A study on perforated and nonperforated appendicitis admitted in JLNMCH, Bhagalpur

Dr. Chandramauli Upadhyay; Dr. Md. Faizan Sarwar

Volume : VI, Issue : VII, July - 2017

A study on perforated and nonperforated appendicitis admitted in JLNMCH, Bhagalpur

Dr. Chandramauli Upadhyay, Dr. Md. Faizan Sarwar

Abstract :

Appendicitis is common cause of acute abdomen admitted in emergency. In this study we compared the patients with appendicitis and perforated appendicitis admitted in our emergency department. Materials and Method: In this study, 80 cases were taken with any age. Study was done in surgery department of JLNMCH, Bhagalpur, Bihar from April 2016 to March 2017. All cases were registered fulfilled the inclusion criteria and exclusion criteria. Age, sex, symptoms, duration, types of surgery performed, postoperative complications, mortality, and duration of hospital stay were analysed. Results– Out of 80 patients 50 were male and 30 were females. The average age group of presentation was 28 years. The most common presenting complaint was abdominal pain in appendicitis and abdominal pain with distension and not passing stool and flatus in perforated appendicitis. Symptom duration was higher in perforated appendicitis. Patients with perforated appendix had high Alvarado score. Appendicectomy was the most commonly done operation in 70 cases. The average duration of the operation was about one hours. Incidence of gangrenous and suppurative appendicitis was higher in cases of perforated appendicitis Wound infection was the most common post operative complication in 10 cases of appendicitis and 21 cases of perforated appendicitis. Average number of days hospital stay was 7 days in appendicitis and 15 days in perforated appendicitis. Mortality was noted in 5 cases of perforated appendicitis. Conclusion–Both are emergency conditions and should be operated as soon as possible to prevent the associated mortality. Appendicectomy was the choice of operation. Patients with longer duration of pain have higher incidence of perforation. Alvarado score can predict the likelihood of perforation