Acute appendicitis - diagnosis and treatment
Main Article Content
An analysis was made from the clinical charts of 524 patients admitted to the HUV from January 1st to December 31, 1983. Fifty-five of the patients were males; the highest percentage of patients with acute appendicitis was in the 10-19 age group. Enity is rare in both extremes of life. Computer analysis allowed information regarding variables according to the inflammatory phase of the disease. The most frequent symptoms and signs in the majority of patients were abdominal pain, nausea, vomiting, anorexia, and positive Blumberg's sign; 70% of patients had abnormal CBC counts. The percentage of unnecessary laparotomies was 4.4%, and in 5 patients in whom the surgeon thought that the appendix was normal, pathological examination revealed acute appendicitis. The appendix was removed from the study of 524 patients. Pre and postop antibiotics were used in all patients with perforation, and the most frequent combination was gentamycin and chloramphenicol. There was only a 5% incidence of peritoneal cavity drainage. The majority of patients with complicated acute appendicitis were left with the skin incision opened to avoid severe wound infection. The bacterium most commonly isolated was Escherichia coli. We do not routinely perform anaerobic cultures at the HUV. The septic complications were the most frequent ones. The overall mortality rate was 1.5%
Downloads
- Carlos Manzano, Edgar Torres, Bridel Miranda, Ligadura de la arteria hepática trauma severo hígado , Colombia Medica: Vol. 5 No. 1 (1974)
- Armando González M, Olga Lucía Rojas, Colangitis aguda: Diagnóstico, complicaciones y mortalidad en el Hospital Universitario del Valle , Colombia Medica: Vol. 15 No. 3 (1984)
- Armando González, Armando Vernaza, Leonardo Velásquez, Rodrigo Guerrero, Diego Fajardo, Edilberto Gómez, Miguel Esmeral, Laparotomía rutinaria o selectiva en trauma abdominal abierto y cerrado , Colombia Medica: Vol. 7 No. 3 (1976)
- María Victoria Pérez, Jaime Rubiano, Armando González, Edgar Torres, Abraham Kestengerg, Manejo de heridas precordiales en el Hospital Universitario del Valle. Un nuevo enfoque. , Colombia Medica: Vol. 15 No. 4 (1984)
- Olga Lucía Rojas, Armando González, Jorge Salazar, Enfermedad obstructiva del tracto biliar. , Colombia Medica: Vol. 15 No. 2 (1984)
- Armando González, Olga Lucía Rojas, Análisis de 69 esfinteroplastias del esfínter de Oddi. Diagnóstico, complicaciones y mortalidad en el Hospital Universitario del Valle. , Colombia Medica: Vol. 15 No. 2 (1984)
- Armando Vernaza, Edilberto Gómez, Laparoscopia diagnóstica: 460 casos en el Hospital Universitario del Valle , Colombia Medica: Vol. 14 No. 2,3 (1983)
- Armando González M, Soleil Velásquez, Rita Iglesias, Olga L Rojas, Edgar Torres, La infección de heridas limpias como patrón de la calidad del cuidado quirúrgico. , Colombia Medica: Vol. 14 No. 1 (1983)
- Olga Lucía Rojas, Armando González, Jorge Salazar, Enfermedad vesicular: Diagnóstico, complicaciones y mortalidad en el Hospital Universitario del Valle. , Colombia Medica: Vol. 15 No. 3 (1984)
- Armando González M, Carlos Barbato, Leonardo Velásquez, Edgar Torres, Roberto Arrom, Armando Vernaza, Apendicitis en el Hospial Universitario del Valle Cali 1964-1973 , Colombia Medica: Vol. 8 No. 2 (1977)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use