Acute Appendicitis, Comparison Study of Post Operative Complications And Onset of Pain
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 10
Abstract
Background: Post operative complications following acutely inflamed appendicitis make a threaten to the patient which may depend on the state of the appendix & need early diagnosis & management . Objective: to compare risk & pain onset of acutely non perforated appendicitis to that of perforated one & to see the importance of making diagnosis early. Patients & methods: our study is a prospective study have been done in Al kadhimiya teaching hospital, include 135 patients in the surgical department for the period from November 2015 to March 2017. The cases classified into two groups: Group I: Acutely inflamed non perforated appendicitis. Group II: Acutely inflamed perforated appendicitis. History taken for all the patients concentrated on onset of pain &presence of nausea & vomiting & whether pain came before or after nausea &vomiting, as in acute appendicitis pain come before nausea &vomiting Emergency operation done & findings reported ,follow up done for all the patients & complications recorded . Results: In this study 135 patients were included, out of those patients 101 patients (74.8%) underwent emergent operation for acute appendicitis. 34 patients (25.2%) underwent emergent operation for acute perforated appendicitis. Acute non perforated appendicitis stay less in the hospital than acute perforated appendicitis. Overall complications of acutely inflamed appendicitis were less than acutely perforated appendicitis. Conclusion: post operative complications & staying in the hospital occur more in acute perforated appendicitis & delay in diagnosis & operation increase morbidity.
Authors and Affiliations
Ja'far Abo-taleb Mohammed Said, Sa'ad Abdullah Kadhum, Dr. Dhiaa Hasan Khudair
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