SURGICAL OUTCOMES FOR THE TREATMENT OF APPENDICEAL ABSCESS AT THANH NHAN HOSPITAL

Ái Đặng Quốc, Ninh Vũ Khang, Hằng Hà Thị Thúy

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Abstract

Background: Appendiceal abscess is a rare complication of acute appendicitis, accounting for 2-7% of cases. The optimal treatment approach remains controversial in clinical practice. Objective: To describe the epidemiological, clinical, and paraclinical characteristics of appendiceal abscess and evaluate the early outcomes of emergency surgery. Methods: A retrospective descriptive study was conducted on 1,190 patients with acute appendicitis at Thanh Nhan Hospital (January 2019 - December 2024). We analyzed 50 cases of appendiceal abscess undergoing emergency surgery. Results: The incidence of appendiceal abscess was 4.2%, with a mean age of 40.51 years (range: 15-89) and a male-to-female ratio of 1.94:1. The predominant symptoms were abdominal pain (100%), fever (78%), and abdominal wall tenderness (92%). Laboratory findings revealed leukocytosis (98%) and elevated CRP (96%). Imaging confirmed abscesses in 100% of cases. All patients underwent laparoscopic appendectomy, with an average operative time of 120 minutes and a postoperative hospital stay of 5 ± 1.3 days. The mortality rate was 0.02% (one case). Conclusion: Laparoscopic appendectomy is a safe and effective treatment for appendiceal abscess, demonstrating favorable early outcomes.

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References

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