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MODIFIED APPENDICECTOMY - Page 3

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MODIFIED APPENDICECTOMY
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TABLE NO. 1

 

Incidence of acute appendicitis, in relation to age and sex.

AGE                Male            Females

1- 10              84                     4

10-2o              06                    2

20-30              33                   23

10-40              29                   07

40-50              06                   10

50-60               02                  02

Total                84                   66

 

TABLE NO. 2

CliNICAL PRESENTATION

I    Plain in Right Iliae Fossa                                    140 Cases ( 97.2 %)

around Mc Burney's point

II Onset of Pain                               24hr              48 hours             72 hours                    More than 72 hour

72   ( 48%)       45 ( 30 % )         21 ( 14% )                   14 ( 9.2% )

 

III Fever     36 Cases (24 %)

 

IV  Nausea  - Vomitting    52 cases (34%)

 

V Change in bowel movement           24 cases ( 16%)

VI  Pulse              > 100/min.           100-120/ min.    < 120/min.

78 ( 52% )             24 ( 16% )            48 ( 32%)

 

VII  Tenderness In                 RIF                     150 (100%)

Right Flank         25 ( 16.6%)

Right abdomen   17(11.2%)

Generalized         24 ( 16%)

VIII Gaurding                         in RIF                   76 (50.6 %).

Rt.  Quadrant     25 (16%)

Rt Abdomen       22(14.6%)

IX  Rebound Tenderness                                   27 (16%)

 

Table No 3

Laborotary & Radiology

W.B.C.                                  >  10000                   <10000

66 (44%)                     84 (56% )

Poly. Morph.                        60% or more              60 % or less

78 ( 52 % )                 72 ( 48 % )

Radiology        Plain X-ray Abdomen

Paralytic Illus        15 ( 10 %)

Gas Under diaphragm   3 Cases ( 2 % )

 

Table No 4

Post operative complication

Wound infection.                                 27 ( 18%)

Wound dehiscence                              03 ( 2%)

Post appendicectomy Abscess         Nil.

Feacal fistula                                        Nil.

Paralytic ilus                                        24 ( 16 %)

Bleeding PR.                                           Nil.

Respiratory problems                           09 (6% )

 

Table No 5

Histology study

Normal Appendix                                         03 ( 2 %)

Acute appendicitis                                       51 (34%)

Catarrhal Appendicitis                                   54 (36 %)

Plegmon                                                    14 ( 16 % )

Perforation                                                 18 ( 12%)

Gangrene                                                   10 ( 6.6% )