The common motives for appendectomy in Hail Region Saudi Arabia

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Abstract

Background

Appendectomy remains the most common emergency surgery. With the lack of literature from Saudi Arabia regarding the treatment for appendix disorders, this study aimed to identify the common motives for appendectomy in Northern Saudi Arabia.

Methodology

Data referring to be resected appendix patients who were diagnosed during the period from January 2018 to December 2018 were included in the present study. The diagnosis of the resected appendix was confirmed by conventional histopathology.

Results

The most common cause for the appendectomy was acute appendicitis followed by gangrenous perforated appendicitis, chronic appendicitis, and lymphoid hyperplasia, representing 85/129(66%), 33/129(26%), 8/129(6%), and 3/129(2%), in this order.

Conclusion

Appendectomy is a common procedure for the treatment of a large section of patients with appendicitis and appendicitis like clinical features. Acute appendicitis was the most motive for appendectomy followed by gangrenous perforated appendicitis in Northern Saudi Arabia.

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Most cited references 12

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The epidemiology of appendicitis and appendectomy in the United States.

DAVID G ADDISS, NATHAN SHAFFER, BARBARA S. FOWLER … (1990)

To describe the epidemiology of appendicitis and appendectomy in the United States, the authors analyzed National Hospital Discharge Survey data for the years 1979-1984. Approximately 250,000 cases of appendicitis occurred annually in the United States during this period, accounting for an estimated 1 million hospital days per year. The highest incidence of primary positive appendectomy (appendicitis) was found in persons aged 10-19 years (23.3 per 10,000 population per year); males had higher rates of appendicitis than females for all age groups (overall rate ratio, 1.4:1). Racial, geographic, and seasonal differences were also noted. Appendicitis rates were 1.5 times higher for whites than for nonwhites, highest (15.4 per 10,000 population per year) in the west north central region, and 11.3% higher in the summer than in the winter months. The highest rate of incidental appendectomy was found in women aged 35-44 years (43.8 per 10,000 population per year), 12.1 times higher than the rate for men of the same age. Between 1970 and 1984, the incidence of appendicitis decreased by 14.6%; reasons for this decline are unknown. A life table model suggests that the lifetime risk of appendicitis is 8.6% for males and 6.7% for females; the lifetime risk of appendectomy is 12.0% for males and 23.1% for females. Overall, an estimated 36 incidental procedures are performed to prevent one case of appendicitis; for the elderly, the preventive value of an incidental procedure is considerably lower.

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Review of the pathological results of 2660 appendicectomy specimens.

Ravi Marudanayagam, Hywel T P Williams, Brian I. Rees (2006)

Appendicitis is the most commonly performed emergency abdominal surgery. The appendix can also be the site of a variety of neoplasms and unusual inflammatory conditions. A retrospective review was performed to determine the pathological diagnoses in appendicectomy specimens. This study is a retrospective analysis of 2660 appendicectomies performed from 1997 to 2003. The reports were analyzed for the following parameters: age-related incidence of acute appendicitis, seasonal variation in presentation, perforation rate, rate of negative and incidental appendicectomy, and the incidence of other pathologies encountered. Of the 2660 appendicectomy specimens, acute appendicitis was seen in 1718 patients (64.58%), with a peak in patients in their second decade (35.09% of cases of acute appendicitis). The perforation rate was 13.9% and was significantly higher in patients aged 70 years or more (P < 0.001). The negative appendicectomy rate was 28.8%, and was significantly higher in female patients (P < 0.001) and in the 11-30 year age group (P < 0.001). Other pathologies include carcinoid (0.52%), adenocarcinoma (0.39%), and mucinous cystadenoma (0.60%). The high rate of negative appendicectomy among female patients and the increased incidence of perforation in elderly patients reinforce the validity of the judicious use of laparoscopy in these populations. There are still a number of unusual histologies found in appendicectomy specimens supporting the continued use of routine histology.

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Overview and diagnosis of acute appendicitis in children.

Charity C Glass, Shawn Rangel (2016)

Appendicitis represents the most common abdominal surgical emergency in the pediatric age group. Despite being a relatively common condition, the diagnosis of appendicitis in children can prove to be challenging in many cases. The goal of this article is to review the predictive utility for presenting signs and symptoms, laboratory tests, and imaging studies in the diagnostic work-up of appendicitis. Furthermore, we sought to explore the predictive utility of composite measures based on multiple sources of diagnostic information, as well as the utility of clinical pathways as a means to streamline the diagnostic process.

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Author and article information

Journal

Journal ID (nlm-ta): AIMS Public Health

Journal ID (iso-abbrev): AIMS Public Health

Journal ID (publisher-id): PublicHealth

Title: AIMS Public Health

Publisher: AIMS Press

ISSN (Electronic): 2327-8994

Publication date (Electronic): 3 March 2020

Publication date Collection: 2020

Volume: 7

Issue: 1

Pages: 114-122

Affiliations

[1 ]Department of Clinical Laboratory, College of Applied Medical Sciences, University of Hail, Hail, Saudi Arabia

[2 ]Consultant, Histopathology, King Khalid Hail Hospital, Hail, Saudi Arabia

[3 ]College of Medicine, University of Hail, Hail, Saudi Arabia

[4 ]Department of Histopathology and Cytology, FMLS, University of Khartoum, Sudan

[5 ]King Khalid Hail Hospital, Clinical Pathology Department, Hail, Saudi Arabia

[6 ]College of Applied Medical Sciences, Department of Clinical Laboratory Science, Shaqra University, Saudi Arabia

[7 ]College of Dentistry, University of Hail, Saudi Arabia

Author notes

* Correspondence: Email: fawazaboff@ 123456gmail.com .

Article

Publisher ID: publichealth-07-01-011

DOI: 10.3934/publichealth.2020011

PMC ID: 7109526

SO-VID: 45f4b26f-32a6-4509-960d-18c9849c1774

License:

This is an open access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0)

The common motives for appendectomy in Hail Region Saudi Arabia

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Abstract

Background

Methodology

Results

Conclusion

Related collections

Research from Sudan

Most cited references 12

The epidemiology of appendicitis and appendectomy in the United States.

Review of the pathological results of 2660 appendicectomy specimens.

Overview and diagnosis of acute appendicitis in children.

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