Surgical Management of Appendicitis and its Complications - A Retrospective study

Abstract

Introduction- Appendicitis is the most common abdominal emergency managed by the general surgeons. In spite of it being common, complications due to delayed presentations or due to severity of this condition make management difficult many a times. The aim of this study was to show the current experience in managing appendicitis and its complications at a tertiary care premiere medical college hospital which is a referral centre with patients from 3 surrounding neighboring states. Materials and method – A retrospective study was carried in our unit between January 2012 to December 2012. Results- Acute appendicitis was the commonest presentation and open appendicectomy, even today, is the commonest surgery done in our unit and department. Around 47.83% of patient with appendicitis have some form of complications and 86.96% of the total patients required surgical intervention. Though there was no mortality, around 8.7 % of the patients developed complications following surgery. 85.37% of the patients had undergone emergency surgeries. Conclusion – Appendicular mass is the most common complication of appendicitis. Open appendicectomy was performed more frequently compared to laparoscopic appendicectomy.