Clinical evaluation and surgical outcome of appendix
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 11
Abstract
Appendectomy is the most common surgical procedure done worldwide. 8 The management of simple appendicitis is straight forward. Its appendectomy, either open or through laparoscopy. Complicated appendicitis was traditionally managed with immediate surgery. But in 1980 conservative management was described. As per this approach, patients with complicated appendicitis were initially treated with intravenous antibiotics followed by interval appendectomy after a period of 4 to 16 weeks. Over the years this approach gained popularity. But in recent years this practice has been questioned with new data. The objective of the present study was to evaluate the surgical treatment of appendix. The study was planned in the 20 cases in IGIMS, Patna from Jan 2008 July 2008. The patients were Clinically diagnosed case of Acute Appendicitis presenting within 48 hours of initiation of Abdominal pain. On all patients Open appendicectomy was done. Preoperative prophylactic antibiotics were given (cefotaxime 500 mg and metronidazole 250 mg intravenous) and continued post operatively for 3 days. Patients were discharged with oral Amoxcillin 250 mg 12 hourly and metronidazole 200 mg 8 hourly for 5 days. The diagnosis and management of acute appendicitis have been described with a focus on some current issues. Appendicitis is the most common surgical condition. Complicated appendicitis is associated with high morbidity. High leucocyte count, delayed presentation and appendicolith are possible markers of complicated appendicitis. Controversy exists about the ideal time for surgery in complicated appendicitis. Early surgery in complicated appendicitis is safe, feasible.
Authors and Affiliations
Dr. Bijay Kumar, Dr. Sukumar Jha
Keywords
Related Articles
- EP ID EP587746
- DOI -
- Views 153
- Downloads 0
Diagnostic laparoscopic evaluation of female factor in infertility
Objective: To find out different causes of female infertility with diagnostic laparoscopy and their comparative frequency in primary and secondary infertility. Study Design: A case series. Place and Duration of Study: De...
A comparative on haemodynamic effect of ropivacaine vs ropivacaine plus dexmedetomidine in supraclavicular brachial plexus block: A randomized controlled double blind study in tertiary care centre
This primary aim of the study is to investigate the analgesic effect of ropivacaine in combination with dexmedetomidine versus ropivacaine alone on brachial plexus block to provide alternative anesthetic means for upper...
Clinical profile and outcome of cases of eclampsia at a tertiary hospital of north India
Introduction: Despite being preventable, eclampsia continues to be one of the most common life threatening complication afflicting pregnancy. Aims and objectives: To study the incidence and the clinical profile in patien...
Study of diabetes patient in respect to sensorineural hearing loss in PMCH patients
The relationship between diabetes mellitus and hearing function has been studied for a long time, yet there is currently no adequate consensus on this topic. Therefore there is a need for further studies not only to inve...
Clinical value of prostatic specific antigen level in serum of the lesions of prostate gland and its importance as a screening test and tumour marker for carcinoma of prostate gland correlated with histopathology
Prostate Cancer is the leading cancer in older men. when detected early (organ confined ), it is potentially curable by radical prostatectomy. Therefore, early detection is important and PSA is widely used for this purpo...