Histopathological analysis of appendectomy specimens in a Tertiary Care Hospital; A descriptive study.

Abstract

Objectives: To analyse the pattern and morphologies of all the surgically resected appendices in the surgical emergency of holy family hospital in relation to gender, age and the percentage of negative appendectomies. Study Design: Descriptive Cross Sectional study. Setting: Surgical Unit 1 Holy Family Hospital, Rawalpindi. Period: January 2013 to April 2019. Material & Methods: 1993 patients (1011 males, 982 females) which underwent appendectomy were included in this study. Structured proforma was made. All the specimens were sent to pathology lab for histopathology. Detailed histopathological report was received in the OPD follow-up of the patient. All the data was analysed using SPSS version 22. Results: Acute appendicitis (57.3%) was the most common morphology followed by suppurative appendicitis (11.1%). One case was carcinoid tumour (0.05%). The incidence of negative appendectomy was 8.42% while the incidence of perforated appendix was 3.5%. Conclusion: Appendicitis is one of the most common surgical Emergency and histopathology is gold standard in definitive diagnosis.