Frequency of obstructive appendicitis in patients undergoing open appendectomies.

Authors

  • Fazli Junaid Ayub Teaching Hospital, Abbottabad.
  • Muhammad Usama Khyber Teaching Hospital, Peshawar.
  • Syed Usman Shah Ayub Teaching Hospital, Abbottabad.
  • Musab Umair Ayub Teaching Hospital, Abbottabad.
  • Zain Ul Abadin Malik Ayub Teaching Hospital, Abbottabad.
  • Attiya Nasir Siddique Ayub Teaching Hospital, Abbottabad.

DOI:

https://doi.org/10.29309/TPMJ/2022.29.03.6441

Keywords:

Appendicitis, Non-Obstructive Appendicitis, Negative Appendectomy, Obstructive Appendicitis, Open Appendectomy

Abstract

Objectives: To determine the frequency of obstructive appendicitis in patients undergoing open appendectomies for acute appendicitis. Negative appendectomy rate will also be calculated. Study Design: Cross-Sectional study. Setting: Department of General Surgery of Ayub Teaching Hospital Abbottabad. Period: September 2019 to February 2020. Material & Methods: The study population included patients of any gender, age from 10 years to 45 years found to have acute appendicitis diagnosed by clinical and ultrasound findings and confirmed by open appendectomy. Sample size of 174 was calculated, using WHO software for sample size calculation. After detailed examination and investigations, patients who underwent open appendectomy as per advice of visiting consultants were included; by filling predesigned research per forma. Results: Mean age of the patients was 26.33±11.177 and more than half were male i-e 106 (60.9%). Where majority i-e 93(53.4%) of appendices were of obstructed type, this wasn’t statistically higher than the non-obstructed type (p=0.363). In frequency of operative findings, acutely inflamed appendix was most common with 71(40.8%) patients. While suppurative, gangrenous and perforated samples were noted in 55(31.6%), 13(7.5%) and 8(4.6%) cases respectively. Negative appendectomy was done in 27(15.5%) patients. Conclusion: This study concluded that obstruction was noted in more than half of the cases i-e 93(53.4%), but it was not statistically higher from the other subtype. Negative appendectomy rate was 15.5%; higher than globally set target, but was similar to the one noted in Pakistan by previous researchers.

Author Biographies

Fazli Junaid, Ayub Teaching Hospital, Abbottabad.

MBBS, FCPS (General Surgery), Senior Registrar General Surgery, 

Muhammad Usama, Khyber Teaching Hospital, Peshawar.

MBBS, MRCS (Eng), FCPS, Resident Orthopedics, 

Syed Usman Shah, Ayub Teaching Hospital, Abbottabad.

MBBS, FCPS, Resident Surgeon, Surgical C Unit, 

Musab Umair, Ayub Teaching Hospital, Abbottabad.

MBBS, FCPS, Resident Surgical Unit C, 

Zain Ul Abadin Malik, Ayub Teaching Hospital, Abbottabad.

MBBS, FCPS, Resident Surgical Unit C, 

Attiya Nasir Siddique, Ayub Teaching Hospital, Abbottabad.

MBBS, FCPS (Neurosurgery), Resident Neurosurgery Unit C, 

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Published

2022-02-28