Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Acute appendicitis, a prevalent cause of acute abdomen, often necessitates appendectomy, one of the most common surgeries worldwide. However, accurate diagnosis remains challenging due to its varied clinical presentation, leading to unnecessary appendectomies. This study aims to evaluate the presentation and management of acute appendicitis in a tertiary care hospital in Northwestern India. A prospective observational study was conducted on adult patients aged 18 and above, diagnosed with acute appendicitis at a tertiary care hospital. Data were collected from initial evaluation in the emergency department through to discharge, including clinical assessments, ultrasound findings, intra operative evaluations and postoperative outcomes. Statistical analysis was performed to assess the association between patient variables and complications. Out of 100 patients evaluated, acute appendicitis constituted 46.4% of emergency surgeries, with a male predominance (63.9%). The mean age was 27.62 years. Symptoms averaged 51.34 hours in duration. Right lower quadrant tenderness was observed in 93.4% of patients. Ultrasound confirmed definite acute appendicitis in 73% of cases. Complicated appendicitis was more likely in patients with symptoms lasting 48 hours or more. Post‐ap pendectomy complications were observed in 4% of cases, with superficial surgical site infections being the most common. Acute appendicitis was the leading emergency surgical condition. Ultrasound was frequently used for diagnosis, leading to accurate identification of uncomplicated appendicitis in most cases. The complication rate was low, indicating effective management practices.
How to cite this article:
Mathura Prasad Agrawal, Kaushal Kumar Gupta and Anurag Pateriya. A Prospective Study to Assess Presentation and Treatment of Acute Appendicitis‐An Experience from Tertiary Care Hospital.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.46.51
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.46.51