Retrospective observational study of performance in outcome of emergency appendicectomy
Journal Title: Surgical Update: International Journal of Surgery and Orthopedics - Year 2016, Vol 2, Issue 3
Abstract
Objective: The present study is aimed to investigate variations in outcome of Emergency Appendectomy being conducted in Surgery Unit- II at ESIC Medical College, Joka, Diamond Harbour Road, Kolkata, West Bengal. The main outcome interest was the normal Histopathology rate, secondary outcomes and thirty (30) days adverse events rate with varied parameters like different timings of operation, presence or absence of consultant etc. Method: The study was performed in Surgery UNIT II in ESIC Medical College, Joka, Kolkata, and West Bengal. The trainee level Investigator was responsible for identifying patients, entering DATA in the prespecified database and ensuing completeness of data. Patients undergoing appendectomy for suspected Acute Appendicitis between Aug 2015 to Aug 2016 inclusive of all age & sex are included in this study. The study was approved by the Institutional ethical committee. The post operative complications were followed for 30 days after surgical appendectomy during day time, evening hours and night time and compared in terms of percentage of evidence. Results: A total number of fifty (50) Emergency appedidectomy cases were studied by open surgery. Histologically Normal appendix was removed in 10 numbers of cases i.e. 20%.It was observed that the outcome percentage of daytime operation with requisite duration and by specialist consultant is far better than that of night time or evening time operation by senior trainee . It was also observed that adverse effects after 30days post operative period were significantly reduced in case of day time operation. Conclusions: This study reveals the wide variations in practice patterns and outcome which should be addressed to improve performance.. The surgical procedure done in day time by expertise consultant can effectively reduce the adverse post operative complications.
Authors and Affiliations
Siladri Sen Gupta, Banyeswar Pal, Hem Narayan Jha
Keywords
Related Articles
- EP ID EP227316
- DOI 10.17511
- Views 208
- Downloads 0
A study on uterine and vaginal arteries and their clinical significance
Background: The anterior division of the internal iliac artery usually gives origin to the uterine artery and vaginal artery in common. Uterine artery travels in cardinal ligament to reach uterus by crossing the ureter a...
A Study to evaluate the use of Steinmann pin as Poller screw for diameta physeal fracture of distal tibia to avoid angular deformity
Introduction: There are several important technical points that need to be observed when using an intra medullarynail to fix diametaphyseal fractures of distal tibia, mainly the angular deformity. Objective: We aimed to...
Orthogonal dual plating for fracture of base of 1st metacarpal- original study
Background: Treatment of fractures of the base of 1st metacarpal is controversial with multimodality of implant choice available like k wire and miniplates. Secondary displacement rates are higher if fracture is not fixe...
Post Traumatic Stress Disorder – An unrecognized and neglected aspect of injury
Post traumatic stress disorder is common psychiatric illness. Large number of trauma patients suffers from it. In most patient it remain unrecognized and surgeon don’t give much respect to these symptoms associated with...
Laparoscopic appendicectomy in higher grades of appendicitis
Introduction: Complicated appendicitis has higher morbidity and mortality than non-complicated appendicitis. Despite of many clinical studies and meta-analyses of the various studies it remains confusion for the surgeons...