Original Article

IJMDC. 2022; 6(4): 608-614

Patterns and predictors of surgical approaches among patients diagnosed with appendicitis

Authors: Khalid Ahmed Aljasser, Ayman Muheisen Salem Alhouli, Abdulaziz Ayad Alqudaimi, Rahaf Ahmed Alamer, Khalid Saleh Aloufi, Najd Abdulrahman Al-Mutairi, Zahra Mohammed Alyousef, Abdullah Mohammed Alrofydi, Shayma Saleh Al-Rubaki, Abdullah Khalid Alghutayghit, Khulud Ali Bakri, Zaid Abdulrahim Majeed, Abdullah Hamad Alkharraz, Osamah Salem Alsawat, Lama Ghassan Abdullah.

ABSTRACT

Background: Appendicitis is one of the most frequently encountered surgical emergencies across hospitals worldwide. With increasing global prevalence and incidence, choosing the most appropriate surgical approach is vital for both pathological and patient outcomes. The choice of surgical appendectomy is currently limited to either laparoscopic or open. Enhanced recovery after surgery protocol is greatly implicated by surgical approach. This involves enhancing perioperative course as well as optimizing patient’s quality of life. Research Significance: The aim of this study was to evaluate the effectiveness and perioperative outcomes of laparoscopic and open approaches, respectively. As postoperative outcomes incur great costs to both the patient and the hospital; control of such outcomes is vital. Objectives: To compare patients’ characteristics undergoing laparoscopic appendectomy (LA) versus converted to open surgeries. Methods: This retrospective cross-sectional study recruited 405 patients with the clinical diagnosis of acute/complicated appendicitis. Recruitment phase was around 1 year, with data collected and analyzed on excel sheets. Results: In terms of reduced postoperative outcomes, LA was found to be superior in less complicated cases of appendicitis. Open appendectomy was deemed to be the treatment of choice in patients with known surgical history. This was mainly due to adhesion formation and risk of disseminated infection. Conclusion: Choice of surgical approach is highly dependent on patient’s past surgical history, overall wellbeing of the patient, and the pathological state of the appendix. However, the use of LA in uncomplicated appendicitis has received global consensus.

Keywords:
Laparoscopic Appendectomy (LA), Open Appendectomy (OA), Acute Appendicitis, Laparoscopic Surgery, Abdominal Pain, Comorbidities.


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Patterns and predictors of surgical approaches among patients diagnosed with appendicitis


Authors
Khalid Ahmed Aljasser
Imam University, Riyadh, Saudi Arabia
PubMed articlesGoogle scholar articles

Ayman Muheisen Salem Alhouli
Senior Registrar of General Surgery, Al Qurayyat General Hospital, Al Qurayyat, Saudi Arabia
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Abdulaziz Ayad Alqudaimi
Dar Al Uloom University, Riyadh, Saudi Arabia
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Rahaf Ahmed Alamer
Medical Intern, King Khalid University Medical College, Abha, Saudi Arabia
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Khalid Saleh Aloufi
Medical intern, Taibah University Faculty of Medicine, Medina, Saudi Arabia
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Najd Abdulrahman Al-Mutairi
Medical Intern, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
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Zahra Mohammed Alyousef
Physician, Alfaisal University College of Medicine, Dammam, Saudi Arabia
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Abdullah Mohammed Alrofydi
Medical Intern, King Khalid University, Abha, Saudi Arabia
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Shayma Saleh Al-Rubaki
Medical Intern, Batterjee Medical College, Jeddah, Saudi Arabia
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Abdullah Khalid Alghutayghit
Medical Intern, Jouf University, Sakaka, Saudi Arabia
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Khulud Ali Bakri
Medical Intern, King Khalid University, Abha, Saudi Arabia
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Zaid Abdulrahim Majeed
Medical Student, Umm Al-Qura University, Makkah, Saudi Arabia
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Abdullah Hamad Alkharraz
Medical Intern, Alqassim University, Uniazah, Saudi Arabia
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Osamah Salem Alsawat
Medical Intern, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
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Lama Ghassan Abdullah
Medical Intern, Batterjee Medical College, Jeddah, Saudi Arabia.
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Correspondence to:
. Lama Ghassan Abdullah, Medical Intern, Batterjee Medical College, Jeddah, Saudi Arabia.; lama.abdullah94@hotmail.com

Publication history
Received 21 Dec 2021
Accepted 26 Jan 2022
Published online 26 Jan 2022
Published in print 03 Mar 2022

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Pubmed Style

Aljasser KA, Alhouli AMS, Alqudaimi AA, Alamer RA, Aloufi KS, Al-Mutairi NA, Alyousef ZM, Alrofydi AM, Al-Rubaki SS, Alghutayghit AK, Bakri KA, Majeed ZA, Alkharraz AH, Alsawat OS, Abdullah LG. Patterns and predictors of surgical approaches among patients diagnosed with appendicitis. IJMDC. 2022; 6(4): 608-614. doi:10.24911/IJMDC.51-1637850363


