POST APPENDICECTOMY ABDOMINAL PAIN- A CLINICAL EVALUATION IN OPEN APPENDICECTOMY PATIENTS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 24
Abstract
BACKGROUND Appendicitis the most common cause of acute abdomen in surgical practice and appendicectomy is the most common abdominal emergency surgery performed in any surgical hospital. Acute appendicitis and appendicectomy are potent causes of adhesions, which in turn can lead to small bowel obstruction, infertility etc., and hence are a major source of morbidity. This study aims at evaluating the cause of post appendicectomy abdominal pain and the major causes leading to the same. MATERIALS AND METHODS Study Design: Cross sectional study. Inclusion Criteria- All patients presenting with abdominal pain after appendicectomy, during a period of one year from 2005 January to 2006 January were studied. Exclusion Criteria- 1) Pain due to wound infections were excluded from the study. 2) Children aged below 12 were also excluded. Setting - Department of General surgery, Govt. Medical College Kottayam. Kerala. Period of Study- A period of one year from 2005 to 2006. RESULTS Fifty cases of abdominal pain in post-appendectomy patients, who had full details of their appendectomy surgery, were studied during a period of 12 months. Most of the patients were admitted through casualty and only 7 patients were admitted electively. CONCLUSION In this study of 50 patients readmitted for post appendectomy abdominal pain, 35 i.e. 70% had adhesions. Out of the 35 patients with adhesions 20 had small bowel obstruction due to adhesions and bands and 13 of these patients required surgical intervention. Adhesiolysis was done in 8, resection anastomosis in 2, right hemicolectomy was done in 2, and hernia repair in 1. In early appendectomy group (surgery within 48hrs.), the adhesions responded to conservative treatment which shows adhesions were less aggressive in them. In late appendectomy group (i.e. surgery after 48 hours) with perforated appendicitis, negative appendectomy group and extremes of age, aggressive adhesions occurred leading on to surgical intervention.
Authors and Affiliations
Sankaran Nair Kailasanadhan
Keywords
Related Articles
- EP ID EP563678
- DOI 10.18410/jebmh/2018/379
- Views 88
- Downloads 0
ATTITUDES OF PATIENTS WITH ASTHMA ON INHALER USE- A CROSS-SECTIONAL STUDY FROM SOUTH KERALA
BACKGROUND Asthma is an important health problem worldwide. High prevalence and poor control of asthma make its management a major public health problem with more than 5,00,000 hospital admissions and 2,50,000 deaths ann...
MEDICAL MANAGEMENT OF MISSED MISCARRIAGES USING VAGINAL MISOPROSTOL- A PROSPECTIVE OBSERVATIONAL STUDY
BACKGROUND Missed miscarriage is one of the common cases encountered by the practicing obstetricians all over the world. Diagnosis is made early due to increased use of ultrasound. Medical management is as effective as s...
TUBERCULOSIS AND HIV COINFECTION: A TERTIARY CARE HOSPITAL STUDY
OBJECTIVE The aim of the present study is to record the clinical, radiological profile of pulmonary and extra pulmonary tuberculosis (EPTB) in HIV positive patients. To win the battle against AIDS we have to fight agains...
A STUDY OF POST-OPERATIVE COMPLICATIONS OF PEPTIC PERFORATION
BACKGROUND Perforation is the most serious, the most fatal and one of the commonest complications of all gastric and duodenal ulcers and occurs in about 10 to 15% of all recognised chronic peptic ulcers. The objective wa...
ANAESTHETIC MANAGEMENT OF A CHILD WITH ONE LUNG APLASIA UNDERGOING PERINEAL ANORECTOPLASTY
PRESENTATION OF CASE An eighteen month old female child, known case of aplasia of right lung, dextroversion and malrotated kidney was posted for stage 2 operation (perineal anorectoplasty). No history of fever, cough and...