POST OPERATIVE COMPLICATIONS IN PATIENTS OPERATED FOR APPENDICITIS, AN EXPERIENCE IN PIMS PESHAWER.

Abstract

BACKGROUND: Appendicitis is one of the most common acute abdominal states of illnesses. Most
of the patients presented to our surgical emergency department are suffering from acute appendicitis.
Early diagnosis and treatment reduce the mortality and morbidity of acute appendicitis significantly.
The aim of the study was to determine the post operative complications of acute appendicitis.
OBJECTIVE: The objective of this study is to know postoperative complications of open
appendicectomy and its related morbidity and mortality in patients presenting to PIMS Hospital
Peshawar, KPK.
MATERIAL AND METHODS: This study was conducted in General Surgical Unit, Peshawar
Institute of Medical Sciences (PIMS) from June 2015 to July 2016. The design of the study was
descriptive type. Patients coming to emergency or surgical OPD were examined after detail history,
investigation and then operated. Postoperative complications of appendicectomy along with other
findings were noted.
RESULTS: 100 patients were admitted and operated, 86% were male and 14% female, 54% were in
the age range of 21-30 years. Most (80%) presented with pain right iliac fossa of 1 day duration,
majority (76%) presented in typical way. mass formation was found in 9% cases. Inflamed appendix
was commonest in (82%) cases, perforated appendix (12%) and normal appendix found in (6%) cases.
Among the complications, wound infection was recorded in (20%), intra-abdominal abscess (8%),
paralytic ileus (5%), intestinal obstruction (4%) and (1%) case of each DVT, bleeding and death were
noted.
CONCLUSIONS: variations in signs and symptoms lead to delay in diagnosis and high rate of posop complications like wound infection , intra-abdominal abscess , paralytic ileus , intestinal obstruction , DVT, bleeding and death.
KEY WORDS: appendicitis, post-operative complications.