Behrad Ghoncheh; Mohammadreza Taheri; Yeganeh Azadmanesh; Zahra Mostafavian; Tooraj Zandbaf
Volume 13, Issue 4 , October 2025, , Pages 221-226
Abstract
Objective: This study aimed to assess the potential of the Systemic Inflammatory Response Index (SIRI) fordiagnosing AA, its possible advantages over current methods, and its utility in distinguishing uncomplicatedfrom complicated appendicitis.Methods: In this cross-sectional study, 240 patients scheduled ...
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Objective: This study aimed to assess the potential of the Systemic Inflammatory Response Index (SIRI) fordiagnosing AA, its possible advantages over current methods, and its utility in distinguishing uncomplicatedfrom complicated appendicitis.Methods: In this cross-sectional study, 240 patients scheduled for appendectomy with a diagnosis of AA wereenrolled. Demographic information, clinical and paraclinical findings, including complete blood count (CBC),Alvarado score, SIRI, sonography findings, and pathology results, were documented. Data were analyzed usingSPSS software version 26.Results: Of the 240 patients, 106 (44.2%) were men, and 134 (55.8%) were women, with a mean age of 37.49±15.55years. Final pathology reports identified 26 (10.8%) cases of a normal appendix, 176 (73.3%) with uncomplicatedappendicitis, 23 (9.6%) with complicated appendicitis, and 15 (6.3%) with reactive lymphoid hyperplasia. SIRIdemonstrated significant differences across the pathology groups (P<0.0001). It showed notable discriminationbetween normal and complicated appendicitis (P=0.005), normal and combined appendicitis (P=0.008), andsuggestive differences for normal versus uncomplicated (P=0.021) and uncomplicated versus complicatedcases (P=0.044). Similarly, Alvarado scores showed significant differences, particularly between the normaland complicated appendicitis groups.Conclusion: The SIRI and Alvarado scoring systems showed significant potential for diagnosing appendicitiswith acceptable sensitivity and specificity. They might also assist in differentiating between uncomplicated andcomplicated appendicitis.
Mehdi Sarafi; Behzad Azimi; Mohammad Karimian; Gholamreza Ebrahimiseraj
Volume 13, Issue 3 , July 2025, , Pages 153-157
Abstract
Objective: This study aimed to investigate the incidence and risk factors for surgical site infection (SSI)following appendectomy.Methods: This retrospective cohort study examined the records of 180 patients who underwent appendectomyin Emam Khomeini Hospital from January 2021 to December 2022. The research ...
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Objective: This study aimed to investigate the incidence and risk factors for surgical site infection (SSI)following appendectomy.Methods: This retrospective cohort study examined the records of 180 patients who underwent appendectomyin Emam Khomeini Hospital from January 2021 to December 2022. The research tool included a demographicprofile form and a research checklist. After obtaining the ethical approval from the university, the researchervisited the hospital and extracted the required data from the patient’s clinical file (in accordance with theresearch checklist). Then, the collected data were entered into SPSS software (version 21) for data analysis.Results: Of the 180 patient records included in the study, 28 (15.6%) developed SSI. The descriptive analysisrevealed that among the patients with SSI, 19 patients were men (67.9%), 18 (64.3%) had a low BMI, 8 (28.6%)had blood type A-, and 19 (67.9%) patients had a fever below 38 °C. Regarding clinical symptoms, 1 (3.6%)patient had gangrenous appendicitis, and 22 (78.6%) required urgent surgery. Notably, no significant riskfactors for SSI were identified. There was no association between SSI status and demographic variables,clinical symptoms, or underlying conditions (p>0.05).Conclusion: The incidence of SSI following appendectomy was relatively higher than in previous studies,though no significant risk factors were identified. Given this, standardization and adherence to evidence-basedinfection control practices, such as an appropriate preoperative antiseptic preparation, timely administrationof prophylactic antibiotics, and the use of laparoscopic techniques when feasible, might help reduce SSI risk.
Alireza Esmaeili; Vahideh Salimi; Naser Mohammad Karimi; Majid Hajimaghsoudi; Mahmoud Vakili; Ehsan Zarepur
Volume 6, Issue 4 , October 2018, , Pages 300-305
Abstract
Objective: To evaluate the effect of hyoscine on pain and tenderness, rebound tenderness and appendicitis patients before surgery and this study can be considered as the first study investigated the efficacy of hyoscine on pain, tenderness, and rebound tenderness in patients with appendicitis.Methods: ...
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Objective: To evaluate the effect of hyoscine on pain and tenderness, rebound tenderness and appendicitis patients before surgery and this study can be considered as the first study investigated the efficacy of hyoscine on pain, tenderness, and rebound tenderness in patients with appendicitis.Methods: In this single-group, prospective interventional study (before-after) according to inclusion and exclusion criteria, 70 patients with pain in the right lower abdomen and typical symptoms of appendicitis were evaluated and after surgery, diagnostic accuracy was examined by pathologic results. The pain was evaluated before and after administration of hyoscine by numerical and verbal examination. Tenderness and rebound tenderness were also determined.Results: The mean age of patients was 26.81±7.66. Totally, 42 patients (60%) had reduction in pain, 50 patients (71% percent) had reduction in tenderness, and 39 (55%) had reduction in rebound tenderness after treatment with the drug. A statistically significant reduction of pain and tenderness, rebound tenderness was observed in all of men after administration of hyoscine (p<0.001) but in women, the reduction of severity of tender results was only significant (p=0.002). Data analysis in women and men together showed the significant reduction of pain, tenderness, and rebound tenderness (p<0.001).Conclusion: According to the results, hyoscine can reduce pain, tenderness, and rebound tenderness. So, it seems that hyoscine is a good candidate for patients with appendicitis.IRCT registration number: IRCT2015111825123N1
Sam Moslemi; Maryam Tahamtan; Seyed Vahid Hosseini
Volume 2, Issue 1 , January 2014, , Pages 55-58
Abstract
Psoas abscesses could originate from an adjacent source of infection in the abdominopelvic cavity known as a secondary complication of acute appendicitis. However, it is considered as a very rare event when occurring late after the presentation of appendicitis. Whether it is the source or complication ...
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Psoas abscesses could originate from an adjacent source of infection in the abdominopelvic cavity known as a secondary complication of acute appendicitis. However, it is considered as a very rare event when occurring late after the presentation of appendicitis. Whether it is the source or complication of acute appendicitis following appendectomy remains unclear. A 25-year-old man was admitted to our center with fever and abdominal pain. His past medical history was unremarkable except for having an acute appendicitis and complicated appendectomy 4 years before presenting illness. On admission, the patient was febrile with right lower quadrant abdominal tenderness and moderate leukocytosis. The Abdominopelvic CT- scan revealed a large right psoas muscle than the opposite site, that contained a hypodense mass measuring 6 cm in diameter with extension into right iliacus and internal oblique muscles..The patient underwent subsequent percutaneous abscess drainage under image guide and concurrent broad-spectrum antibiotic therapy.
