Clinical-surgical correlation of acute appendicitis at the General Hospital of Luque from june 2022 to june 2023 based on the Jerusalem WSES Guide 2020

Abstract

Introduction: Acute appendicitis is one of the most common surgical emergencies, with appendectomy being the standard treatment. However, its diagnosis remains complex. In 2015, the World Society of Emergency Surgery (WSES) published evidence-based guidelines to improve its management, which were updated in 2020. This study aims to correlate the clinical and surgical findings of acute appendicitis in patients at the General Hospital of Luque between June 2022 and June 2023, with the recommendations of the WSES 2020 guidelines.
Methods: Observational, retrospective, descriptive cross-sectional study. Results: Of the 291 patients, 93.8% (273) underwent appendectomy. Most appendectomies were conventional (76.9%). Surgical findings showed a higher prevalence of phlegmonous appendicitis (52%) and gangrenous appendicitis (23%). Sixty-six percent of patients with uncomplicated appendicitis received a single dose of antibiotics, while 34% with more severe forms received postoperative antibiotics. No drainage was used in any of the patients.
Conclusion: The Alvarado, AIR, and RIPASA scales demonstrated a high predictive value for diagnosing acute appendicitis. The WSES 2020 guidelines are applicable and useful in managing this condition in our population.