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Acute appendicitis is a common surgical presentation usually managed with laparoscopic appendicectomy. There has been long-standing debate as to whether conservative management of acute appendicitis could provide a superior alternative to surgical management. COVID-19 infection emerged in December 2019 and was labelled as a pandemic by the World He...
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Context 1
... the declaration of the new coronavirus disease (COVID-19) as a pandemic by the World Health Organisation on March 11 2020 23 , the Royal College of Surgeons of England published their first 'General Surgery Guidance on COVID-19' in which they advocated for a conservative approach to uncomplicated appendicitis 24 . Figure 3 illustrates the changes to the existing treatment algorithm based on this new guidance. As a direct result of this change in guidelines, the normal practice in the UK of early laparoscopic appendicectomy for adult acute appendicitis immediately changed to over half of patients being conservatively managed and of those having an operation, the majority having an open procedure 25 . ...
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