A Study of Etiology and Management of Post Appendectomy Right ILLIAC FOSSA Pain

Abstract

ABSTRACT
Introduction : Appendectomy is one of the commonest abdominal operation performed during emergency hours
for acute appendicitis. Acute appendicitis is essentially a clinical diagnosis supported by haematological and
radiological investigation. But few patients continue to visit surgical OPD for continuous pain in right iliac fossa
even post appendectomy. Aims & objectives : The aim was to evaluate the patients who continue to visit hospital
even post appendectomy at Shardaben General Hospital affiliated with SMTNHLMM Ccollege, Ahmedabad,
during the period from June 2016 to August 2018. Materials & methods : All patients presented with pain in right
iliac fossa symptom was the criteria for selection of patients. These patients investigated to find out underlying
organic cause. Functional patients were subjected for psychological counseling and evaluation. Observation &
Discussion: In present study, we enrolled around 28 patients with complaints of pain in right iliac fossa even after
appendectomy. 60% were female and 40% were male . 22 patient means 78%, were in the age group of 20 to 40
years may be due to maximum stress in life. 1 patient means 3.5% diagnosed with stump appendicitis which was
confirmed radiologically. Patient was offered conservative management and responded well. In our study patient
who underwent laparoscopy has better outcome than open surgery. Conclusions : Patients who are coming with
recurrent pain in right iliac fossa after appendectomy, should not be neglected and should be thoroughly
investigated.. We can prevent further complications if patient is treated in time.