Clinicopathological observations on incidental appendicectomy in a tertiary care teaching hospital, Ranchi (original) (raw)
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International Journal of Healthcare Sciences , 2020
Acute appendicitis constitutes one of the most common surgical conditions, and the significance of uniquely related clinical entities in the diagnosis remains controversial. It is a disease of the children and young adults but covering all the age groups. This study aims to ascertain the various lesions of the appendicectomy specimen in a tertiary hospital setting, northwestern of Cameroon. METHOD: This retrospective cross-sectional descriptive study was conducted to do a critical appraisal on the histopathology reports of all appendectomy specimens submitted to the Pathology department, Central Laboratory of a Tertiary Hospital, Northwestern region of Cameroon from January 2011 to January 2016. Patient's socio-demographical data, clinical presentations were extracted from the request form. The data were analyzed using SPSS version 22, thereafter presented with descriptive and inferential statistics. RESULTS: During the 5-year study period under review, an estimated 683 appendicectomy specimens were received, constituting about 12% of the overall total samples. The age of patients in this study is ranged between 14 and 78 years, with an overall interquartile median of 20.12 ± 5.12 years. Histopathologically confirmed acute appendicitis was found in 86.9% of our cases, while other lesions constitute 13.1%, and negative appendectomy occurred in 4.5% of the cases. CONCLUSION: The incidence of acute appendicitis remains low, especially in the rural communities of Africa. We, therefore, conclude that the current study spanned the entire gamut of pathological processes that involve the appendix and provides a fair idea about the clinicopathological correlation in appendectomy specimens.
Appendicitis and Appendectomy: A Retrospective Survey in South Indian Population
Appendectomy is the surgical procedure of removal of appendix. The inflamed or diseased condition of appendix also known as appendicitis is a common occurrence and is a surgical emergency. It commonly occurs due to obstruction of its lumen. The comprehensive information about the trends in the clinical profile of the appendicitis and appendectomy and pattern of its variation with respect to age and gender may help in clinical updates. Hence, this study included a review of case records of all appendectomy patients in a South Indian hospital since the last five years. The data was collected and analysed statistically. A total of 2402 appendectomy operations were found since the last five years (2006-2010). Among them, 1114 cases were males (46%) and 1288 were females (54%).Total number of 1961 (81.6%) cases of appendectomies were performed for the removal of an inflamed appendix and in remaining 441 (18.4%) cases, appendectomy was done along with the other procedures such as hysterectomy, and colectomy. The incidence of appendicitis and appendectomy were higher in females. The survey revealed, higher incidence rate among 16-30 year age group followed by 31-45 and 1-15 years.
Clinicopathological review of surgically removed appendix in Central Nigeria
Alexandria Journal of Medicine, 2014
Background: Acute appendicitis is a disease of the young presenting in children and early adolescents although no age group is exempt. It is the most common cause of acute surgical abdomen worldwide. This clinicopathological study aims to determine the various lesions of the surgically removed appendix in our centre and if any, changing trend in this lesion in our environment. Method: A retrospective study was undertaken to review the histopathology reports of all appendicectomy specimens submitted to the
International Surgery Journal
Background: Appendectomy is one of the most commonly performed procedures in abdominal surgery and the laparoscopic approach is gradually replacing the conventional laparotomy for acute appendicitis.Methods: A total of 108 patients with acute appendicitis who underwent laparoscopic appendectomy at JLNM Hospital Srinagar over a period of five years were evaluated in terms of feasibility and safety of the procedure at the District level hospital. It was an observational study.Results: The age of the patient ranged between 16 and 43 years, with 68 males and 40 females. Most (76.85%) of the patients had un-ruptured inflamed appendix. The mean operative time was 43 minutes with no intra-operative complications. Two patients required conversion to open surgery. Mean duration of hospital stay was 1.7 days. Eight patients had post-operative complications which were managed conservatively.Conclusions: Laparoscopic appendectomy is safe and feasible in expert hands, and can be done using low c...
