American Association for the Surgery of Trauma grade | Description | Management | References |
I | Acutely inflamed appendix, intact | Laparoscopic appendectomy Non-operative therapy with antibiotics may be a reasonable alternative No postoperative antibiotics are indicated in surgically managed appendicitis |
1 2 3 4 6 7
3 2 |
II | Gangrenous appendix, intact | Laparoscopic appendectomy | 1 2 3 4 6 7 |
III | Perforated appendix with local contamination | Laparoscopic appendectomy | 1 2 3 4 6 7 |
IV | Perforated appendix with periappendiceal phlegmon or abscess | Laparoscopic appendectomy Non-operative therapy with antibiotics may be chosen in select patients |
1 2 3 4 6 7
3 |
V | Perforated appendix with generalized peritonitis | Laparoscopic appendectomy when feasible | 1 2 3 4 6 7 |