Operative Intervention Vs Percutaneous Drainage in Treatment of Appendicular .

Document Type : Original Article

Authors

1 General surgery zagazig university

2 General Surgery Department, Faculty of Medicine, Zagazig University, Egypt.

3 DEPARTMENT OF GENERAL SURGERY ZAGAZIG UNIVERSITY

4 general surgery faculty of medicine zagazig university zagazig Egypt

Abstract

background : One of the most common surgical diseases that requires immediate care is acute appendicitis. Appendicular perforation or abscess has been seen in approximately 2–6% of hospital visits. A significant morbidity rate may result from this emergency, which is performed in response to recurrent untreated perforated appendicitis. aim of the work: This study aims to assess the results of surgical and percutaneous drainage for appendicular abscesses.

methods : Using a computed tomography (CT) scan, we identified an abscess as a collection of fluid adhering to the appendix. Patients with abscesses were divided into 3 Grades: 1 (less than or equal to 3 cm), 2 (greater than 3cm) and 3 (extended to the pelvic cavity) based on Jeffrey's scale.



Results : Surgical drainage (group I) and radiologic (ultrasonography or CT-guided) percutaneous drainage (group II) were the two therapy options offered to enrolled patients. Findings: Of the 67 instances, 23 (34.3%) patients had surgery, and 44 (65.6%) had percutaneous drainage. Patients who were males were 37, 55.2%, and those who were females were 30, 44.7%. We found that the operational intervention group II had only one failure case, while the percutaneous radiologic drainage group I had 84.1% (37 cases) of successful outcomes and a 15.9% (7 cases) failure rate.

conclusion : We came to the conclusion that abscesses smaller than 6 cm can be effectively treated with percutaneous drainage.

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Zagazig University Medical Journal
Volume 31, Issue 4
April 2025
Pages 1513-1518

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