Background: Acute perforation of the appendix is one of the complications of appendicitis that is associated with increased morbidity and mortality and hence regarded as a surgical emergency. Risk factors for perforated appencidicits include extremes of age, male sex, pregnancy, immunosuppression, comorbid medical conditions and previous abdominal surgery. Objectives: This study focuses on the pattern of presentation, risk factors, morbidity and mortality of patients managed for perforated appendicitis in our centre. Subjects and methods: We conducted a seven-year retrospective review of consecutive adult patients who had surgery for perforated appendicitis in our centre. Results: The perforation rate in the study was The peak age of presentation was between years.
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Free full text. Pan Afr Med J. Published online oct. PMID: Author information Article notes Copyright and License information Disclaimer. Keywords: Appendiculo subcutaneous fistula, appendiceal perforation, acute appendicitis. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
[Appendiculo subcutaneous fistula: a rare complication of acute appendicitis].
We'd like to understand how you use our websites in order to improve them. Register your interest. Rapid sequence induction RSI with cricoid pressure is suggested to decrease the risk of aspiration of gastric contents. However, the effectiveness of RSI has been questioned, and the technique may lead to airway and hemodynamic complications.
Acute Perforated Appendicitis in Adults: Management and Complications in Lagos, Nigeria
And yet the net value of this approach continues to be debated. Laparoscopic appendectomy is associated with a lower complication rate and a shorter period of disability in the general population. While operative costs are higher, the global cost of laparoscopic appendectomy is lower than for open appendectomy. There is a somewhat higher rate of abdominal abscess for the laparoscopic route. Laparoscopic appendectomy shows clear advantages in obese patients and in those with gangrenous or ruptured appendicitis. The laparoscopic approach is contra-indicated during pregnancy due to a higher incidence of miscarriage.