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Evaluation of Period from Onset till Operation in Acute Appendicitis | ||
| Kerbala Journal of Medicine | ||
| Article 1, Volume 6, Issue 2, 2013, Pages 1637-1643 PDF (0 K) | ||
| Authors | ||
| Nabaa Haider; Ameer Hassan Saaed; Abdul Razzak Kalaf Hassan | ||
| Abstract | ||
| background: The vermiform appendix, is a small blind tubular structure ,and in no way a vestigial organ but a specialized structure without any definitely known function, probably concerned with the establishment and maintenance of the body defense , immunity of the body and other benefits in the surgery. Its importance in surgery results from propensity for inflammation, which results in the clinical syndrome called acute appendicitis which is the most common cause of acute abdomen in surgery, and results in the most frequently performed abdominal operations. Objectives: Even the most experienced physicians and surgeons are not able to diagnose appendicitis 100% of the times, thus many patients wait a period of time ranging from one to several hours until they receive a treatment, so we evaluate the period of time from onset of symptoms till the definitive treatment in acute appendicitis. Methodology: An observational cross sectional study based on a standardized preformed questionnaire contains 20 questions answered directly by the patient who underwent a surgical removal of the appendix in the surgical department of Al -Hussain medical city for the period 1010 -10122012, and Fisher Exact test used for data analysis Results: A total 100 cases where interviewed, 42% of cases their waiting time more than 24 hours before receiving the definitive treatment and perforation occurred in 6% of cases, and perforation rate was higher among patients who wait more than 24 hrs before operation, but with no statistical significance. Conclusion: The overall period from onset of symptom till operation in acute appendicitis was acceptable as compared to many scientific and clinical based studies and didn't seem to associated with significant incensement of complication. | ||
| Keywords | ||
| vermiform appendix; blind tubular structure; vestigial organ; appendicitis | ||
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