Acute appendicitis - incidence of perforated appendicitis

Abstract

The prospective study was carried out in West Surgical Ward, Mayo Hospital, Lahore during the year 2003 consisting of 200 patients. There was slight preponderance of males 102(51%) to females 98(49%). Age ranged from 13-75 years with the mean of 28.2 years. Appendicectomy was done in all patients by making gridiron incision in 165(82.5%), muscle cutting in 15(7.5%), Lanz`s incision in 16(8%) and right Para-median in 4(2%) patients. Regarding position of the appendix, retroceacal was the most common, found in 160(80%) and pelvic position in 31(15.5%) patients. Perforated appendix was delivered in 10(5%) patients with male to female ratio 4:1. Postoperative complications observed in the series were wound infection in 11(5.5%), prolonged ileus in 2(1%) and gastritis in 2(1%) patients. All the complications were managed according to their own protocol. No mortality was recorded in the series.