[Complications of appendicitis and appendectomies. Apropos of 106 cases].
Analysis of 106 case-reports of patients developing complications after appendicectomy provided data on factors predisposing to these sequelae (general condition, initial appendicitis) and their severity (26 deaths equivalent to 24,5 p. cent). Complications were exclusively medical in 22 patients (12 deaths), or surgical in 48 cases (no deaths), and were multiple and/or mixed surgical sequelae in 36 patients (14 deaths). The severity of these medical and surgical complications is emphasized and their appropriate treatment proposed. Statistical analysis of findings in patients with several complications enabled definition of risk factors: peritonitis, septic shock, renal or respiratory insufficiency, age over 50 years, and previous history of disease. Analysis of these risk factors, whether multiple or associated with other complications, can be used for numerical rating of prognosis in these patients.
D000038:Abscess / Q000209:etiology; D058186:Acute Kidney Injury / Q000209:etiology; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D001062:Appendectomy / Q000009:adverse effects* / Q000401:mortality; D001064:Appendicitis / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology; D011379:Prognosis; D012131:Respiratory Insufficiency / Q000209:etiology; D012306:Risk; D012772:Shock, Septic / Q000209:etiology; D013223:Statistics as Topic
Complications des appendicites et appendicectomies. A propos de 106 cas.