Terms of hospitalization and morphological forms of appendicitis: experience of a versatile hospital of an emergency medical service

Abstract

It was performed a comparative analysis of the hospitalization and operation terms with morphological changes of appendices, removed from 316 patients with acute appendicitis, treated at the St.-Petersburg Research Institute of Emergency Care named after I.I. Janelidze for the year 2017. The patients were from 19 to 91 years old, with an average age of 36,2±13,63 years. Among the patients, there were 188 (59,5%) men and 128 (40,5%) women. The period from the onset of the disease to the moment of hospitalization ranged from 1,5 to 264 hours (11 days), the median was 14 hours, mode – 24 hours, 75% percentile – 24 hours, 25% percentile – 7 hours. Histological examination of removed appendices revealed catarrhal appendicitis in 23 (7,3%) cases, phlegmonous in 232 (73,4%), gangrenous in 48 (15,2%) cases, chronic appendicitis in 1 (0,3%) case. In 3 (0,9%) cases dense appendicular infiltrates were diagnosed and treated conservatively. Tumors were detected in 6 (1,9%) cases. The time required for hospitalization of patients with catarrhal appendicitis was from 2,75 to 120 hours from the onset of the disease, the median – 14 hours, mode – 6 hours, 75% percentile – 24 hours, 25% percentile – 6 hours. The duration of the examination and observation from the moment of appellation for medical treatment to the operation was from 2,68 to 35 hours, the median – 7 hours, mode – no, 75% percentile – 10,9 hours, 25% percentile – 4,5 hours. The period from the moment of onset of the disease to operation was from 7,5 to 120 hours, the median – 24 hours, mode – 36 hours, 75% percentile – 36 hours, 25% percentile – 16,8 hours. Observation in doubtful cases compensated early hospitalization and reduced number of operations for catarrhal appendicitis to 7,3%. At the same time, there was only 1 (0,3%) case of the removal of appendix with signs of only chronic appendicitis.

Keywords

appendicitis / appendectomy / morphological forms of appendicitis / catarrhal appendicitis / terms of hospitalization in hospital / terms of operation / complications of appendicitis / Kocher symptom

References

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RIGHTS & PERMISSIONS

Egorov V.I., Kozarenko A.V., Egorov S.V.