Evaluation of Period from Onset till Operation in Acute Appendicitis
Kerbala Journal of Medicine,
Volume 6, Issue 2, Pages 1637-1643
Abstractbackground: The vermiform appendix, is a small blind tubular structure ,and in no
way a vestigial organ but a specialized structure without any definitely known
function, probably concerned with the establishment and maintenance of the body
defense , immunity of the body and other benefits in the surgery. Its importance in surgery
results from propensity for inflammation, which results in the clinical syndrome called acute
appendicitis which is the most common cause of acute abdomen in surgery, and results in the
most frequently performed abdominal operations.
Objectives: Even the most experienced physicians and surgeons are not able to diagnose
appendicitis 100% of the times, thus many patients wait a period of time ranging from one to
several hours until they receive a treatment, so we evaluate the period of time from onset of
symptoms till the definitive treatment in acute appendicitis.
Methodology: An observational cross sectional study based on a standardized preformed
questionnaire contains 20 questions answered directly by the patient who underwent a
surgical removal of the appendix in the surgical department of Al -Hussain medical city for
the period 1010 -10122012, and Fisher Exact test used for data analysis
Results: A total 100 cases where interviewed, 42% of cases their waiting time more than 24
hours before receiving the definitive treatment and perforation occurred in 6% of cases, and
perforation rate was higher among patients who wait more than 24 hrs before operation, but
with no statistical significance.
Conclusion: The overall period from onset of symptom till operation in acute appendicitis
was acceptable as compared to many scientific and clinical based studies and didn't seem to
associated with significant incensement of complication.
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