Surgical and Pre-surgical Factors Affecting Appendectomy Outcomes in Jeddah, Saudi Arabia: A Retrospective Record Review

Appendectomy is the preferred treatment for acute uncomplicated appendicitis and the most common emergency abdominal surgery. While previous studies have investigated variables affecting post-appendectomy complications, local research is limited, and data on complication rates are scarce. Therefore,...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-06, Vol.16 (6), p.e62960
Main Authors: Alkhalifah, Hussain A, Aljehani, Khalid M, Algethami, Sultan R, Alyahya, Saud A, Alzubide, Abdulaziz A, Alharbi, Rayan M, Khafaji, Hassan A, Althoubaity, Fatma K
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Age
Antibiotics
Appendectomy
Appendicitis
Body mass index
Chronic illnesses
Creatinine
Data analysis
Disease prevention
Gangrene
General Surgery
Hemoglobin
Histopathology
Hospitals
Laparoscopy
Laparotomy
Leukocytes
Males
Patients
Thromboembolism
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Summary:Appendectomy is the preferred treatment for acute uncomplicated appendicitis and the most common emergency abdominal surgery. While previous studies have investigated variables affecting post-appendectomy complications, local research is limited, and data on complication rates are scarce. Therefore, this study aimed to investigate appendectomy outcomes and the factors influencing them. This retrospective record review included all patients who underwent appendectomies at our center between 2013 and 2023, excluding those who underwent appendectomies as part of other procedures. Data were retrieved from the hospital database and recorded on predesigned Google Forms. A total of 556 patients were included. Complications occurred in 60 patients (10.8%); the most common included intra-abdominal collections (n=19, 3.4%), postoperative fever (n=13, 2.3%), and surgical site infections (n=11, 2.0%). The most frequently documented histopathological diagnoses included acute appendicitis (n=402, 72.3%), perforated appendicitis (n=109, 19.6%), and gangrenous appendicitis (n=19, 4.4%). Surgical site infection rates were higher after open appendectomies (6.0% vs. 0.9%, P=0.006), while intra-abdominal collections were more frequent after laparoscopic appendectomies (4.1% vs. 0.0%, P=0.095). Additionally, histopathology results showing complicated or chronic appendicitis were associated with higher complication rates (P
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.62960