases of uncomplicated appendicitis, the combination of surgery and antibiotics not only alleviates the immediate issue but also reduces the chances of future appendicitis or potential complications such as perforation or abscess formation. This dual approach is supported by clinical guidelines and extensive research, which indicate that while some patients may initially be treated with antibiotics alone, those managed solely with antibiotics have a higher rate of recurrence compared to those who undergo surgical intervention.

Other options provided would not effectively treat uncomplicated appendicitis alone. Observation and diet modification may be useful in a very select group of patients but do not address the underlying problem. Antibiotics alone, while helpful in managing symptoms, do not provide a long-term solution. Intravenous fluids might be necessary for hydration or in cases of more