Abstract
Aim: To decide whether an ascending RIPASA score is associated with the severity of acute appendicitis, as mentioned in per-operative findings.
Methods: This cross-sectional analytical study have a look at was carried out in Surgical Unit-6, Rajah Muthiah Medical College Hospital, Chidambaram, taking document of sufferers from July 2015 to December 2015. RIPASA score become calculated from affected person case - sheets from Medical records department. Severity classified as regular, inflamed, gangrenous and perforated and noted in operation notes in patients presented as acute appendicitis. Mean RIPASA score for each class of appendicitis and then compared the usage of anova t-scale a look at, maintaining p <0.05 to be statistically substantial.
Results: The mean age became 21.5±13. 4 years and 104 (59.8%) men and 70(40.2%) women sufferers. The mean RIPASA score of patients having non-inflammed appendix become four, 8 for Inflammed, 12 for gangrenous and 15 for perforated. Comparison of average score revealed a p value 0.001.
Conclusion: The ascending RIPASA score causes increase in severity of appendicitis.
Keywords: Acute Appendicitis, RIPASA score.
References
- Gonçalves JP, Cerqueira A, Martins S. (2011) 'The Alvarado score validation in diagnosing acute appendicitis in children at Braga Hospital', Acta Med Port, 24(S2), pp. 583-88.
- Shreef KS., Waly AH, Abd-Elrahman S., Abd Elhafez MA. (2010) 'Alvarado score as an admission criterion in children with pain in right iliac fossa', Afr J Paediatr Surg,7(3), pp. 163-65.
- Ohle R, O’Reilly F, O’Brien KK, Fahey T., Dimitrov BD. (2011) 'The Alvarado score for predicting acute appendicitis: a systematic review', BMC Medicine, 9, pp. 139-52.
- Chong C F, Thien A, Mackie A J A, Tin A S, Tripathi S, Ahmad M A, et al (2011) 'Comparison of RIPASA and Alvarado scores for the diagnosis of acute appendicitis', Singapore Med J, 52(5), pp. 340-45.
- Çaglayan K, Gunerhan Y, KOÇ A, Uzun M A, Altinli E, Koksal N. (2010) 'The role of computerized tomography in the diagnosis of acute appendicitis in patients with negative ultrasonography findings and a low Alvarado score', Ulus Travma Acil Cerrahi Derg, 16(5), pp. 445-48.
- Sallin K, Rothrock S G. (1997) 'Diagnosis of acute appendicitis: increasing accuracy, improving outcome, and decreasing liability', J Fla Med Assoc,84(9): 543-8.
- Tepel J, Sommerfeld A, Klomp H J, Kapischke M, Eggert A, Kremer B. (2004) 'Prospective evaluation of diagnostic modalities in suspected acute appendicitis', Langenbecks Arch Surg, 389(3), pp. 219.
- Jang S O, Kim B S, Moon D J. (2008) 'Application of Alvarado score in patients with suspected appendicitis', Korean J Gastroenterol, 52, pp. 27-32
- de Castro S M M, Unlu C, Steller E P, van Wagensveld B A,. (2012) 'Evaluation of the Appendicitis Inflammatory Response Score for Patients with Acute Appendicitis' World J Surg, 36, pp. 1540–45.
- Wei P-L, Liu S-P, Keller JJ (2012) Volume-Outcome Relation for Acute Appendicitis: Evidence from a Nationwide Population-Based Study. PLoS ONE 7(12): e52539. doi:10.1371/journal. pone. 0052539
- Dhupar R, Evankovich J, Ochoa JB, Vargas LG, Hughes SJ.. Outcomes of operative management of appendicitis. Surg Infect 2012; 13(3): 141-46.
- Konan A, Hayran M, Kilic Y A, Karakoc D, Kaynaroglu V. (2011) 'Scoring systems in the diagnosis of acute appendicitis in the elderly', Ulus Travma Acil Cerrahi Derg,17(5), pp. 396-400.
- Rivera-Chavez F A, Peters-Hybki D L, Barber R C, Lindberg G M, Ishwarlal Jialal I, Munford R S. (2004) 'Innate immunity genes influence the severity of acute appendicitis', Ann Surg, 240(2), pp. 269–77.
- Varadhan K K, Neal K R, Lobo D N. (2012) 'Safety and efficacy of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis: meta-analysis of randomised controlled trials', BMJ ,344, pp. 2156.
- Oguntola A S, Adeoti M L, Agodirin S O, Oremakinde A A, (2014) 'Further exploration during open appendicectomy; assessment of some common intraoperative findings', Pak J Med Sci, 30(2), pp. 316.
- Lane J S, Schmit P J, Chandler C F, Bennion R S, (2001) 'Ileocecectomy is definitive treatment for advanced appendicitis', Am Surg, 67(12), pp. 1117-22.
- Tannoury J, Abboud B. (2013) 'Treatment options of inflammatory appendiceal masses in adults', World J Gastroenterol, 19(25), pp. 3942–50.
Corresponding Author
Dr Juniorsundresh
Department of General Surgery, Rajah Muthiah Medical College and Hospital, Annamalai University, Annamalai Nagar – 608002, India
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.101
