The Application of Intraoperative Swab Among Individuals with Uncomplicated and Complicated Appendicitis Undergoing Appendectomy

Abstract

Introduction-Acute appendicitis is one of the most common abdominal surgical procedures in the emergency setting.

Methodology- In overall, 1570 individuals who were 18 years of age or older and had an appendectomy for acute appendicitis at the Surgery Department of the Meenakshi Medical College, Hospital and Research Institute, Kanchipuram, between 2013 and 2023 have been included in this retrospective cohort analysis. The study excluded patients who had an appendectomy throughout other surgical procedures or who did not have an intraoperative diagnosis of acute appendicitis or a histopathological diagnosis of the condition. Both the Student t-test and the Mann-Whitney U test were used to compare ordinal and metric data. The categorical data was subjected to the chi-square test. At p < 0.05, statistical significance was established.  

Results- A greater body mass index (BMI) (24.2 vs. 25.8 kg/m2, p < 0.001), worse ASA score (p < 0.001), higher prevalence of diabetes (8 vs. 3%, p > 0.001), higher CRP value (117 vs. 22 mg/l, p < 0.001), and a greater incidence of intraabdominal fluid on preoperative sonography (54 vs. 31%, p < 0.001) were all significantly older (51 vs. 31 years, p < 0.001).

Conclusion: There aren't many therapeutic regimen modifications associated with antibiotic therapy, and it's yet unknown how changing antibiotics will affect the course of medication.