Prevalence of appendectomy at Alwahda hospital in city of Derma, Libya. Cross-sectional survey.
DOI:
https://doi.org/10.64516/6xtqwz38Keywords:
Appendectomy, appendicitis, incidence rate, Libya.Abstract
Background: Acute appendicitis (AA) is a major common disease that need urgent surgical treatment. Appendectomy is the right choice treatment for AA. The aim of our study was to assess the prevalence of acute appendicitis and the associated risk factors at Alwahda hospital patients in Derna city, Libya.
Material and Methods: This is a cross sectional study. All patients who attend to general surgery department at Alwahda hospital and undergoing to surgical operations with different reasons from December 2020 to December 2021 were included in this study. Demographic and clinical data on patient’s age, sex, and symptoms were collected.
Result: Out of 403 patients were underwent general surgery at Alwahda hospital in period of the study. The most common reasons for surgery were GBS 116 (28.7%), appendectomy 96 (23.8%) and Brest surgery 46(11.4%). Out of 96 patients with suspect acute appendicitis, 36(37.5%) were males and 60(62.5%) were females. The incidence of AA most occurs in patients with age groups between 11-20 year 51 (53.1%) and age groups 3-10 years 32(33.3%), respectively. Most common clinical findings were abdominal pain 94(97.9%), vomiting86 (89.6%), and fever 52(54.2%). Positive Ultrasound report was 33 (34.4%), and complications of appendicitis were (19.8%). Negative rate of appendectomy was (16.6%).
Conclusion: The study shows high Prevalence rate of acute appendicitis in younger patients with high incidence of complications, which lead us to have deep thinking in way that will help in early diagnosis of acute appendicitis and to reduce the complications and negative rate of appendectomy.
References
1. M. Sartelli, F. Catena, L. Ansaloni et al., “Complicated intra- abdominal infections in Europe: preliminary data from the first three months of the CIAO Study,” World Journal of Emergency Surgery, vol. 7, no. 1, article 15, 2012.
2. Schwartz SI, Brunicardi FC. Schwartz’s Principles of Surgery. 9thed. New York: McGraw-Hill, Medical Pub. Division, 2010; p. 1073- 1082.
3. M. Takeda, Y. Higashi, T. Shoji, T. Hiraide, and H. Maruo, “Necrotizing fasciitis caused by a primary appendicocutaneous fistula,” Surgery Today, vol. 42, no. 8, pp. 781–784,2012.
4. L. H. A. Cheong and S. Emil, “Outcomes of pediatric appen- dicitis: an international comparison of the United States and Canada,” JAMA Surgery, vol. 149, no. 1, pp. 50– 55, 2014.
5. S. Chaitra, “White blood cell (WBC) as a diagnostic parameter in acute patients—a retrospective study,” International Archives of Integrated Medicine, vol. 2, no. 3, pp. 54–56, 2015.
6. M. Andersson, M. Rube ́r, C. Ekerfelt, H. B. J. Hallgren, G. Olai- son, and R. E. Andersson, “Can new inflammatory markers improve the diagnosis of acute appendicitis?” World Journal of Surgery, vol. 38, no. 11, pp. 2777–2783, 2014.
7. C.-W. Yu, L.-I. Juan, M.-H. Wu, C.-J. Shen, J.-Y. Wu, and C.-C. Lee, “Systematic review and meta-analysis of the diagnostic accuracy of procalcitonin, C-reactive protein and white blood cell count for suspected acute appendicitis,” British Journal of Surgery, vol. 100, no. 3, pp. 322–329, 2013.
8. Tan WJ, Pek W, Kabir T, Goh YC, Chan WH, Wong WK, et al. Alvarado score: a guide to computed tomography utilization in appendicitis. ANZ J Surg2013;83(10):748-52.
9. Quigley AJ, Stafrace S. Ultrasound assessment of acute appendicitis in paediatric patients: methodology and pictorial overview of findings seen. Insights Imaging 2013 Aug 31. [Epub ahead of print].
10. Alvarado A. A practical score for the early diagnosis of acute appendicitis. Ann Emerg Med 1986;15(5):557-64.
11. Soomro AG, Siddiqui FG, Abro AH, Abro S, Shaikh NA, Memon AS. Diagnostic
accuracy of Alvarado scoring system in acute appendicitis. J LiaquatUniv Med Health Sci2008;7:93-6.
12. Memon ZA, Irfan S, Fatima K, Iqbal MS, Sami W. Acute appendicitis: Diagnostic
accuracy of Alvarado scoring system. Asian J Surg2013;36(4):144-9.
13. Lohar HP. Epidemiological aspects of appendicitis in a rural setup. Medical J DY Univ. 2014;7(6):753- 7.
14. Brunicardi FC, Andersen DK, Billiar TR. The appendix. In: Schwartz's principles of surgery. 9thEdition. New York, NY: McGraw-Hill. 2012:2043- 67.
15. Rothrock SG, Pagane J. Acute appendicitis in children: emergency department
diagnosis and management. Ann Emerg Med. 2000;36:39-51.
16. Shamis I, Livshits G, Feldman U. Ethnicity and familial factors in the etiology of acute appendicitis. Am J Hum Biol. 1994;6(3):351– 8.
17. Lee JFY, Leow CK, Lau WY. Appendicitis In the elderly. ANZ J Surg. 2000;70(8):593– 6.
18. Javidi Parsijani P, PourhabibiZarandi N, Paydar S, Abbasi HR, Bolandparvaz S.
Accuracy of Ultrasonography in Diagnosing Acute Appendicitis. Bull Emerg Trauma. 2013;1(4):158-163.
19. ChaudhariYP ,Jawale PG. Prevalence of appendicitis at surgery inpatient department of atertiary care hospital: a descriptive study. Int Med J. 7. 2015;2(11):768-70.
20. Babu KS, Savitha S. A study on acute appendicitis in a tertiary care hospital in Tamil Nadu, India. IntSurg J 2017;4:929-31.
21. BioMed Research International, vol. Sevgi Buyukbese Sarsu and FatmaSarac, “Diagnostic Value of White Blood Cell and C-Reactive Protein in Pediatric Appendicitis,” 2016, Article ID 6508619, 6 pages, 2016.
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