A COMPARISON OF OUTCOMES BETWEEN UNCOMPLICATED AND COMPLICATED APPENDICITIS. CAN A RATIONAL APPROACH OF INJECTABLE ANTIBIOTICS BE APPLIED FOR UNCOMPLICATED APPENDICITIS - A SINGLE CENTRE EXPERIENCE.
Journal Title: International Journal of Advanced Research (IJAR) - Year 2018, Vol 6, Issue 8
Abstract
Background: Acute appendicitis is the most common surgical emergency in young adults. A delayed presentation of a patient with uncomplicated appendicitis may progress to a complicated appendicitis (appendicular phlegmon, gangrene, perforation abscess, localized or generalized peritonitis). Emergency Surgery is the standard of care. Material and Methods: We have prospectively analysed 167 patients with proper informed consent to participate in the study, having satisfied our inclusion criteria. 86 patients had uncomplicated appendicitis and 81 had complicated appendicitis. The presentation and surgical outcomes of both these clinical entities were compared and the feasibility of a rational dose of single day course of antibiotics has been evaluated statistically. Results and Analysis: Of 167 patients the majority of patients were within the age group of 11-20, 65(38.9%), with a slight female predominance. Of the 81 patients with complicated appendicitis 45.7% presented with a Phlegmon .Mean days of symptoms of patients in complicated appendicitis, was 3.1852 ?.8531 days compared to 1.5698 ?.4980 days uncomplicated Most of the complicated cases had fever during presentation. Mean operative time (40.6914 ?10.3388 mins) , incidence of wound infection (22%) , ileus (29.6%) is more in complicated appendicitis. There was one case of Faecal fistula. The mean duration of antibiotics is more in complicated appendicitis 9.1975 ?3.4728 days versus 3.5116 ?2.9773 days leading to prolonged stay (5.7160 ?2.7894 days) in complicated cases. Complicated appendicitis patients have more morbidity (ClavienDindo score >1).50 patients out of 85 patients (58%) with uncomplicated appendicitis were given a rationally justified, single day dose of antibiotics, without any complications. Hence the prognoses of such patients were better leading to minimal morbidity.
Authors and Affiliations
Basu Shouptik, Kirtania Dona, Jana Debarshi.
Keywords
Related Articles
- EP ID EP379562
- DOI 10.21474/IJAR01/7511
- Views 83
- Downloads 0
OPTIMIZATION OF REVERSE-AODV ON EMERGENCY BROADCAST SIMULATION.
In addition to the use of wire as a delivery media, currently there is an alternative delivery media in the form of wireless. This alternative delivery media is selected due to its easy installation and its cost-efficien...
IMPROVING LONG ACTING AND REVERSIBLE CONTRACEPTIVES UPTAKE USING QUALITY IMPROVEMENT STRATEGY AT A SUB-COUNTY HOSPITAL KENYA.
Introduction: Fertility rates in Sub-Saharan Africa is known to be high than any other region in the world with a Total Fertility Rate (TFR) of 5.1 children per woman. Kenya being one of the Sub-Saharan African country h...
HIGHER EDUCATION ACCESSIBILITY AND FINANCIAL SUSTAINABILITY IN GHANA: THE ROLE OF THE STUDENT LOAN SCHEME.
Higher education has been recognized as the process leading to the development of human capital which determines the path of economic development. As a result, the financing of higher education has been a national priori...
SMOKING EFFECT ON BACTERIOLOGICAL QUALITY OF ATLANTIC MACKEREL (SCOMBER SCOMBRUS) AND HORSE MACKEREL(TRACHURUS TRACHURUS) IN SOUTH BENIN.
Fish is one of the most important sources of protein in South Benin. The fainting of hygiene in the processing and preservation process constitutes a potential danger to the consumer by the appearance of pathogenic germs...
DETERMINANTS OF FIRMS ACCESS TO FINANCE: A STUDY IN MICRO, SMALL AND MEDIUM ENTERPRISES IN WOLAITA ZONE, SODO TOWN.
Micro, Small and Medium Enterprises (MSMEs) play a vital role in the global economy. It had a major part in creating jobs and as a source of social stability, either there is major contribution for MSMEs in Ethiopia as i...