Post Operative Outcomes of Acute Perforated Appendix During Index Admission: Acute Perforated Appendix During Index Admission

. Rizwana; Sadaf Afridi; Kausar Noor; Muhammad Bilal Ud Din; Ishrat Alam; Sardar Alam

doi:10.54393/pjhs.v6i12.3423

Authors

. Rizwana Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan
Sadaf Afridi Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan
Kausar Noor Department of Surgery, Khyber Teaching Hospital, Peshawar, Pakistan
Muhammad Bilal Ud Din Department of Cardiac Surgery, Peshawar Institute of Cardiology, Peshawar, Pakistan
Ishrat Alam Department of Surgery, Hayatabad Medical Complex, Peshawar, Pakistan
Sardar Alam Department of Surgery, Saidu Group of Teaching Hospitals, Swat, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v6i12.3423

Keywords:

Acute Appendicitis, Appendicular Perforation, Postoperative Outcomes

Abstract

Acute perforated appendicitis is a serious condition associated with higher morbidity, prolonged hospital stays, and increased risk of complications. Understanding postoperative outcomes is crucial for optimizing patient care, improving clinical decision-making, and reducing healthcare burdens. Objective: To determine the postoperative outcomes of acute perforated appendicitis during index hospital admission. Methods: This descriptive study was conducted at the Department of Surgery, Khyber Teaching Hospital, Peshawar, from October 1, 2024, to July 31, 2025. Male and female patients aged 18 to 60 years diagnosed with acute perforated appendicitis were enrolled. The patients were evaluated for postoperative outcomes, recorded in terms of surgical site infection, wound dehiscence, hospital stay, and intestinal obstruction. Data analysis was carried out using SPSS version 26.0. Results: The Mean age of the participants was 33.91 ± 11.834 years, while the mean hospital stay was 7.12 ± 2.721 days. Most of the patients were male (n=101, 67.8%). Retrocecal position of the appendix was frequently recorded in 98 patients (65.8%). Hospital stay more than seven days was observed in 57 patients (38.3%), followed by surgical site infection (n=47, 31.5%). Wound dehiscence was the least frequently recorded in 21 patients (14.1%). Conclusions: Acute perforated appendicitis was associated with increased occurrence of postoperative complications and morbidities. Male patients with advanced age were more likely to experience prolonged hospital stay and surgical site infection.

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