Effectiveness of early take-up of emergency appendicectomy in reducing the operative and postoperative complications

Abstract

Background: One of the most common abdominal emergency encountered in surgical casualty is acute appendicitis, emergency laparoscopic or open appendectomy is the commonest emergency procedure performed all over the world. When the patient presents late to the hospital or when there is a delay in diagnosis, the common complications that occur are appendicular gangrene or perforation. In our study, we are measuring the effectiveness of reducing the complications based on the patient’s contribution and early in the diagnosis of appendicitis and its treatment.Methods: Retrospective study conducted between February 2020 to April 2020 of all Acute appendicitis Patient who underwent Emergency open/laparoscopic appendectomy in our hospital.Results: Out of 66 patients, 12 patients had surgical site infection among which 9 were female and 3 were male. 6 patients presented after 2 days of onset of symptoms, 3 patients presented after 3 days, 3 patients presented after 4 days. All patients were operated within 12 hours of hospital admission. All patients underwent open appendicectomy and intra-operatively 9 patients had gangrenous appendix and 3 patients had appendicular mass.Conclusion: This study revealed that complication rates were more in patients who presented late to the hospital and all had gangrenous appendix intra-operatively and all underwent an open appendectomy. Therefore, we suggest that surgeons would decide the appropriate timing of appendectomy from the time of admission without any delay even though patients delay in presentation.