Background: Acute appendicitis is one of the most common surgical emergencies in the world. The purpose of this study is to know clinical profile and outcome of surgery in patients with acute appendicitis. Materials and methods: This retrospective study was done in National Medical college and Teaching Hospital, Birgunj, Nepal from 2013 April to 2016 April. A total of 184 patients with suspected appendicitis who underwent surgery were included in the study. Patient's demographics, clinical features, white blood cell count, operative findings, histology report and outcome of surgery were recorded on patient's proforma. Results: Among 184 nd patients, 115 were males (62.5%) and 69 were females (37.5%). The majority of our patients were in the 2 decade (36.4%) followed rd by 3 decade (33.2%) with only 41.3% presenting within 24 hours of onset of symptoms. The most common symptoms were abdominal pain (100%), vomiting (68.5%), fever (37.5%) and history of migration of pain was present in 60.9%. Localized and generalized abdominal tenderness were present in 91.8% and 8.2% respectively. The most common incisions were gridiron (64.1%) and Lanz (27.2%). The negative appendicectomy rate was 9.2%. Acute appendiceal inflammation and gangrenous appendicitis was present in 69% and 4.9% respectively. The perforation rate was 16.8%. Post operative complications included surgical site infection (12.6%), complete wound dehiscence (1.1%) and chest infection (1.6%). The median length of hospital stay was 8 days. There was no mortality. Conclusion: Acute appendicitis is more commonly seen in young adults. Majority of patients present late in hospital. This delay presentation increases morbidity and treatment cost.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.