scholarly journals Clinical-epidemiological profile of acute appendicitis at tertiary care institute of Bhuj, Kutch: a retrospective study

2019 ◽  
Vol 6 (4) ◽  
pp. 1368
Author(s):  
Kamlesh Vegad ◽  
Ghanshyam Parmar
Keyword(s):  
Retrospective Study ◽  
Acute Appendicitis ◽  
Tertiary Care ◽  
Young Males ◽  
Patient Demographics ◽  
Care Institute ◽  
Surgical Emergencies ◽  
Evolutionary Phase ◽  
Epidemiological Profile ◽  
Operative Findings

Background: Acute appendicitis is one of the commonest surgical emergencies in all ages and the importance of specific elements in the clinical diagnosis remains controversial. Present study was performed with an aim to determine the presenting pattern of acute appendicitis and to review the pathological diagnosis.Methods: Present retrospective study was conducted in 115 patients who had appendicectomy for acute appendicitis at the Department of Surgery, tertiary care institute of Gujarat, India for the period of 1 year. The complaints and physical examination findings of the patients were obtained from their medical files Patient demographics, clinical features, operative findings and histology results were recorded on a special patient proforma.Results: Out of the total of 115 patients studied, 70 were males while 45 were females. The most common presenting complaints were abdominal pain (n=115), Nausea (n=55), vomiting (n=77) and diarrhoea (n=14). At surgery, 68.6% of appendices were apparently inflamed.1.7% were perforated and 5.2% had appendicular abscess whereas in 24.3% cases faecolith with inflammation was present. Sixty percent of the patients were discharged on the 4th day, 5.2% were discharged on 5th day, 4.3% on 6th day, 25.2% on 7th day and 3.4% on 8th day and 1.7% had a hospital stay of 10 or more days.Conclusions: Present study shows that acute appendicitis in India is a disease of young males. Hospitalization time was directly associated with the evolutionary phase and increased with the severity of appendicitis.

scholarly journals Clinicopathological correlation of acute appendicitis undergoing emergency appendicectomy in a tertiary care hospital of Gujarat: a retrospective study

2019 ◽  
Vol 6 (9) ◽  
pp. 3201
Author(s):  
Mrugesh Chudasama ◽  
Pallav Patel
Keyword(s):  
Retrospective Study ◽  
Acute Appendicitis ◽  
Iliac Fossa ◽  
Tertiary Care ◽  
Clinical Signs ◽  
Vermiform Appendix ◽  
Study Patient ◽  
Care Hospital ◽  
Delayed Presentation ◽  
Operative Findings

Background: Acute appendicitis is acute inflammation and infection of the vermiform appendix, which is most commonly referred to simply as the appendix. The aim of this study was to determine the presenting pattern of acute appendicitis and to review the pathological diagnosis.Methods: This retrospective study was conducted in the general surgery department at tertiary care institute of Gujarat for the period of one year. One hundred patients who were attending department of surgery diagnosed as acute appendicitis were selected for the study. Patient demographics, clinical features, operative findings and histology results were recorded on a special patient proforma.Results: The most common presenting complaints were abdominal pain (n=100), nausea (n=54), vomiting (n=80) and diarrhoea (n=7). As for clinical signs 100% of the patients in this study had some degree of right iliac fossa tenderness. Open appendicectomy was performed in 62% of the patients and laparoscopic appendicectomy in 38% of the patients. 66% of the patients presented within 24 hours of the onset of symptoms whereas 28% presented 24-48 hours after the onset of symptoms.Conclusions: Diagnosis of acute appendicitis obvious based on strongly positive clinical presentation. Present study shows that acute appendicitis in India is a disease of young males. On further sub-classification of acute appendicitis, uncomplicated acute appendicitis seems to be the most common. Delayed presentation is associated with greater morbidity. 

scholarly journals Evaluating serum bilirubin levels in acute appendicitis and appendiceal perforation

