Emergency Appendicectomy is the most commonly performed surgery world over. A retrospective study was carried out to determine various histopathological diagnoses, their demographics and negative appendectomyover a period of two years in a peripheral hospital. A total of 91appendectomies were done over a period of two years in a peripheral hospital in Nasik, India. Out of the 91 patients who underwent appendectomy, 63 patients were males and 28 patients were females. In our series the highest incidence occurred in the age group of 20-30 years. The most frequently removed specimen of appendix was 6cm in length. Males were more commonly affected. The most common histopathology report revealed numerous neutrophils infiltrating into the muscularis propria extending upto serosa. Negative appendectomies were 18.68% and females were more commonly operated for negative appendectomies (70.58%).

Keywords: Acute Appendicitis, Appendectomy, Histopathology.

1. Larner AJ. The aetiology of appendicitis. Br J Hosp Med 1988; 39:540-2. (Pubmed)
2. Hospital Episode Statistics. Primary Diagnosis: summary.www.hesonline.nhs.uk/Ease/servlet/contentserver/siteid=1937&categoryid=202(accessed 28 Aug 2006)
3. Addiss DG, Shaffer N, Fowler BS, Tauxe RV. The epidemiology of appendicitis and appendectomy in United States, Am J Epidemiol 1990, 132 :910-25 (Pubmed)
4. Murphy J. Two thousand operations for appendicitis, with deductions from his personal experience. Am J Med Sci 1904; 128: 187-211
5. Turner JR. The Gastrointestinal tract, In: Kumar,Abbas,Fausto (eds). Robins and Cotran Pathologicbasis of disease. 8th edn. Saunders: Philadelphia; 2010. pp870-1.
6. Al-Omran M, Mamdani MM, McLeod RS. Epidemiologic features of acute appendicitis in Ontario, Canada. Can J Surg2003;46:263-8.
7. Terasawa T, Blackmore CC, Bent S, Kohlwes RJ: Systematic review: Computed tomography and ultrasonography to detect acute appendicitis in adults and adolescents. Ann Int Med 2004; 141: 537-46 (Pubmed)
8. Acute Appendicitis. DJ Humes, Research into Ageing/ Royal College of Surgeons of England research fellow and J Simpson , lecturer in surgery
9. Weston A, Jackson T, Blamey S. Diagnosis of appendicitis in adults by ultrasonography and computed tomography: a systematic review and meta- analysis. Int J Technol assess Health care 2005;21: 368-79 (Pubmed)
10. Oguntola AS, Adeoti ML, Oyemolade TA. Appendicitis: Trends in incidence, age, sex, and seasonal variations in South-Western Nigeria. Ann Afr Med 2010;9: 213-7.
11. Khairy G. Acute appendicitis: is removal of a normal appendix still existing and can we reduce its rate? Saudi J Gastroenterol 2009;15(3):167–170.

Dr (Colonel) Gurmeet Singh Sarla

MH DEVLALI

Email: This email address is being protected from spambots. You need JavaScript enabled to view it., Mobile: 9882562223