Role of appendicectomy in relieving the chronic or relapsing right iliac fossa pain at tertiary health care centre
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 6, Issue 2
Abstract
Background: Right lower quadrant pain is responsible for a large percentage of emergency cases and is one of the most challenging clinical presentations, with a vast list of differential diagnoses. It needs multi-disciplinary approach to diagnosis and proceed. Aim: To determine the role of appendicectomy in relieving the chronic or relapsing right iliac fossa pain. Material and Methods: This prospective observational study was conducted on 82 patients admitted with chief complain of recurrent or chronic right iliac fossa pain. All the included patients underwent appendicectomy and sample sent for histopathological examination. Postoperatively during the follow up at 6th and 12th week, they were compared with histopathology of appendix and relief of pain. Results: Out of the 82 chronic RIF cases, 30 (36.6%) had pathology of normal appendix, and 52 (63.4%) cases had pathology of appendicitis. A total of 79(96.35%) patients had complete pain relief. Mean pain score in visit 1 was 2.89 (SD±0.316) and in visit 2 was 2.98 (SD±0.156). (T value = 2.751; P value = 0.007) and it was significant. Conclusion: Elective appendicectomy, even a normal appendix, has pain relief in majority of patients with RIF pain. There is also correlation between histopathology of appendix and relief of pain. Appendicectomy can be recommended for chronic or relapsing right iliac fossa pain after a thorough assessment.
Authors and Affiliations
P Maharaja, S Rajendran
Keywords
Related Articles
- EP ID EP477733
- DOI 10.26611/1066210
- Views 144
- Downloads 0
Correlation of colonoscopy and histopathological diagnosis in patients presenting with pathologies of large intestine
Background: The colon is affected by a spectrum of conditions which span from infectious, idiopathic, inflammatory diseases, polyps, motility disorders and colorectal tumors. Colonoscopy is believed to be the most effect...
Study of comparison between laparascopic and open repair for ventral hernia
Objective: To study the comparison between Laparascopic and open repair for ventral hernia. Design: A prospective comparative study of all patients with ventral hernia. Results: Although open repair requires less operati...
A study on management and complications of inguinal hernia
Several risk factors have been implicated in the development of inguinal hernias, including obesity, chronic cough, prostatic enlargement, advancing age and smoking. Coughing and severe straining as occurs with constipat...
Comparative assessment of outcomes following laparoscopic verses open splenectomy for paediatric haematological disorders
Objectives: To compare the outcomes and to evaluate the safety and feasibility of laparoscopic splenectomy in children with haematological disorders as compared to open splenectomy. Methods: 65 patients underwent either...
A study of associated factors of acute peritonitis at tertiary health care centre
Background: Generalized peritonitis is a common surgical emergency in developing countries. Despite advances in surgical techniques, good antimicrobial therapy and intensive care support, it carries high morbidity and mo...