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in this session of East minute we will be looking at the AIPAC trial evaluating antibiotic therapy versus appendectomy for treatment of uncomplicated acute appendicitis appendectomy continues to be the standard of care for acute appendicitis however with the improvement in the quality of the CT scans and the diagnosis of acute appendicitis antibiotics have been used recently for treatment of acute appendicitis with a reported low mortality there has been multiple randomized control trials that evaluate this specific question with variable reported results in limitations the purpose of this trial is to test the hypothesis that acute appendicitis can be treated successfully with antibiotics the trial was conducted at six different hospitals in finland inclusion criteria as any patient with suspected appendicitis that is confirmed and cat-scan if patients who have CT findings of appendicular perforation abscess or tumor or they were younger than 18 and could not consent or signs of perito