415615

Operative Intervention Vs Percutaneous Drainage in Treatment of Appendicular .

Article

Last updated: 09 Apr 2025

Subjects

-

Tags

General Surgery

Abstract

background : One of the most common surgical diseases that requires immediate care is acute appendicitis. Appendicular perforation or abscess has been seen in approximately 2–6% of hospital visits. A significant morbidity rate may result from this emergency, which is performed in response to recurrent untreated perforated appendicitis. aim of the work: This study aims to assess the results of surgical and percutaneous drainage for appendicular abscesses.

methods : Using a computed tomography (CT) scan, we identified an abscess as a collection of fluid adhering to the appendix. Patients with abscesses were divided into 3 Grades: 1 (less than or equal to 3 cm), 2 (greater than 3cm) and 3 (extended to the pelvic cavity) based on Jeffrey's scale.



Results : Surgical drainage (group I) and radiologic (ultrasonography or CT-guided) percutaneous drainage (group II) were the two therapy options offered to enrolled patients. Findings: Of the 67 instances, 23 (34.3%) patients had surgery, and 44 (65.6%) had percutaneous drainage. Patients who were males were 37, 55.2%, and those who were females were 30, 44.7%. We found that the operational intervention group II had only one failure case, while the percutaneous radiologic drainage group I had 84.1% (37 cases) of successful outcomes and a 15.9% (7 cases) failure rate.

conclusion : We came to the conclusion that abscesses smaller than 6 cm can be effectively treated with percutaneous drainage.

DOI

10.21608/zumj.2025.343659.3734

Keywords

Aappendicular abscess, Operative drainage, Percutaneous drainage, Surgery

Authors

First Name

Ahmed

Last Name

El teliti

MiddleName

-

Affiliation

General surgery zagazig university

Email

surgeon1720@gmail.com

City

-

Orcid

-

First Name

Bassam

Last Name

Mahmoud

MiddleName

Rabieh

Affiliation

General Surgery Department, Faculty of Medicine, Zagazig University, Egypt.

Email

doc.bassam@live.com

City

Markaz Abou Hammad

Orcid

0000-0002-4622-9295

First Name

Mohammad

Last Name

Gomaa(Gomaa,M)

MiddleName

Alsayed

Affiliation

DEPARTMENT OF GENERAL SURGERY ZAGAZIG UNIVERSITY

Email

drmgomaa2@gmail.com

City

-

Orcid

-

First Name

Ahmed

Last Name

Mahgoub

MiddleName

Mohamed

Affiliation

general surgery faculty of medicine zagazig university zagazig Egypt

Email

dr.mahgoub.99@gmail.com

City

zagazig

Orcid

-

Volume

31

Article Issue

4

Related Issue

54283

Issue Date

2025-04-01

Receive Date

2024-12-17

Publish Date

2025-04-01

Page Start

1,513

Page End

1,518

Print ISSN

1110-1431

Online ISSN

2357-0717

Link

https://zumj.journals.ekb.eg/article_415615.html

Detail API

http://journals.ekb.eg?_action=service&article_code=415615

Order

12

Type

Original Article

Type Code

273

Publication Type

Journal

Publication Title

Zagazig University Medical Journal

Publication Link

https://zumj.journals.ekb.eg/

MainTitle

Operative Intervention Vs Percutaneous Drainage in Treatment of Appendicular .

Details

Type

Article

Created At

09 Apr 2025