MUCOSECTOMY IN COMPLICATED APPENDICITIS

Objective: To describe the technique and results of mucosectomy; A surgical technique that is easy to perform, and has a lower morbidity and complication rate as compared to standard appendectomy in cases of complicated appendicitis. Study Design: Quasi-experimental study. Place and Duration o...

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Autores principales:	Syeda Rifaat Qamar Naqvi, Fahad Ali Khan, Ayesha Khan, Babar Sultan, Anam Haider, Rehana Khadim, Palwasha Khan, Zaheer Ud Din Qureshi
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2021
Materias:	appendicular mass appendectomy mucosectomy phlegmon Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/6be2adb9f2144f84837a4fdbcc23f6f8
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spelling	oai:doaj.org-article:6be2adb9f2144f84837a4fdbcc23f6f82021-12-02T18:01:39ZMUCOSECTOMY IN COMPLICATED APPENDICITIS0030-96482411-884210.51253/pafmj.v71i2.6627https://doaj.org/article/6be2adb9f2144f84837a4fdbcc23f6f82021-04-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6627https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To describe the technique and results of mucosectomy; A surgical technique that is easy to perform, and has a lower morbidity and complication rate as compared to standard appendectomy in cases of complicated appendicitis. Study Design: Quasi-experimental study. Place and Duration of Study: Surgical - A Unit, Ayub Teaching Hospital, in Abbottabad, from Mar 2017 to Mar 2019. Methodology: Patients included were those who presented with appendicular mass, phlegmon, recurrent appendicitis, appendicitis in uncommon locations, presence of adhesions, those cases of appendicular mass and phlegmon which was either not responding to medical treatment, or diagnosed per operatively being clinically not palpable or not seen on ultrasound. Per operative and post-operative variables were documented and analyzed. In mucosectomy, thesubserosal portion of the appendix i-emuscularis and mucosa of the appendix was dissected out from the serosa after ligation of the appendicular base, or ligation done after delivering the appendix out of the serosa. The serosa that was adherent to the surrounding gut, omentum or other viscera was left intact. Results: A total of 192 patients were included in this study, half of which underwent standard appendectomy and a mucosectomy was performed on the rest. The mean time of surgery was 30 ± 1.2min as compared to the standard appendectomy group (55min ± 3.6). More than half of the patients undergoing standard appendectomy required extension of the incision (56.2%), only 8% required so from those on whom mucosectomy was performed. Per operative hemorrhage was seen in 32.2%, however inmucosectomy group only 1%.Syeda Rifaat Qamar NaqviFahad Ali KhanAyesha KhanBabar SultanAnam HaiderRehana KhadimPalwasha KhanZaheer Ud Din QureshiArmy Medical College Rawalpindiarticleappendicular massappendectomymucosectomyphlegmonMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 71, Iss 2, Pp 706-09 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	appendicular mass appendectomy mucosectomy phlegmon Medicine R Medicine (General) R5-920
spellingShingle	appendicular mass appendectomy mucosectomy phlegmon Medicine R Medicine (General) R5-920 Syeda Rifaat Qamar Naqvi Fahad Ali Khan Ayesha Khan Babar Sultan Anam Haider Rehana Khadim Palwasha Khan Zaheer Ud Din Qureshi MUCOSECTOMY IN COMPLICATED APPENDICITIS
description	Objective: To describe the technique and results of mucosectomy; A surgical technique that is easy to perform, and has a lower morbidity and complication rate as compared to standard appendectomy in cases of complicated appendicitis. Study Design: Quasi-experimental study. Place and Duration of Study: Surgical - A Unit, Ayub Teaching Hospital, in Abbottabad, from Mar 2017 to Mar 2019. Methodology: Patients included were those who presented with appendicular mass, phlegmon, recurrent appendicitis, appendicitis in uncommon locations, presence of adhesions, those cases of appendicular mass and phlegmon which was either not responding to medical treatment, or diagnosed per operatively being clinically not palpable or not seen on ultrasound. Per operative and post-operative variables were documented and analyzed. In mucosectomy, thesubserosal portion of the appendix i-emuscularis and mucosa of the appendix was dissected out from the serosa after ligation of the appendicular base, or ligation done after delivering the appendix out of the serosa. The serosa that was adherent to the surrounding gut, omentum or other viscera was left intact. Results: A total of 192 patients were included in this study, half of which underwent standard appendectomy and a mucosectomy was performed on the rest. The mean time of surgery was 30 ± 1.2min as compared to the standard appendectomy group (55min ± 3.6). More than half of the patients undergoing standard appendectomy required extension of the incision (56.2%), only 8% required so from those on whom mucosectomy was performed. Per operative hemorrhage was seen in 32.2%, however inmucosectomy group only 1%.
format	article
author	Syeda Rifaat Qamar Naqvi Fahad Ali Khan Ayesha Khan Babar Sultan Anam Haider Rehana Khadim Palwasha Khan Zaheer Ud Din Qureshi
author_facet	Syeda Rifaat Qamar Naqvi Fahad Ali Khan Ayesha Khan Babar Sultan Anam Haider Rehana Khadim Palwasha Khan Zaheer Ud Din Qureshi
author_sort	Syeda Rifaat Qamar Naqvi
title	MUCOSECTOMY IN COMPLICATED APPENDICITIS
title_short	MUCOSECTOMY IN COMPLICATED APPENDICITIS
title_full	MUCOSECTOMY IN COMPLICATED APPENDICITIS
title_fullStr	MUCOSECTOMY IN COMPLICATED APPENDICITIS
title_full_unstemmed	MUCOSECTOMY IN COMPLICATED APPENDICITIS
title_sort	mucosectomy in complicated appendicitis
publisher	Army Medical College Rawalpindi
publishDate	2021
url	https://doaj.org/article/6be2adb9f2144f84837a4fdbcc23f6f8
work_keys_str_mv	AT syedarifaatqamarnaqvi mucosectomyincomplicatedappendicitis AT fahadalikhan mucosectomyincomplicatedappendicitis AT ayeshakhan mucosectomyincomplicatedappendicitis AT babarsultan mucosectomyincomplicatedappendicitis AT anamhaider mucosectomyincomplicatedappendicitis AT rehanakhadim mucosectomyincomplicatedappendicitis AT palwashakhan mucosectomyincomplicatedappendicitis AT zaheeruddinqureshi mucosectomyincomplicatedappendicitis
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MUCOSECTOMY IN COMPLICATED APPENDICITIS

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