Complication After Appendicectomy:

Mohammed Mostafa Abdel Wahab

Acute appendicitis is coasidered e~ one of themost frequent oause of per8istiag, progrEls8ive abdoll1nal’Pain in teenager8, end i8 a oOUlon,80me1;ime8oonfU8ing,and often treaoherous cause of en acute e~bdomen at allages.There are someaetiologioal facto]~s for aoute appendicitiswere taken into coasideration liS anatomicalooasideration, obstruction of the luaen c>fthe appendix,familial susceptibility race and diet, ~ld trauma. Butnon of them can give a full idea about the proble1llof whyacute appendicitis oocurs. It was suggellted that the removalof the appendix particularly edter age 40 was associatedwith en increased expeotation of ·the developmentof malignancy, but no conneotion between appendicectomyand the development of a cancer could be descemed.A good nombreof the conditions ~~at enter intothe differential di~08is of appendicit:is require operativetherapy. If they do not, at least ’they are notusually madeworse by en exploratory operation. Butmedical diseases are important to be dif:ferentiated asno benefit comes to the patient if aD.OpEtrationis performed.The majori ty of deaths occur in iJd’aDt.s and inthe aged. The IIlOrtality involved in treding youngadults with mild appendicitis oonBervati,rel,y seems tobe between 1/850 and 1/2300, whereas the death rate ofappendicectomy for acute append10itis wi1~houtgangreneor perforation is 1/2600, and the death J~ateof apppendicectolllJ’is1/5000. In our study the dea1~hrate was NOn.Postoperative complications occur in only 5 % ofpatient if an unperforated appendix remond iatact, butin over 30% of patients with gangreaous c)r perforatedappendicitis. The more frequent oompl1cliLtionsof appeadicectolllJ’include woundinfection, pelvic” subphrenic andiatra-peri toneal abscesses, faecal fistula, pyelephlebitisand intestinal obstruction. Woundintec’tiona account forone third of all IIlOrbidity; the presence of gangrene orperforation increases the morbidit,y from 40 to 50 percent.Our study showedthat woundinfection W&iS the most cOlDllloncomplication whioh formed 44.5 % from all oomplications.Then peritonitis whioh accounts 22.2% of them, then faecalfistula, paralytic ileus and ino1&ional hernia (11.1%)each of them accounts 11.1% from all eomplioations.