COMPARISON BETWEEN PREDICTED POSITION OF APPENDIX ON CLINICAL EXAMINATION AND POSITION OF APPENDIX AS AN INTRAOPERATIVE FINDING IN PATIENTS WITH CLINICALLY SUSPECTED ACUTE APPENDICITIS

Abstract

Objectives:

To compare the position of appendix as determined preoperatively on the basis of clinical

Methodology:

This cross sectional study of one year duration from February 2009 to January 2010 was

conducted in Surgical "A" Unit, Lady Reading Hospital, Peshawar. Out of 100 admitted patients

undergoing appendicectomy, the position of appendix was compared preoperatively on the basis of clinical

examination with the intraoperative finding.

Results:

Out of 100 patients, 71% were males and 29% females, 53% were in the age group of 12-20

years, followed by 25% in age group of 21-25 years. The mean age was 22.63 + SD 8.58 years. On

preoperative clinically, retrocecal; pelvic; subcecal; paracecal and subhepatic position were observed in

51%, 25%, 13%, 06% and 05% cases respectively while on intra-operative examination, the frequency of

positions were 56% , 23%, 10%, 07% and 04% cases respectively. For comparison between clinical and

intraoperative position of the appendix, the p value of the retrocecal position was 0.478, subcecal position

was 0.506, pelvic position was 0.741, paracecal position was 0.774 and subhepatic position was 0.733.

Conclusion:

The most common position of appendix is retrocecal both on clinical and there is no

difference between clinical diagnosis and intraoperative findings of positions of the appendix.

examination with the intra-operative finding and to document the most common position of appendix on

intra-operative finding.