Özet:

INTRODUCTION: Acute appendicitis is a disease requiring urgent surgical intervention. It is frequently encountered in general surgical clinics. Maintaining a good medical record and physical examination are the first priorities in diagnosing appendicitis. This study aimed to evaluate the clinical and surgical results of patients prediagnosed with acute appendicitis in a Erzurum Oltu State Hospital.METHODS: The records of the 123 patients [49 (39.8%) female and 74 (60.2%) male], who were diagnosed with acute appendicitis in the hospital between 2015 and 2017, were retrospectively analyzed in terms of age, gender, Alvarado score, and laboratory and radiology findings. Furthermore, surgical methods were examined with regard to the duration of surgery, hospitalization, and complications.RESULTS: A total of 32 (26%) patients were scanned with ultrasonography (US), 91 (74%) with computed tomography (CT), and 12 (9.7%) with both US and CT. Laparoscopic appendectomy (LA) was performed in 66 (53.6%) patients, and open appendectomy (OA) in 57 patients (46.4%). Further, 71 (57.8%) of the 120 patients with intraoperatively diagnosed appendicitis had suppurative, 38 (30.9%) had catarrhal, 8 (6.5%) had perforated, 3 (2.4%) had gangrenous appendicitis. The histopathological and intraoperatively diagnosis of the remaining 3 (2.4%) patients was normal. Three (2.4%) of the patients who underwent OA developed ileus, and one (0.8%) patient had wound infections. One (0.8%) patient who underwent LA developed ileus.DISCUSSION AND CONCLUSION: The effective use of laboratory, scoring, and assisted imaging methods can reduce the rates of negative appendectomy and postoperative complications. Laparoscopic surgery has a positive effect on postoperative pain and quality of life. If laparoscopic equipment and experience with the method are sufficient, the first choice should be laparoscopic surgery for acute appendicitis.

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