A Study of Acute Appendicitis and Its Surgical Management in a Tertiary Care Hospital
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2018, Vol 6, Issue 10
Abstract
Acute appendicitis is a common surgical emergency faced by the General Surgeons during their practice. It has a tendency to occur in children and in young adults. The aim of the present study was to investigate the number of cases, clinical presentation, management and complications of appendicitis in patients of acute appendicitis reporting to our tertiary care hospital. Methods: This cross-sectional prospective study was done in the Department of General Surgery, Prathima Institute of Medical Sciences, Naganoor, Karimnagar. A total of 52 patients were included in the study out of which male (n=34) and female (n=18). Alvarado scoring was used to group the patients into three groups, Group I those with Alvarado Scores > 7 group II those with scores range of 5 - 6 and those with scores of < 4 were included in the group III. Those in group I and group II underwent the surgical operation of Appendectomy and those in the group III were treated conservatively with antibiotics and discharged. The patients who underwent surgery were kept in observation for 7 days and then discharged. They were followed every month for 6 months for development of any complications. Results: The majority of patients belonged to the age group of 10 – 20 years having (n=29) (55.77%). The predominant symptom seen in these patients was the presence of abdominal pain in both male 34 (100%) and female 18 (100%) of patients. The patients were grouped into three groups based on Alvarado scores, those with Alvarado scores of > 7 were included in Group I and patients with Alvarado scores ranges of 5-6 were included in Group II and patients with Alvarado Scores of < 4 were included in the Group III. The most common complication reported by 2 male and 1 female patient was wound infection which was treated by debridement and antibiotic administration and the post-surgical abscess was reported in 1 male patient. Conclusion: Acute appendicitis was more common in the younger population and there is an overall predominance of the male for acute appendicitis. Alvarado score is a very useful tool in the selection of the patients for surgeries and strict adherence to protocol and proper post-operative care can reduce the numbers of complications of surgery.
Authors and Affiliations
Dr. Srinivas Bheemanadam
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