Web Style

Aljasser KA, Alhouli AMS, Alqudaimi AA, Alamer RA, Aloufi KS, Al-Mutairi NA, Alyousef ZM, Alrofydi AM, Al-Rubaki SS, Alghutayghit AK, Bakri KA, Majeed ZA, Alkharraz AH, Alsawat OS, Abdullah LG. Patterns and predictors of surgical approaches among patients diagnosed with appendicitis. https://www.ijmdc.com/?mno=26169 [Access: August 18, 2022]. doi:10.24911/IJMDC.51-1637850363


AMA (American Medical Association) Style

Aljasser KA, Alhouli AMS, Alqudaimi AA, Alamer RA, Aloufi KS, Al-Mutairi NA, Alyousef ZM, Alrofydi AM, Al-Rubaki SS, Alghutayghit AK, Bakri KA, Majeed ZA, Alkharraz AH, Alsawat OS, Abdullah LG. Patterns and predictors of surgical approaches among patients diagnosed with appendicitis. IJMDC. 2022; 6(4): 608-614. doi:10.24911/IJMDC.51-1637850363


Vancouver/ICMJE Style

Aljasser KA, Alhouli AMS, Alqudaimi AA, Alamer RA, Aloufi KS, Al-Mutairi NA, Alyousef ZM, Alrofydi AM, Al-Rubaki SS, Alghutayghit AK, Bakri KA, Majeed ZA, Alkharraz AH, Alsawat OS, Abdullah LG. Patterns and predictors of surgical approaches among patients diagnosed with appendicitis. IJMDC. (2022), [cited August 18, 2022]; 6(4): 608-614. doi:10.24911/IJMDC.51-1637850363


Harvard Style

Aljasser, K. A., Alhouli, . A. M. S., Alqudaimi, . A. A., Alamer, . R. A., Aloufi, . K. S., Al-Mutairi, . N. A., Alyousef, . Z. M., Alrofydi, . A. M., Al-Rubaki, . S. S., Alghutayghit, . A. K., Bakri, . K. A., Majeed, . Z. A., Alkharraz, . A. H., Alsawat, . O. S. & Abdullah, . L. G. (2022) Patterns and predictors of surgical approaches among patients diagnosed with appendicitis. IJMDC, 6 (4), 608-614. doi:10.24911/IJMDC.51-1637850363


Turabian Style

Aljasser, Khalid Ahmed, Ayman Muheisen Salem Alhouli, Abdulaziz Ayad Alqudaimi, Rahaf Ahmed Alamer, Khalid Saleh Aloufi, Najd Abdulrahman Al-Mutairi, Zahra Mohammed Alyousef, Abdullah Mohammed Alrofydi, Shayma Saleh Al-Rubaki, Abdullah Khalid Alghutayghit, Khulud Ali Bakri, Zaid Abdulrahim Majeed, Abdullah Hamad Alkharraz, Osamah Salem Alsawat, and Lama Ghassan Abdullah. 2022. Patterns and predictors of surgical approaches among patients diagnosed with appendicitis. International Journal of Medicine in Developing Countries, 6 (4), 608-614. doi:10.24911/IJMDC.51-1637850363


Chicago Style

Aljasser, Khalid Ahmed, Ayman Muheisen Salem Alhouli, Abdulaziz Ayad Alqudaimi, Rahaf Ahmed Alamer, Khalid Saleh Aloufi, Najd Abdulrahman Al-Mutairi, Zahra Mohammed Alyousef, Abdullah Mohammed Alrofydi, Shayma Saleh Al-Rubaki, Abdullah Khalid Alghutayghit, Khulud Ali Bakri, Zaid Abdulrahim Majeed, Abdullah Hamad Alkharraz, Osamah Salem Alsawat, and Lama Ghassan Abdullah. "Patterns and predictors of surgical approaches among patients diagnosed with appendicitis." International Journal of Medicine in Developing Countries 6 (2022), 608-614. doi:10.24911/IJMDC.51-1637850363


MLA (The Modern Language Association) Style

Aljasser, Khalid Ahmed, Ayman Muheisen Salem Alhouli, Abdulaziz Ayad Alqudaimi, Rahaf Ahmed Alamer, Khalid Saleh Aloufi, Najd Abdulrahman Al-Mutairi, Zahra Mohammed Alyousef, Abdullah Mohammed Alrofydi, Shayma Saleh Al-Rubaki, Abdullah Khalid Alghutayghit, Khulud Ali Bakri, Zaid Abdulrahim Majeed, Abdullah Hamad Alkharraz, Osamah Salem Alsawat, and Lama Ghassan Abdullah. "Patterns and predictors of surgical approaches among patients diagnosed with appendicitis." International Journal of Medicine in Developing Countries 6.4 (2022), 608-614. Print. doi:10.24911/IJMDC.51-1637850363


APA (American Psychological Association) Style

Aljasser, K. A., Alhouli, . A. M. S., Alqudaimi, . A. A., Alamer, . R. A., Aloufi, . K. S., Al-Mutairi, . N. A., Alyousef, . Z. M., Alrofydi, . A. M., Al-Rubaki, . S. S., Alghutayghit, . A. K., Bakri, . K. A., Majeed, . Z. A., Alkharraz, . A. H., Alsawat, . O. S. & Abdullah, . L. G. (2022) Patterns and predictors of surgical approaches among patients diagnosed with appendicitis. International Journal of Medicine in Developing Countries, 6 (4), 608-614. doi:10.24911/IJMDC.51-1637850363


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