Abstract: Background: Appendicular disease is considered one of the major medical problems in adult population. Acute or chronic Appendicitis usually presents an emergency in terms of both diagnostic urgency and therapeutic intervention. Delay in diagnosis further delays treatment, which leads to emergency complications like Appendicular Perforation, Appendicular Abscess etc.
Method: 70 adult patients aged between 35 to 65 clinically diagnosed with Appendicitis were carried out by a standard three-port technique for laparoscopic appendicectomy or open appendicectomy. The operative time was calculated from skin incision to the skin closure and patient recovery from general anesthesia. The laparoscopic appendicectomy was done as and when deemed necessary.
Results: In the clinical manifestations, 70 (100%) had tenderness in the right iliac fossa, 49 (70%) had fever, 7 (10%) had vomitings, 14 (20%) had leucocytosis. 19 (27%) patients needed emergency treatment, 36 (51%) had elective therapy. Out of 70 patients 44(63%) had Open Appendicectomy, 11(16%) Laparoscopic Appendicectomy, 5(7%) had complications and 10(14%) patients were treated conservatively. Out of 70 patients diagnosed as Appendicitis 49(70%) were Male patients and 21(30%) were Female patients. The organisms observed post-surgically were 33(47%) E. coli, and 6(9%) had Klebsella, 4 (6%) had Streptococcus 12(17%) had no organism as patients had cultured due to early healing.
Conclusion: Early detection and early treatment of Appendicitis will prevent Emergency Operation morbidity and mortality in patients.
