Nazir Ahmad, Khalid Javed Abid, Aamer Zaman Khan, Syed Tahir Ahmad Shah.
Acute appendicitis - incidence of perforated appendicitis.
Ann King Edward Med Uni Jan ;10(4):356-8.

The prospective study was carried out in West Surgical Ward, Mayo Hospital, Lahore during the year 2003 consisting of 200 patients. There was slight preponderance of males 102(51%) to females 98(49%). Age ranged from 13-75 years with the mean of 28.2 years. Appendicectomy was done in all patients by making gridiron incision in 165(82.5%), muscle cutting in 15(7.5%), Lanz`s incision in 16(8%) and right Para-median in 4(2%) patients. Regarding position of the appendix, retroceacal was the most common, found in 160(80%) and pelvic position in 31(15.5%) patients. Perforated appendix was delivered in 10(5%) patients with male to female ratio 4:1. Postoperative complications observed in the series were wound infection in 11(5.5%), prolonged ileus in 2(1%) and gastritis in 2(1%) patients. All the complications were managed according to their own protocol. No mortality was recorded in the series.

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