Retrospective observational study of performance in outcome of emergency appendicectomy
Abstract
Objective: The present study is aimed to investigate variations in outcome of Emergency Appendectomy being conducted in Surgery Unit- II at ESIC Medical College, Joka, Diamond Harbour Road, Kolkata, West Bengal. The main outcome interest was the normal Histopathology rate, secondary outcomes and thirty (30) days adverse events rate with varied parameters like different timings of operation, presence or absence of consultant etc.
Method: The study was performed in Surgery UNIT II in ESIC Medical College, Joka, Kolkata, and West Bengal. The trainee level Investigator was responsible for identifying patients, entering DATA in the prespecified database and ensuing completeness of data. Patients undergoing appendectomy for suspected Acute Appendicitis between Aug 2015 to Aug 2016 inclusive of all age & sex are included in this study. The study was approved by the Institutional ethical committee. The post operative complications were followed for 30 days after surgical appendectomy during day time, evening hours and night time and compared in terms of percentage of evidence.
Results: A total number of fifty (50) Emergency appedidectomy cases were studied by open surgery. Histologically Normal appendix was removed in 10 numbers of cases i.e. 20%.It was observed that the outcome percentage of daytime operation with requisite duration and by specialist consultant is far better than that of night time or evening time operation by senior trainee . It was also observed that adverse effects after 30days post operative period were significantly reduced in case of day time operation.
Conclusions: This study reveals the wide variations in practice patterns and outcome which should be addressed to improve performance.. The surgical procedure done in day time by expertise consultant can effectively reduce the adverse post operative complications.
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Copyright (c) 2016 Author (s). Published by Siddharth Health Research and Social Welfare Society
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