A CLINICAL STUDY OF APPENDICITIS WITH RELATION TO INTRA OPERATIVE POSITION AND POST OPERATIVE OUTE COME

Author:

Vubbara Sivakumar1,Naik Krishna2,Anusha Anusha3

Affiliation:

1. Post graduate, department of general surgery, Viswabarathi medical college, penchikalapadu, Kurnool.

2. Professor and HOD, department of General surgery, Viswabarathi medical college, penchikalapadu, Kurnool.

3. Assistant Professor

Abstract

Background/ objectives Clinical picture of appendicitis varies with position of appendix and is a subject of controversy with many questions. The objective is to study the various positions of appendix and relation of the position to clinical Presentation and postoperative outcome. All patients undergoing appendectomy in viswabharathi medical college, Kurnool betweenMethods: march 2021 to march 2022 are included in this study. There were total 50 cases, commonest position of appendix is Retro-caecalResults: (32.6%), Followed by post-ileal (26.6%), pelvic (21.3%), paracaecal (8%), sub caecal (5.3%), pre-ileal (4%). Certain positions like xed retro- caecal, pelvic and post- ileal presented more often atypically. Only 3 of 29(10.3%) cases with typical presentation had complications whereas 11 of the 21 cases (52.4%) with atypical presentation had complications.

Publisher

World Wide Journals

Reference11 articles.

1. Wakely CPG. The position of vermiform appendix as ascertained by the analysis of 10,000 case J.Anat 1933; 67 : 277-283.

2. Collins DC.71,000 human appendix specimens: a final report, summarizing 40 years study. Am J proctol 1963;14:365-381.

3. pickens G,EllisH, the normal vermiform appendix at C.T visualization and anatomical location. Clin. Anat, 1993;6:9

4. Guidry SP, Poole GV. the anatomy of appendicitis. Am surg.1994 jan;60(1):68-71

5. poole GV. Anatomic basis for delayed diagnosis of appendicitis. South Med J.1990 jul;83(7):771-773.

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