Causes of acute peritonitis in 1188 consecutive adult patients in Ghana

2005 ◽  
Vol 35 (2) ◽  
pp. 84-85 ◽  
Author(s):  
Michael Ohene-Yeboah
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Communicable Diseases ◽  
Adult Patients ◽  
Emergency Unit ◽  
Ileal Perforation ◽  
Acute Peritonitis ◽  
Generalized Peritonitis ◽  
Previous Series

In a five-year prospective study,1188 consecutive adult patients were admitted and treated for acute generalized peritonitis at the Surgical Emergency Unit of the Komfo Anokye Teaching Hospital, Kumasi, Ghana. Appendicitis and typhoid ileal perforation were the commonest causes, occurring in 43.1% and 35.1% of patients, respectively. Other conditions (gastroduodenal perforations, ruptured abscesses, traumatic bowel perforations and amoebic colonic perforations) accounted for fewer than 25% of cases. This paper notes that acute appendicitis and typhoid perforation remain the leading causes of peritonitis in Ghana. Compared with previous series, the importance of appendicitis in acute peritonitis has diminished. The complications of communicable diseases now cause peritonitis more commonly than 35 years ago. This may reflect deteriorating conditions of sanitation and housing during the intervening period.

scholarly journals Evaluation of Serum Bilirubin as a Predictive Marker for Simple and Complicated Appendicitis in Sulaimani Emergency Teaching Hospital

2018 ◽  
pp. 15-20
Author(s):  
Seerwan Hama Shareef ◽  
Seerwan Hama Shareef ◽  
Dara Ahmed Mohammed ◽  
Goran Ameer Ahmed
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Serum Bilirubin ◽  
Complicated Appendicitis ◽  
White Blood Count ◽  
Total Serum ◽  
Lower Sensitivity ◽  
Specific Marker ◽  
Suspected Appendicitis

Diagnosis of acute appendicitis can be challenging in some cases as the differentials can be exhaustive. Previous studies have demonstrated that hyperbilirubinemia is a more specific marker for appendicitis than white blood count (WBC) and C-reactive protein (CRP), but this investigation is still not commonly used in the diagnostic workup of appendicitis. This prospective study aims to evaluate serum bilirubin as a laboratory marker for simple and complicated appendicitis. We also investigated the diagnostic value of bilirubin in acute appendicitis and compared it with the WBC. In this prospective study, all patients who underwent appendicectomy at the Sulaimani Emergency Teaching Hospital between 1st November 2016 to 1st January 2017 were included. Preoperative total serum bilirubin was measured and compared with the final histopathology report. Patients were divided into 3 groups: non-inflamed appendix, simple appendicitis and complicated appendicitis. One hundred and 75 patients were analysed, 90 of them were females and 85 were males. Hyperbilirubinemia was found in 63% of patients with complicated appendicitis (p=0.001). Mean of bilirubin was significantly different between patients with complicated appendicitis and non-complicated appendicitis (1.101 vs 0.75 mg/dl; p= 0.0017). Bilirubin had a higher specificity (85%) than WBC (36%), but a lower sensitivity (63% vs 89%) for differentiating complicated appendicitis. Patients with suggestive features of acute appendicitis and raised serum bilirubin indicate a complicated case requiring early intervention to prevent peritonitis and septicaemia. Hyperbilirubinemia is a good indicator for complicated appendicitis and serum bilirubin measurement can be included in the work up of patients with suspected appendicitis.                       

scholarly journals Incidence of and risk factors for postoperative delirium in older adult patients undergoing noncardiac surgery: a prospective study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Arissara Iamaroon ◽  
Titima Wongviriyawong ◽  
Patumporn Sura-arunsumrit ◽  
Nattikan Wiwatnodom ◽  
Nichakarn Rewuri ◽  
...  
Keyword(s):  
Risk Factors ◽  
Prospective Study ◽  
Older Adult ◽  
Postoperative Delirium ◽  
Noncardiac Surgery ◽  
Adult Patients ◽  
A Prospective Study

The 17‐year outcome of 62 adult patients with longstanding eating disorders—A prospective study

2021 ◽  
Author(s):  
Hanna Punsvik Eielsen ◽  
KariAnne Vrabel ◽  
Asle Hoffart ◽  
Øyvind Rø ◽  
Jan H. Rosenvinge
Keyword(s):  
Eating Disorders ◽  
Prospective Study ◽  
Adult Patients ◽  
A Prospective Study

scholarly journals The impact of COVID-19 on emergency surgical presentations in a university teaching hospital

2021 ◽  
Author(s):  
Ahmed M. Kamil ◽  
Matthew G. Davey ◽  
Fadi Marzouk ◽  
Rish Sehgal ◽  
Amy L. Fowler ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Teaching Hospital ◽  
Historical Data ◽  
Severe Disease ◽  
University Teaching ◽  
Readmission Rates ◽  
Descriptive Data ◽  
Operative Complications ◽  
Hospital Patients ◽  
The Impact

Abstract Introduction The Coronavirus-19 (COVID-19) pandemic has led to a 50–70% reduction in acute non-COVID-19 presentations to emergency departments globally. Aim To determine the impact of COVID-19 on incidence, severity, and outcomes of acute surgical admissions in an Irish University teaching hospital. Methods Descriptive data concerning patients presenting with acute appendicitis, diverticulitis, and cholecystitis were analysed and compared from March–May 2020 to March–May 2019. Results Acute surgical admissions decreased in March from 191 (2020) to 55 (2019) (55%), before increasing by 28% in April (2019: 119, 2020: 153). Admissions due to acute cholecystitis reduced by 33% (2019: 33, 2020: 22), with increased severity at presentation (P = 0.079) and higher 30-day readmission rates (P = 0.056) reported. Acute appendicitis presentations decreased by 44% (2019: 78, 2020: 43, P = 0.019), with an increase in severity (P < 0.001), conservative management (P < 0.001), and post-operative complications (P = 0.029) in 2020 compared to the same period in 2019. Conclusion COVID-19 has potentiated a significant reduction in acute surgical presentations to our hospital. Patients presenting with acute appendicitis during the pandemic had more severe disease, were more likely to have complications, and were significantly more likely to be managed conservatively when compared to historical data.

EP.WE.162Correct consenting for Vascular Patient

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Hasan Khalaf ◽  
A. Behbahani ◽  
Aideen Walsh
Keyword(s):  
Patient Satisfaction ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Practice Guideline ◽  
Surgical Practice ◽  
Wide Range ◽  
Effective Relationships ◽  
Questionnaire Form ◽  
A Prospective Study ◽  
Vascular Patient

Abstract Introduction Surgeons must establish and maintain effective relationships with patients and, where appropriate, with their supporters. Before surgery, surgeons should strive to have an honest and sensitive discussion with patients about their options for treatment that leads to informed and deliberate consent. The aim of this study is to compare our consent practice in the vascular department in Royal Stoke Teaching Hospital against consent guideline in the Best surgical practice and to if we are meeting patient satisfaction. Method A prospective study of 30 patients from 21/09/2020 to 21/10/2020. Questionnaire form was designed based on the best surgical practice guideline and was given to the patient to fill. We include patients admitted for elective vascular procedures, wide range ages. The questionnaire Results Most of the of the patient (90%) were consented by the professionals who provide the treatment. 63% of the patients asked for further information in the form pf leaflets or websites. 70% of them request to know the recent guidelines of their procedures. Only 13% of them had a copy of the consent prior to surgery. Recommendations We must provide the patients with further information, Recent guidelines, and a copy of the consent to take home prior to surgery day. This can be achieved by consenting them before the operation day.

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