Skip to main content

Evaluation of Outcome of a Rare Presentation of Appendicitis | Chapter 04 | New Insights into Disease and Pathogen Research Vol. 2

Introduction: Acute appendicitis is the inflammation of the vermiform appendix and it is the most common intra-abdominal surgical emergency. Therefore, perforated appendicitis is rarely accompanied by pneumoperitoneum and that apparent rarity of association of pneumoperitoneum and acute appendicitis prompted us to discuss this condition.

Materials and Methods: This retrospective study reviewed all cases of acute abdomen with pneumoperitoneum admitted in King Abdulaziz University Hospital from January 2011 to December 2015. Only cases with acute appendicitis were selected to be in the study, Leucocytic count and C-reactive protein, as well as plain X-ray abdomen in erect position and C.T.scan were reviewed preoperatively.

All demographic data (age, gender), as well as the clinical details which included relevant  investigations results, in addition to the perioperative data (the type of the performed operative procedure, operative time and the hospital stay with reference to the postoperative complications for each patient), all were collected and analyzed by IBM-SPSS version 22.

Results: Pneumoperitoneum due to perforated appendix was found in 7 out of 131 cases in this study (5.3%), with male predominance 6/7, with a mean age of 29.7 years. The documented postoperative complications were pulmonary complications; intra-abdominal pus collection (pelvic and subphrenic) as well as wound dehiscence, all were found post conventional exploratory laparotomy cases.

Conclusion: The study documented the rarity of pneumoperitoneum due to perforated appendix. Therefore, it should be considered as a cause of acute abdomen with pneumoperitoneum, imaging studies were very essential to visualize these cases, Laparoscopic approach provided better outcome than the conventional laparotomy approach.

Author(s) Details

Dr. Ahmed Makki
Department of Surgery, King Abdulaziz University, Saudi Arabia.


Popular posts from this blog

A Prospective Study about Safety and Efficacy of Perioperative Lidocaine Infusion | Chapter 09 | New Horizons in Medicine and Medical Research Vol. 8

 Opioids cause clinically significant side effects such as respiratory depression, immunosuppression, muscle rigidity, negative inotropism, nausea, vomiting, hyperalgesia, urine retention, postoperative ileus, and drowsiness. Perioperative opioids are a major contributor to the United States' and other countries' opioid epidemics. Non-opioid analgesics, particularly lidocaine, are becoming more common for perioperative use as a result of this. A total of 185 adult patients were randomly assigned to one of two groups: control group I (105 patients) [fentanyl group] or group ii (80 patients) [opioid-free anaesthesia group]. Lidocaine 1.5 mg/kg bolus followed by 1.5 mg/kg/h infusion intraoperatively, and 1.5-2 mg/kg/h infusion for 2-8 hours postoperatively were given to patients in both groups at anaesthetic induction. Intraoperatively, both groups received analgesic adjuvants such as diclofenac 75 mg, paracetamol 1 gm, and mgso4 30-50 mg/kg. If the mean arterial pressure (map)

A Brief Study of Middleware Technologies: Programming Applications and Management Systems | Chapter 15 | Novel Research Aspects in Mathematical and Computer Science Vol. 1

  Many platforms, services, applications, hardware, and operating systems are connected through the middleware layer. Because the middleware layer abstracts much low-level complexity and makes applications and software systems portable, it allows disparate systems to interface and function together in harmony. Middleware technologies enable software engineers to swiftly construct software systems and applications, allowing developers to focus on more important tasks. This chapter examines several types of middleware systems and discusses middleware capabilities, middleware operation, middleware's function in cloud-based systems, and the best middleware platforms to use. Middleware systems are widely utilised and can be found in practically any software system or application. Middleware programmes provide as a link between many sorts of systems and protocols. They serve as a mechanism for various systems. To successfully exchange information, it runs on a variety of operating system

Patients’ Perspective of Acute Post-operative Pain Management: A Multicentre Survey of Tertiary Hospitals in Maharashtra, India | Chapter 08 | New Horizons in Medicine and Medical Research Vol. 8

 When postoperative pain is adequately controlled, patients' satisfaction and patient-related outcomes (PROs) increase. Understanding the patients' perspective is crucial since it supports in the formulation of improvement strategies. Because wrong attitudes and assumptions might block pain alleviation, patients' attitudes and beliefs are critical. As a result, a multicenter study of patients' attitudes, beliefs, experiences, and satisfaction levels with acute postoperative pain management was done in Maharashtra's tertiary hospitals. In addition, the responses were examined to evaluate if the Acute Pain Service (APS) resulted in improved patient outcomes and satisfaction. A 13-item questionnaire adapted from previous studies was used to capture patients' experiences with postoperative pain treatment. The responses of 179 patients are included in the study. The findings revealed that 91.6 percent of patients experienced postoperative pain, with 75.5 percent