2020 ◽  
Vol 8 (3) ◽  
pp. 859
Author(s):  
Rajandeep Singh Bali ◽  
Rajni . ◽  
Yawar Watali ◽  
Shyam Kumar Gupta ◽  
Geetanjali Gupta
Keyword(s):  
Retrospective Study ◽  
Acute Appendicitis ◽  
Serum Bilirubin ◽  
Tertiary Care ◽  
Study Group ◽  
Surgical Emergencies ◽  
Diagnostic Modalities ◽  
Tertiary Care Hospitals ◽  
Appendiceal Perforation

Background: Acute appendicitis is one of the commonest surgical emergencies. Authors undertook this study to evaluate serum bilirubin levels in acute appendicitis and appendiceal perforation.Methods: A retrospective study evaluating the serum bilirubin levels in acute appendicitis and appendiceal perforation was carried out for 6 years at three tertiary care hospitals at India from 2014 to 2019. Patients having acute appendicitis and appendiceal perforation, confirmed on histopathology, with no other medical or surgical comorbidity were included in the study.Results: The total number of our study subjects was 927. 306 patients had appendiceal perforation, amongst these, 226 (74%) had hyperbilirubinemia. Out of the 621 patients having acute appendicitis only 186 (30%) had hyperbilirubinemia. The lowest and the highest serum bilirubin levels of this study group were 0.6 and 3.1 mg/dl, respectively, with an average of 1.6 mg/dl. In patients diagnosed to be having acute appendicitis, the lowest and highest serum bilirubin levels were 0.6 and 2.4 mg/dl, respectively, with an average of 1.3 mg/dl. As for the patients having appendiceal perforation the lowest and highest serum bilirubin levels were 0.8 and 3.1 mg/dl, respectively, with an average of 1.8 mg/dl.Conclusions: Hyperbilirubinemia is seen in acute appendicitis but predominantly in appendiceal perforation, so serum bilirubin estimation may help us in diagnosing appendiceal perforation pre-operatively if and when used in conjunction with other available diagnostic modalities.

scholarly journals Epidemiological profile of cancer patients attending tertiary care teaching hospital: a record based retrospective study

2020 ◽  
Vol 7 (9) ◽  
pp. 3542
Author(s):  
Aji Antony ◽  
Sujatha K. ◽  
Senthil Kumar S. K. ◽  
Sree Supria P. R. ◽  
Palaniappan V.
Keyword(s):  
Retrospective Study ◽  
Cancer Prevention ◽  
Cancer Patients ◽  
Tamil Nadu ◽  
Demographic Data ◽  
Tertiary Care ◽  
Lower Class ◽  
Cancer Registries ◽  
College Hospital ◽  
Epidemiological Profile

Background: Cancer, the second leading cause of death worldwide is one of the most dreaded non-communicable diseases. Cancer incidence and demographic data form an important basis for cancer prevention. However, the data available through cancer registries are limited. Thus, the present study aimed to describe the epidemiological profile of cancer patients registered in our hospital.Methods: A record based retrospective study was done assessing the records of the cancer patients, admitted during the year 2017 at Coimbatore Medical College Hospital. The data collected included the epidemiological information like demographic details, place distribution and the type of cancer.Results: A total of 1192 confirmed cases of cancer were studied. Among the study subjects, 1014 (50.9%) patients were male and the age group of 50-69 had the maximum percentage of cancer cases (1121 cases, 56.3%). Most cases came from western Tamil Nadu (1138 cases, 95.5%) and majority of them belonged either to lower (560 cases, 46.6%) or upper lower class (548 cases, 45.9%). The lip, oral cavity and pharynx was the type of cancer having the maximum number of cases (429 cases, 36%) and had high proportion in comparison with world level and national statistics. Nearly 57% cases presented with regional extent of disease.Conclusions: The epidemiological factors leading to high incidence of cancer should be analysed and steps towards cancer prevention should be initiated by altering the associated risk factors.

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