An Analysis of 287 Patients Operated With a Preoperative Diagnosis of Acute Appendicitis

Year 1986, Volume: 39 Issue: 3 , 265 - 278 , 30.09.1986

Mehmet Uğur Yılmaz

https://izlik.org/JA54JD27ZY

Abstract

Following results have been obtained by an analysis of 287 patients operated with a preoperative diagnosis of acute appendicitis, at the Department of Surgery, University of Ankara School of Medicine, between January 1, 1980 and January 1, 1981, Of the operated patients, 165 (57.5 96) were male and 122 (42.5 Ve) were female. The age of the patients ranged from 2 to 95 years with a mean age of 25.6 years. Most of the patients were in 11-20 year age group. The negative appendectomy rate (diagnostic error) was 22.6 W. The ratio of pregnant woment was 1.39 Ye, and in this group a higher ratio of perforated appendicitis has been observed. At operations, mostiy vertical incisions have been prefered, although such vertical incisions have enhanced complications such as wound infections. No positive effect of peritoneal drainage on the prognosis has been observed in the patients with perforated appendicitis or with localised peritonitis, but wound infections have been increased. Most of the postoperative complications were wound suppurations, and the overall morbidity was 244 W. The mortality rate was 0.69 ©, and the average period of hospital stay was 7.9 days.

Keywords

ACUTE APPENDICITIS , appendectomy , histopathological

Ethical Statement

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Akut Apandisit Ön Tanısı İle Ameliyat Edilen 287 Hastanın Analizi

https://izlik.org/JA54JD27ZY

Abstract

nkara Üniversitesi Tıp Fakültesi Genel Cerrahi Kliniğinde 1 Ocak 1980 ile 1 Ocak 1981 tarihleri arasında akut apandisit ön tanısı ile ameliyat edilen 287 hastanın analizinden aşağıdaki sonuçlar elde edilmiştir : Ameliyat edilen hastaların 165'i (7X 57.5) erkek ve geri kalan 122'si (46 42.5) kadındır. Yaş ortalaması 25.6 olup, en küçük hasta iki, en yaşlı hasta 95 yaşındadır. Hastaların çoğunluğu 11-20 yaş gurubunda bulunmaktadır. Negatif appendektomi oranı (tanı hastası) 6 22.6'dır. Gebe hastaların oranı 1.39 olup, bu gurupta perfore apandisit oranı daha yüksek olarak gözlenmiştir. Ameliyat girişimlerinde özellikle vertikal kesiler tercih edilmiş olup, bu tip kesiler yara enfeksiyonlarını arttırmışlardır. Perfore apandisitli ve lokalize peritonitli hastalarda yara drenajının prognoz üzerine hiçbir olumlu etkisi görülmediği gibi, bunlar aksine yara enfeksiyonunu arttırmıştır. Ameliyat sonu komplikasyonların büyük çoğunluğunu yara süpürasyonları oluşturmaktadır (96 14.63). Toplam morbidite oranı W 224, mortalite oranı © 0.69 ve ortalama hastanede kalma süresi 7.9 gündür.

Keywords

AKUT APANDİSİT , appendektomi , histopatolojik

Ethical Statement

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Supporting Institution

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Project Number

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Thanks

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