POSITION, TYPES OF APPENDICITIS AND ITS RECOVERY TIME AFTER APPENDECTOMY IN TERTIARY CARE HOSPITALS OF PESHAWAR AND ABBOTTABAD
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Keywords
variations, appendix, appendectomy, histopathology of appendix, demography.
Abstract
Objectives: This study aims to determine the anatomical variation of appendix and its relationship with acute and chronic appendicitis with recovery time after appendectomy.
Material and methods: This was a cross-sectional study with 350 sample size in which 209 males and 141 females. They were from different ages and sexes. Exclusion criteria was severe burnt patient, patient with congenital anomalies and abdominal surgery, peritonitis, and any other reason which can change the anatomical position of appendix while inclusion criteria was patient visiting to the surgery department for abdominal pain, patient age from 10 to 60 years. The anatomical position was determine during surgery.
Results: It was a cross sectional descriptive study done in tertiary care hospitals of Peshawar, lady reading hospital ,Hayatabad medical complex, Khyber teaching hospital Peshawar and Abbottabad KPK. The sample size was 350 and age was from 10 to 60 years, meaning age was 28.78. Among 350 sample size 60% were male while 40% were female living rural 39% and 60.7% were living in urban areas. the age was divided into five intervals patients from 10-20 years were visiting to hospital for appendectomy were 31% , 21-30 years were 36% , 31-40 years were 13% , 41—50 years were 9.1% while 51-60 years were 9.7% the recovery time after laparoscopy was 83% patients in one day while in open surgery was 81% patients in one day. Patient were mostly Pushto speakers 68.1%, while minority were 4.8% and urdu speakers were 26%. The chronic and acute appendicitis was 10% and 90% respectively.
Conclusion: The study concluded that retrocecal was the common position with 90% acute appendicitis and recovery of majority of patients were in both laparoscopic and open surgery was in one day.
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Dr. Arsalan Shah Roghani
MBBS, Resident Surgeon, MTI - Khyber Teaching Hospital, Peshawar, Pakistan.
Dr. Mubashar Khan
MBBS, Medical Officer, Rehman Medical Institute, Peshawar, Pakistan.
Dr. Maryam Karim
MBBS, Lecturer, Department of Anatomy, Pak International Medical College, Peshawar, Pakistan.
Dr. Amjad Ali Shah
MBBS, FCPS Surgery, HOD and Consultant General Surgeon, Northwest School of Medicine Peshawar, Pakistan.
Dr. Syeda Gulrukh Saba, Shah
MBBS, MPhil Anatomy, CHPE. CHR, Assistant Professor Anatomy Department, Kabir Medical College, Gandhara University, Peshawar, Pakistan.
Dr. Faizan Shah Roghani
MBBS, Resident Surgeon, MTI- Hayatabad Medical Complex Peshawar, Pakistan.