Volume 7

Number 2 July 2023

Timing of Surgery and the Risk of Complications in Acute Appendicitis

DOI: https://doi.org/10.70357/jdamc.2023.v0702.04

Islam MN1 , Sarkar P2 , Islam MS3 , Kudrat-e-khuda I M4 , Hussain MT5 , Datta KK6 , Benarjee S7

Abstract

Background: Delays surgery in patients with acute appendicitis there may be increase the risk of various complications. These risks must be balanced with the theoretical risk of night time operations.

Objective: To evaluate the effect of time of surgery for acute appendicitis on surgical outcomes to optimize the timing of appendectomies.

Materials and methods: This was a cross-sectional comparative study carried out in the Department of Surgery of Diabetic Association Medical college Hospital Faridpur from January 2016 to December 2021.The study population consisted of 400 patients who were diagnosed as acute appendicitis. They were separated in 2 groups according to timing of surgery, under 24 hours (group A) and 24 to 96 hours (group B) from the time of symptoms appear and had their rate of complications like perforation of appendix, post operative paralytic ileus, pelvic abscess, infection of surgical wound assessed.

Result: One hundred forty patients underwent surgery less than 24 hours after symptoms appear (group A) and Two hundred sixty patients were operated between 24 to 96 hours of symptoms appearance. Groups A and B had significant difference regarding the complications.

Conclusions: In our study, timing of surgery for acute appendicitis had great impact on the occurrence of complications.

Keywords: Acute Appendicitis, Appendix Perforation, Intra abdominal Abscess, Antibiotic Therapy, Wound Infection


  1. Assistant Professor, Department of Surgery

    Diabetic Association Medical College, Faridpur

  2. Assistant Professor, Department of Orthopedic Surgery

    Diabetic Association Medical College, Faridpur

  3. Junior consultant, Department of Surgery

    Rajshahi Medial College Hospital, Rajshahi

  4. Assistant Professor, Department of Surgery

    Rajshahi Medical College, Rajshahi

  5. Assistant Registrar, Department of Surgery

    Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur

  6. Assistant Registrar, Department of Surgery

    Diabetic Association Medical College Hospital, Faridpur

  7. Assistant Registrar (Obs &Gynae)

    Bangabandhu Sheikh Mujib Medical College Hospital, Faridpur

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Volume 7, Number 2 July 2023
Page: 13-17