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  3. 44.Impact of Delayed Pre-operative Investigations on Complications of Appendicectomy: A Retrospective Study
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44.Impact of Delayed Pre-operative Investigations on Complications of Appendicectomy: A Retrospective Study

Saif ur Rahman1, Mohammad Usman1 and Anwar Syed2

ABSTRACT

Objective: This study aims to assess the relationship between delayed pre-operative investigations and the incidence of complications in patients undergoing appendicectomy.

Study Design: A Retrospective Study

Place and Duration of Study: This study was conducted at the Department of General Surgery in Saidu Group of Teaching Hospitals and Swat Medical Complex Teaching Hospital, Saidu Sharif, Swat, from 1st January 2021 to 30th June 2021.

Materials and Methods: A total of 120 patients, aged 20 to 50 years, were enrolled using a non-random convenient sampling technique. Participants were categorized into two groups: a "Delayed Investigations" group (delayed by more than 12 hours) and a "Non-Delayed Investigations" group. Both groups were observed for two days, and data were collected and analyzed using SPSS version 24.

Results: Out of the 120 participants, 73 (60.83%) were male and 47 (39.16%) were female. The age distribution ranged from 21 to 40 years (49.16%), with a mean age of 33.87 ± 1.89. A total of 53 cases (44.16%) experienced delays of more than 12 hours in pre-operative investigations, while 67 cases (55.83%) did not face delays. Notably, the delayed group exhibited a higher incidence of complications, particularly perforation (35%), compared to the non-delayed group (4.10%). The mean hospital stay in the delayed group was 3.72 ± 2.72 days, whereas in the non-delayed group, it was 1.97 ± 1.21 days.

Conclusion: This study establishes a clear association between delayed pre-operative investigations and heightened complications in appendicectomy cases. Notably, delays exceeding 12 hours demonstrated a significant impact, leading to complications such as perforation, peritonitis, extended hospital stays, and post-operative infections. However, delays within the initial 12 hours did not exhibit a substantial effect on complications. These findings underscore the importance of timely pre-operative investigations in enhancing patient outcomes and minimizing the risk of adverse post-operative events.

Key Words: appendicectomy, perforation, peritonitis, pre-operative investigations.

Citation of article: Rahman S, Usman M, Syed A. Impact of Delayed Pre-operative Investigations on Complications of Appendicectomy: A Retrospective Study. Med Forum 2023;34(8):188-192. doi:10.60110/medforum.340844.