Jawad Khalil, Rooh-ul muqim.
Impact of delay in acute appendicitis.
Pak J Surg Jan ;26(1):31-5.

Objective: To determine the rate and risk factors for perforation in acute appendicitis. Study design: Retrospective study. Sett ing: Surgical “C” Unit, Department of Surgery, Khyber Teaching Hospital, Peshawar from September 2008 to December 2009. Materials and Methods: A total of 150 patients were included in the study. Data regarding age, gender, patient interval, hospital stay, operative fi ndings, and histopathology report were recorded in a proforma. Peroperatively appendix was divided into 5 types as normal, catt ahral, phlegmonous, gangrenous, and perforated which were confi rmed by histopathology report. Results: Out of the total 150 patients there were 87 (58%) males and 63 (42%) females. Th e mean age of the patients was 23.94 years with a range of 10 to 60 years. Th e rates of negative appendecectomy and perforation were 6.7% and 10% respectively. Mean patient interval in the perforated group was 71.33 hours while mean hospital interval was 6.61 hours in the perforated group. Conclusion: Age and patient interval are signifi cant factors for perforation in acute appendicitis.

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