STUDY TO ASSESS THE OUTCOME OF TIME GAP BETWEEN ONSET OF SYMPTOMS AND SURGERY IN CASES OF ACUTE APPENDICITIS AT TERTIARY CARE HOSPITAL

Dr Mahendra Lodha; Dr Suresh Kumar Rulaniya; Dr Ashok Puranik; Dr Chhanwar Lal; Dr Yash Kumar Parihar

Volume : VII, Issue : XI, November - 2018

STUDY TO ASSESS THE OUTCOME OF TIME GAP BETWEEN ONSET OF SYMPTOMS AND SURGERY IN CASES OF ACUTE APPENDICITIS AT TERTIARY CARE HOSPITAL

Dr Mahendra Lodha, Dr Suresh Kumar Rulaniya, Dr Ashok Puranik, Dr Chhanwar Lal, Dr Yash Kumar Parihar

Abstract :

Aim: Acute appendicitis is the most common surgical emergency. Though few studies have correlated the delay in treatment with the incidence of complications.This study is aimed at quantifying the delay to definitive care of acute appendicitis and it also makes an attempt at understanding the reasons for delay.

Methods: This prospective observational study was performed at Tertiary level hospital with total 153 patients and 2 years durations.

Results: Out of 153 patients, 28 (18.30%) patients presented within 12 hours, 52 (33.99%) patients presented within 12–18 hours, 37 (24.18%) presented in 19–24 hours and 36 (23.53%) patients presented after a delay of more than 24 hours.

Conclusion and Recommendation: The pre–hospital delay forms the predominant part of total delay in treatment, Delay caused by the use of imaging in cases of acute appendicitis is not associated with complicated appendicitis so we recommended that patients should be worked up adequately preoperatively in order to reduce incidence of negative appendectomy.