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. 2019 Mar 27;4(1):e000281. doi: 10.1136/tsaco-2018-000281
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