Operative Intervention Vs Percutaneous Drainage in Treatment of Appendicular . | ||
| Zagazig University Medical Journal | ||
| Article 12, Volume 31, Issue 4, April 2025, Pages 1513-1518 PDF (726.26 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/zumj.2025.343659.3734 | ||
| Authors | ||
| Ahmed El teliti* 1; Bassam Rabieh Mahmoud2; Mohammad Alsayed Gomaa(Gomaa,M)3; Ahmed Mohamed Mahgoub4 | ||
| 1General surgery zagazig university | ||
| 2General Surgery Department, Faculty of Medicine, Zagazig University, Egypt. | ||
| 3DEPARTMENT OF GENERAL SURGERY ZAGAZIG UNIVERSITY | ||
| 4general 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. | ||
| Keywords | ||
| Aappendicular abscess; Operative drainage; Percutaneous drainage; Surgery | ||
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