DOI: https://doi.org/10.36347/sjams.2024.v12i08.029

Pages: 1102-1109

Introduction: Appendicitis is a prevalent acute surgical condition, with a lifetime risk of 7%-8%. While it typically begins with luminal obstruction, complicated appendicitis involves bacterial overgrowth, tissue necrosis, and potential perforation, leading to significant morbidity. Aim of the Study: This study aimed to comprehensively review the outcomes associated with various surgical techniques in managing complicated appendicitis. Methods: This prospective observational study was conducted from August 1, 2023, to July 31, 2024, at various hospitals in Cumilla, Bangladesh. A total of 80 patients with confirmed complicated appendicitis were included. Data were collected on demographic characteristics, preoperative symptoms, imaging findings, surgical techniques used, and postoperative outcomes. Surgical techniques compared included open appendectomy, laparoscopic appendectomy, interval appendectomy, and primary peritoneal drainage. Key outcomes analyzed were complication rates, length of hospital stay, postoperative pain (measured by Visual Analog Scale), wound infection rates, and surgical success rates. Results: Primary peritoneal drainage had the highest complication rate (27.3%) and longest hospital stay (10.5 ± 4.3 days). Interval appendectomy showed the lowest complication rate (6.7%) and shortest hospital stay (4.3 ± 1.7 days). Postoperative pain was lowest in the interval appendectomy group (3.6 ± 0.8), and wound infection rates were highest in primary peritoneal drainage (18.2%). Surgical success rates were highest for interval appendectomy (93.3%) and laparoscopic appendectomy (92.3%). Conclusion: Interval appendectomy and laparoscopic appendectomy are associated with better outcomes in terms of lower complication rates, shorter hospital stays, and reduced postoperative pain compared to open appendectomy and primary peritoneal drainage.