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 till 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 judgement 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%). 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. 23.82% of the open cases reported with surgical site infection (SSI). No SSI was reported in the laparoscopic group. Post-op 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.
Shardul Khade* and Amol Deshpande