The Investigators aim to assess;

1. whether the changes in managing patients during COVID has reduced the negative appendicectomy rate?
2. compare the difference in outcomes of conservatively and surgically managed Acute Appendicitis?
3. Whether there uniformity in prescribing postoperative antibiotics with resultant outcomes?
4. Whether the incidence of complicated appendicitis has increased?

As acute appendicitis is the most commonly managed emergency presentation for surgeons, the investigators aim to assess whether the changes in managing patients during COVID has reduced the negative appendicectomy rate, to compare the difference in outcomes of conservatively and surgically managed Acute Appendicitis? to assess whether there uniformity in prescribing postoperative antibiotics with resultant outcomes? to assess whether the incidence of complicated appendicitis has increased? This will be a single centre retrospective observational study. All the patients presenting in A&E department with a diagnosis of acute appendicitis to be included. the only exclusion criteria are the age of participants for less than 5 years. The data will be analysed and calculated using SPSS version 23.

Inclusion Criteria:

• All participants reporting in accident and emergency with a diagnosis of acute appendicitis irrespective of age above 5 years, gender and morbidities (this group for conservative management)

Exclusion Criteria:

• None

All patients with a diagnosis of Acute Appendicitis will be included