Surgical characteristics of appendectomy in the eastern region of the democratic republic of congo: a cross-sectional study.

Autor:	Masimango G; Faculty of Medicine, Official University of Bukavu.; Faculty of Medicine, Official University of Bukavu., Cakwira H; Faculty of Medicine, Official University of Bukavu.; Faculty of Medicine, Catholic University of Bukavu., Oduoye MO; College of Medical Science, Ahmadu Bello University, Zaria., Onesime J; Faculty of Medicine, Official University of Bukavu.; Faculty of Medicine, Université libre des pays des grands lacs, Goma, DR Congo., Otobo DD; College of Medical Science, Ahmadu Bello University, Zaria., Kibukila F; Faculty of Medicine, Official University of Bukavu.; Faculty of Medicine, Official University of Bukavu., Banga S; Faculty of Medicine, Official University of Bukavu.; Faculty of Medicine, Official University of Bukavu., Akilimali A; Faculty of Medicine, La Sapientia Catholic Univversity, Goma, DR Congo., Suvvari TK; Department of Surgery, Rangaraya Medical College, Kakinada, Andhra Pradesh, India., Kyaruzi VM; Department of Surgery, School of Medicine, Muhimbili University of Health and Allied Sciences, Dar es salaam, Tanzania., Rehman IU; Department of Surgery, Shifa International Hospital and Shifa Tameer e Millat University, Islamabad, Pakistan., Bavurhe RF; Faculty of Medicine, Official University of Bukavu.; Faculty of Medicine, Official University of Bukavu., Nyakio O; Faculty of Medicine, Official University of Bukavu.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2023 Jun 17; Vol. 85 (7), pp. 3764-3768. Date of Electronic Publication: 2023 Jun 17 (Print Publication: 2023).
DOI:	10.1097/MS9.0000000000000966
Abstrakt:	Appendectomy is a surgical procedure performed on a patient with acute appendicitis and is often performed by surgery and performed in an emergency. The authors have carried out this study, which aims to describe the surgical characteristics of appendectomies. Methods: This retrospective, descriptive, and documentary cross-sectional study was conducted from October 2021 to October 2022. Within this time ~591 acute abdominal surgical procedures were performed, including 196 appendectomies performed in the general surgery department. Results: This study focused on 196 appendectomies performed out of a total of 591 surgeries performed, with an incidence of 34.2%. 51 cases (26%) for the age group between 15 and 20 years, 129 cases (65.8%) of women participated in the appendectomy. 133 (67.8%) acute appendicitis, 48 (24.5%) appendicular abscess and 15 (7.7%) appendicular peritonitis were indications for appendectomies. For the American Society of Anesthesiologists (ASA) score: for the ASA I, 112 (57.1%) of the patients had no conditions other than those requiring surgery (appendectomy). For the Altemeier classification, the authors recorded 133 (67.9%) own surgeries. 56 (28.6%) surgical site infections followed by 39 (19.8%) inflammation (swelling and redness), 37 (18.8%) pain, 24 (12.4%) purulent peritonitis, 21 (10, 7%) postoperative hemorrhage and 19 (9.7%) paralytic ileus and 157 (80.1%) patients benefited from medical treatment. Conclusion: The low incidence of complications related to laparotomy appendectomy has been reduced to a minimum thanks to the respect of sanitary measures and the quality of the technique. Competing Interests: The authors declare that they have no conflicts of interest. (Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc.)
Databáze:	MEDLINE
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