Study of acute appendicitis among surgery inpatients of a secondary care hospital


  • Shashidhara Puttaraju Department of General Surgery, JSS Hospital, Chamarajanagar, Karnataka, India
  • Abirami Kailasam Department of General Surgery, JSS Medical College, Mysuru, Karnataka, India



Acute appendicitis, Pain in abdomen, Appendectomy


Background: Pain in abdomen is one of the most common symptoms which patients presented at emergency department, which seeks urgent medical attention and treatment. Acute appendicitis is one among the predominant acute abdominal surgical emergency. This condition may be associated with complications and significant rise in morbidity and even mortality if there is a delayed diagnosis and treatment.

Methods: This was a hospital based descriptive study of the patients admitted in the department of General Surgery of JSS Hospital, Chamarajanagar, between June 2017 and August 2019, with clinically diagnosed acute appendicitis, which was confirmed on ultrasonography, postoperatively confirmed by histopathology.

Results: The present study showed that acute appendicitis was most common among the age group of 11-30 years (57.3%) and more among the males (58.8%). The surgery done for acute appendicitis was open appendectomy, done for 82.4% of the cases, 16.2% of the cases required laparotomy with peritoneal lavage and drainage, due to abscess formation, perforation and associated small bowel perforation.

Conclusions: The most common age group affected with appendicitis in our study was 11-30 years. The most common intra operative finding was inflamed appendix, which showed that simple appendicitis is more common than complicated appendicitis in our study and appendectomy is the preferred surgery for acute appendicitis.

Author Biography

Shashidhara Puttaraju, Department of General Surgery, JSS Hospital, Chamarajanagar, Karnataka, India

Consultant Surgeon.

Department of General Surgery.

JSS Hospital


Flum DR. Acute appendicitis- appendectomy or the “antibiotics first” strategy. New England J Med. 2015;372(20):1937-43.

Tandi NS, Pai S, Mulla SA, Kini AG. Relevance of scoring systems in acute appendicitis. Int Surg J. 2019;6(7):2475.

Wijkerslooth EMLD, Boom ALVD, Wijnhoven BPL. Disease burden of appendectomy for appendicitis: a population-based cohort study. Surg Endoscop. 2019;doi: 10.1007/s00464-019-06738-6.

Pathan NA, Shaikh AA, Shaikh MA. Appendectomy. Profession Med J. 2018;25(09):1301-5.

Talukder DB, Siddiq AKMZ. Modified Alvarado scoring system in the diagnosis of acute appendicitis. JAFMC Bangladesh. 2009;5(1):18-20.

Shrestha R, Ranabhat SR, Tiwari M. Histopathalogic analysis of appendectomy Specimens. J Pathol Nepal. 2012;2:215-9.

Brahmachri S, Jajee AB. Alvarado score: a valuable clinical tool for diagnosis of acute appendicitis-a retrospective study. BMC Med. 2013;3(2):63-6.

Subedi N, Dangol US, Adhikary MB, Pudasaini S, Baral R. Acute appendicitis: a 2 years review of clinical presentation and histopathology. J Pathol Nepal. 2011;1:104-7.

Dey S, Mohanta PK, Baruah AK, Hhraga B, Bhutia KL, Singh VK. Alvarado scoring in acute appendicitis- a clinicopathological correlation. Indian J Surg. 2010;72(4):290-4.

Haricharan P, Reddy KM, Sudhan VM. A comparative study of open vs laparoscopic appendicectomy in tertiary care hospital in Rayalaseema region. Indian J Appl Res. 2019;9(3):74-7.

Li Z, Zhao L, Cheng Y, Cheng N, Deng Y. Abdominal drainage to prevent intra‐peritoneal abscess after open appendectomy for complicated appendicitis. Cochrane Database of Systematic Reviews. 2018;5:CD010168.






Original Research Articles