Retrospective Analysis of Operative Outcome of Appendectomy

Amol Deshpande and Shardul Khade

Department of General Surgery, Shri Vasantrao Naik Government Medical College, Yavatmal, Maharashtra, India

^*Correspondance to: Shardul Khade 

 PDF  Full Text DOI: 10.25107/2474-1647.2921

Abstract

Objectives: 1. To correlate the different diagnostic features of Acute Appendicitis (AA). 2. To correlate different intra-operative findings during appendectomy and to analyze the operative outcome in the follow-up period. Background: Appendicitis is the most common surgical disease with appendectomy being the traditional treatment of choice. Different operative procedures exist for appendectomy. Methods: This is a retrospective study done between January 2018 to June 2019 in a tertiary care hospital of central India. A total of 634 operative patients were analyzed with AA as diagnosis. Choice of appendectomy, whether laparoscopic or open, was based on clinical judgment of operating surgeon. Data was analyzed with of Open Epi version 2.3 and p-value <0.05 was considered significant. Results: Out of 634 patients, 418 and 216 were operated via open and laparoscopic approach respectively. Most common symptom was pain in right iliac fossa (94.63%). The 18.18% had perforation while 26.38% had inflamed appendix. Histopathological assessment showed that 8.3% and 2.87% had suppurative and gangrenous appendicitis respectively. The 23.82% of the open cases reported with Surgical Site Infection (SSI). No SSI was reported in the laparoscopic group. Postop duration for open and laparoscopic appendectomy was 4.91 ? 0.86 and 2.98 ? 0.76 (p-value = 0.04150) and was found to be statistically significant. Conclusion: 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

Keywords

Appendectomy; Acute appendicitis; Surgical site infection; CT scan

Cite the article

Deshpande A, Khade S. Retrospective Analysis of Operative Outcome of Appendectomy. Clin Surg. 2020; 5: 2921..