Analysis of intraoperative findings with clinico-pathological features in appendicitis-an observational study

Authors

  • Kumar Lakshman Department of Neurosurgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India
  • Shilpashree Channasandra Shekar Department of General Surgery, Mandya Institute of Medical Sciences, Mandya, Karnataka, India
  • Naveen Narayan Department of Plastic and Reconstructive Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India
  • Suhas NarayanaSwamy Gowda Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India
  • Veena Ghanteppagol Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India
  • Sumaiya Fiyaz Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India
  • Selva Rani Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India
  • Pallavi Hosadurga Raghavendra Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20215138

Keywords:

Acute appendicitis, Chronic, Recurrent, Recurrence, Histopathological findings

Abstract

Background: Appendectomy is the most common abdominal surgery performed today. Appendicitis consists of vast spectrum ranging from acute to chronic to recurrent forms however existence of recurrent and chronic appendicitis is still doubted by many. In spite of various scoring systems and appendectomy being the ultimate treatment, its timing remains still controversial especially in chronic and recurrent variants of appendicitis.

Methods: A total of 100 consecutive cases of suspected appendicitis who were admitted investigated and treated at our centre were taken up for this observational study. Data pertaining to clinical, operative and histopathological findings were collected and tabulated. Mean and SD were used for continuous data and for categorical data, frequency and percentages were calculated. A chi-square test was used for categorical data to find statistical significance.

Results: Per operatively the appendix appeared non-inflamed in 57% of patients suggestive of chronic (recurrent) form and inflamed in 43% of patients suggestive of an acute form of appendicitis. The histopathological studies revealed chronic inflammatory cells in 63% of the resected specimens, suggestive of chronic appendicitis and acute inflammatory cells in 37% of the specimens, suggestive of acute appendicitis.

Conclusions: We conclude that the correlation of clinical findings, operative findings and the histopathological findings correlate with one another (p<0.001). The surgeon’s clinical and operative findings have specificity of around 87.30% and 90.47% respectively. Hence the diagnostic accuracy of the surgeon is directly dependent on the surgeons’ expertise and there is no substitution for an experienced surgeon’s judgement.

Author Biographies

Kumar Lakshman, Department of Neurosurgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India

Assistant Professor, Department of Neurosurgery

Shilpashree Channasandra Shekar, Department of General Surgery, Mandya Institute of Medical Sciences, Mandya, Karnataka, India

Senior Resident, Department of General Surgery

Naveen Narayan, Department of Plastic and Reconstructive Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India

Associate Professor, Department of Plastic & Reconstructive Surgery

Suhas NarayanaSwamy Gowda, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India

Assistant Professor, Department of General Surgery

Veena Ghanteppagol, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India

Post Graduate, Department of General Surgery

Sumaiya Fiyaz, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India

Post Graduate, Department of General Surgery

Selva Rani, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India

Post Graduate, Department of General Surgery

Pallavi Hosadurga Raghavendra, Department of General Surgery, Adichunchanagiri Institute of Medical Sciences, B G Nagara, Karnataka, India

Post Graduate, Department of General Surgery

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Published

2021-12-28

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Original Research Articles