A Histopathological Study of the Appendix after Surgical Resection
Scholars Journal of Applied Medical Sciences, 2021
Original Research Article Introduction: Acute appendicitis is one of the most common causes of acute abdomen that demands emergency surgery. It is a clinical condition with an ongoing diagnostic challenge. Sometimes grossly normal-appearing appendix, removed from patients with suspected acute appendicitis, on histopathological examination may reveal a more serious underlying pathology. Hence, histopathological studies form the gold standard for diagnosis of acute appendicitis. Faecoliths are the usual cause of obstruction, though there are many other causes, ranging from inflammatory conditions to malignancies. Aim: To study histopathological patterns of appendicitis in all the patients who underwent appendicectomy at our institution to correlate with the clinical diagnosis. Materials and Method: This is a study of 460 appendicectomies carried out at Sylhet Women's Medical College and Hospital during a period of 1year from August 2017 to July 2018. Clinical data was collected from patients and corresponding appendicectomy specimens were submitted to histopathology department of Sylhet Women's Medical College and were processed routinely. Sections obtained were studied to determine various histopathological patterns in appendicectomy specimens. Results: A total of 460 specimens were analyzed. 276(60%) were females and 184(40%) were males. The histopathological examination showed acute appendicitis (69.18%), chronic appendicitis (8.48%), acute suppurative appendicitis (8.07%), eosinophilic appendicitis (2.83%), and carcinoid tumor (1.08%), and parasitic infestation (1.40%), mucocele of appendix (0.8%). Negative appendiectomy rate was found to be (8.70%). Conclusion: Appendicities has a peak incidence in second and third decade of life. Most of the cases in this study were diagnosed with usual features of appendicitis, though a few of them were essential incidental diagnoses which were missed preoperatively or intraoperatively. These important incidental diagnoses undeniably support the importance of routine histopathological examination of all appendectomy specimens after appendectomy.
The Professional Medical Journal, 2020
Objectives: To analyse the pattern and morphologies of all the surgically resected appendices in the surgical emergency of holy family hospital in relation to gender, age and the percentage of negative appendectomies. Study Design: Descriptive Cross Sectional study. Setting: Surgical Unit 1 Holy Family Hospital, Rawalpindi. Period: January 2013 to April 2019. Material & Methods: 1993 patients (1011 males, 982 females) which underwent appendectomy were included in this study. Structured proforma was made. All the specimens were sent to pathology lab for histopathology. Detailed histopathological report was received in the OPD follow-up of the patient. All the data was analysed using SPSS version 22. Results: Acute appendicitis (57.3%) was the most common morphology followed by suppurative appendicitis (11.1%). One case was carcinoid tumour (0.05%). The incidence of negative appendectomy was 8.42% while the incidence of perforated appendix was 3.5%. Conclusion: Appendicitis is one of ...
Audit of Surgery For Acute Appendicitis in National Medical College and Teaching Hospital, Birgunj
Journal of Nepalgunj Medical College, 2017
Background: Acute appendicitis is one of the most common surgical emergencies in the world. The purpose of this study is to know clinical profile and outcome of surgery in patients with acute appendicitis. Materials and methods: This retrospective study was done in National Medical college and Teaching Hospital, Birgunj, Nepal from 2013 April to 2016 April. A total of 184 patients with suspected appendicitis who underwent surgery were included in the study. Patient's demographics, clinical features, white blood cell count, operative findings, histology report and outcome of surgery were recorded on patient's proforma. Results: Among 184 nd patients, 115 were males (62.5%) and 69 were females (37.5%). The majority of our patients were in the 2 decade (36.4%) followed rd by 3 decade (33.2%) with only 41.3% presenting within 24 hours of onset of symptoms. The most common symptoms were abdominal pain (100%), vomiting (68.5%), fever (37.5%) and history of migration of pain was present in 60.9%. Localized and generalized abdominal tenderness were present in 91.8% and 8.2% respectively. The most common incisions were gridiron (64.1%) and Lanz (27.2%). The negative appendicectomy rate was 9.2%. Acute appendiceal inflammation and gangrenous appendicitis was present in 69% and 4.9% respectively. The perforation rate was 16.8%. Post operative complications included surgical site infection (12.6%), complete wound dehiscence (1.1%) and chest infection (1.6%). The median length of hospital stay was 8 days. There was no mortality. Conclusion: Acute appendicitis is more commonly seen in young adults. Majority of patients present late in hospital. This delay presentation increases morbidity and treatment cost.
National Journal of Laboratory Medicine, 2019
Introduction: Acute appendicitis is the most common abdominal emergency and has remained an on going diagnostic challenge. Histopathologic studies are the gold standard for final diagnosis. Aim: To study the histopathological features of appendix and utility of Ultrasonography (USG) in diagnosis of appendicitis. Materials and Methods: A two-year retrospective study from 1st January 2016 to 31st December 2017 of 472 appendectomy cases. Demography, clinical findings, radiologic and laboratory studies, histopathology findings were analysed. Results: Among the 472 appendectomy cases 283 (59.95%) were males and 189 (40.04%) were female patients. Most of the patients presented in the 3rd decade. Mean age was 29.25± 15.09 years (median age-26). Most common histopathological finding was Acute Appendicitis with Perforation comprising of 187 cases (39.61%) followed by acute appendicitis comprising of 117 cases (24.78%). Unusual findings were tubercular appendicitis. Most common neoplasm was L...