World Journal of
Pharmaceutical and Life Sciences

ANALYSIS OF APPENDECTOMY OUTCOMES AND CORRELATION OF ITS DIAGNOSTIC FEATURES AND INTRA-OPERATIVE FINDINGS

Dr. Weam Rashad Ismail*

ABSTRACT

Appendicitis is the most common surgical disease with appendectomy being the traditional treatment of choice. Different operative procedures exist for appendectomy. This retrospective study aimed to correlate the different diagnostic features of acute appendicitis (AA), and correlate different intra-operative findings during appendectomy and to analyze the operative outcome in the follow-up period. The current study was done during the period from January 2019 to June 2020 in the Department of surgery, Al-Shahid Al-Sadr Hospital-Baghdad/Iraq on 150 operative patients who were analyzed with AA as diagnosis. Choice of appendectomy, whether laparoscopic or open, was based on clinical judgment of operating surgeon. Results showed that out of 150 patients, 110 and 40 were operated via open and laparoscopic approach respectively. The most common symptom was pain in right iliac fossa (96.7%), 16.7% had perforation, while 27.3% had inflamed appendix. Histopathological assessment showed that 9.3% and 2.7% had suppurative and gangrenous appendicitis respectively. In addition, 20.0% of the open cases were reported with Surgical Site Infection (SSI). No SSI was reported in the laparoscopic group. Post-operative duration for open and laparoscopic appendectomy was 5.3 ± 1.1 and 3.5 ± 1.2 minutes (P = 0.479) and was not found to be statistically significant. It can be concluded from our study that open appendectomy is considered safe and effective but associated with complications such as ileus, intestinal obstruction, wound sepsis etc. Laparoscopic appendectomy with high accuracy and low complication rate has emerged as the modus operandi for treatment of AA.

[Full Text Article]   [Download Certificate]