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Jurnal Bedah Baruuuu
Jurnal Bedah Baruuuu
Jurnal Bedah Baruuuu
OLEH:
Aditya Azwar S
15 71 0362
PEMBIMBING:
dr. Saiful Burhan Sp.B
Definition appendicitis acute
Acute appendicitis is inflamation of the appendix, the
narrow, finger shaped organ that branches of the first of the
large intestine on the right side of the abdomen
Acute Appendicitis (AA) is the most commonly encountered
disease in emergency clinics,with about 250,000 cases of
appendicitis reported in The United States and 40,000 in
England each year.
Acute appendicitis is seen more commonly in young people
aged 10-19 and in males
a male to female ratio of 4:1, the overall lifetime risk is 8,6%
for males and 6,7% for females in the United States
Causes of acute appendicitis
In many cases, the cause for appendicitis is unknown.
There can also be multiple causes for one case of
appendicitis.; luminal obtruction,dietary and familial
factors
Patofisiologi
Apendisitis Apendisitis
Apendisitis akut
supuratif Gangrenosa
fokal (peradangan
(pembentukan (kematian jaringan
lokal)
nanah) apendiks)
Peritonitis
Perforasi
(peradangan
(bocornya dinding
lapisan rongga
apendiks )
perut)
Terjadi obstruksi mucus yg diproduksi mukosa mengalami
bendungan makin lama mucus makin banyak, tp elastisitas
dinding apendiks mempunyai keterbatasan pe↑ tek.
intralumen menghambat aliran limfe terjadi edema,
diapedesis bakteri, & ulserasi mukosa ditandai oleh nyeri
epigatrium (Apendisitis Akut Fokal)
Nanah keluar menetes Peritonisis lokal Semakin banyak nanah yang melokalisir bagian
peritonium (Peritonitis umum)
introduction
Acute appendicitis is the major surgical abdominal dis-
ease in emergency departments and it is also among the
five leading causes of litigation against emergency
physicians.
Delayed diagnosis of appen-dicitis is more likely to occur
in patients, who present atypically, and those lack a
thorough physical exami-nation, or those received
intramuscular narcotic analgesia.
Aim of the Work
The aim of this study was to study the effect of delay in
diagnosis of acute appendicitis as regard postoperative
findings, length of hospital stay and post-operative com-
plications.
Patients & Methods
Study site and time
Information collected from database in Port Fouad general
hospital between January 1, 2006 and March 1, 2008.
Patient
All patients, male and females at any age
padmitted during that period for surgery for complicated
appedecectomy were subjected to the present study and treated by a
single surgical team
Collected Data
Data were collected from the registration and statistics unit in
Port Fouad general hospital
Parameters of evaluation:
1) Incidence of perforation or gangrene at surgery,
2) Length of stay (LOS), and
3) post-operative complications.