Keywords : appendicular abscess
Retrospective analysis of acute appendicitis patients presenting in a tertiary care centre (Central India)
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 3, Pages 3109-3113
Background: Acute appendicitisis a very common cause of acute abdomen requiring surgical intervention with an incidence of about 100 per 10000.
Material and methods: A retrospective analysis of medical data based records of 109 consecutive patients who were undergone surgery in department of general surgery in LN Medical College, Bhopal for the diagnosis of acute appendicitis from June 2019 to July 2021 was done. Data was collected from patient on the basis of age, sex , clinical diagnosis pre operative finding. Data was analyzed by using Microsoft excel and statistical package of social sciences (SPSS).
Results: In the present study 109 patients were included in which 60.55% were males and 39.44% were females. Maximum patients were in the age group of 21-30yrs (55.04%) followed by 31-40yrs(30.27%) and 41-50 yrs(14.67%). Migration of pain, RIF Tenderness, leucocytosis was found in 100% patients . Anorexia was found in 80.73% patients, nausea, rebound pain, elevated temperature was found in 75.22% patients respectively. Inflamed appendix was found in 100% patients, appendicular abscess was found in 17.43% patients, Appendicular Perforation was found in 20.18% patients, Faecolith with Inflamed Appendix was found in 15.59% patients. Open Appendicectomy was done in 60.55% patients and Laparoscopic Appendicectomy was done in 39.44% patients. Maximum patients ie 44.95% were stayed for 4 days in the hospital.
Conclusion: The present study shows that acute appendicitis in India is a disease of young males. On further sub-classification of acute appendicitis, uncomplicated acute appendicitis seems to be the most common. Delayed presentation is associated with greater morbidity.