GET THE APP

Early Appendectomy for Acute Appendicitis in Adults: Is it Valuable? | Abstract
Logo

International Journal of Medical Research & Health Sciences (IJMRHS)
ISSN: 2319-5886 Indexed in: ESCI (Thomson Reuters)

Abstract

Early Appendectomy for Acute Appendicitis in Adults: Is it Valuable?

Author(s):Ashraf Abdelazeem Mohamed, Fauwaz Fahad Al Rashid and Elzahraa Ibrahim Khalil

Objectives: Despite much progress in surgery, controversy still exists as regard the timing of appendectomy. This study aims at determining the relationship between pathological severity, complications, hospital stay and timing of appendectomy. Patients and methods: All patients diagnosed as acute appendicitis at Surgery Department in Minia University Hospital over the year 2018 were included. Patients<18 years, patients not recognizing the exact time of symptom onset and patients with negative appendicitis in pathology examination were excluded. The diagnosis was confirmed by ultrasound or CT prior to surgery. Pre-hospital, in-hospital and whole elapsed times were recorded. Macroscopic appearance and stage was described at surgery. Postoperative complications and hospital stay were recorded. Results: The number of included patients was 182; 119 males and 63 females. The mean age was 30.5 ± 6.19 years. Advanced age was significantly associated with advanced pathology (p<0.001). The mean temperature was 37.8 ± 0.75°C with significant associated between high temperature and advanced pathology (p<0.001). Mean WBC count was 12,380 ± 0.98 cells/µL with significant correlation between leukocytosis and advanced pathology (p<0.001). Advanced pathology was significantly correlated to pre-hospital elapsed time (Range 31.26 ± 3.74 to 52.30 ± 2.92 h) and to whole elapsed time (Range 43.43 ± 3.75 to 66.62 ± 2.82 h). Hospital stay (1.66 ± 0.30 days for stage 1 up to 7.50 ± 0.51 days for stage 4) and complication rate (4% for stage 1 up to 100% for stage 4) significantly correlated to advanced pathology (p<0.001). Conclusion: Early appendectomy may stop the pathological progress with subsequent reduction in complication rate and hospital stay. So, early appendectomy is recommended.


Archive
Scope Categories
  • Clinical Research
  • Epidemiology
  • Oncology
  • Biomedicine
  • Dentistry
  • Medical Education
  • Physiotherapy
  • Pulmonology
  • Nephrology
  • Gynaecology
  • Dermatology
  • Dermatoepidemiology
  • Otorhinolaryngology
  • Ophthalmology
  • Sexology
  • Osteology
  • Kinesiology
  • Neuroscience
  • Haematology
  • Psychology
  • Paediatrics
  • Angiology/Vascular Medicine
  • Critical care Medicine
  • Cardiology
  • Endocrinology
  • Gastroenterology
  • Infectious Diseases and Vaccinology
  • Hepatology
  • Geriatric Medicine
  • Bariatrics
  • Pharmacy and Nursing
  • Pharmacognosy and Phytochemistry
  • Radiobiology
  • Pharmacology
  • Toxicology
  • Clinical immunology
  • Clinical and Hospital Pharmacy
  • Cell Biology
  • Genomics and Proteomics
  • Pharmacogenomics
  • Bioinformatics and Biotechnology
  • Google scholar citation report
    Citations : 2979

    International Journal of Medical Research & Health Sciences received 2979 citations as per google scholar report

    International Journal of Medical Research & Health Sciences peer review process verified at publons

    paper.io

    agar io

    wowcappadocia.com
    cappadocia-hotels.com
    balloon-rides.net

    wormax io

    Elektronik Sigara
    Elektronik Sigara