EFFECT OF MESOAPPENDIX VOLUME ON PREOPERATIVE PAIN OF ACUTE APPENDICITIS

Abstract

Background: Acute appendicitis is one of the best common emergencies of abdominal pain that presents in an emergency department, demanding an admission request. The current study investigates the relationship of volume of mesoappendix with preoperative hurt scores in subjects presenting with acute appendicitis.

Methods: This was a prospective study of 450 patients operated at Lady Reading Hospital, Peshawar, Pakistan, for appendectomy due to acute appendicitis from January 2021 to December 2021. Pain before appendectomy was assessed with an NRS and WBS. The volume of the mesoappendix was recorded with measurements taken during surgery. Spearman's rho correlation coefficient was applied to find correlations between mesoappendix volume, pain score assessments, and appendicitis types. Chi-square tests and Cramer's V were calculated to explain their association.

Results: The patients of, 283 were men and 167 were women with a cruel age of 35.9 years. The average volume of mesoappendix was 22.5 cm³. There was a small but statistically substantial correlation between the mesoappendix volume and NRS and WBS pain scores with r = 0.17 and p = 0.065 and r = 0.17 and p = 0.057, respectively. The pain score was significantly hard in patients who had complex appendicitis than in patients with uncomplicated appendicitis. The chi-square and Cramer's V values indicated a significant connection of pain score (as measured on both NRS and WBS) and appendicitis type: Cramer's V = 0.385, χ² = 17.956, p = 0.022.

Conclusion: This study showed a modest correlation of mesoappendix volume with preoperative pain scores in patients diagnosed with acute appendicitis, indicating that complicated appendicitis is observed at higher volumes. It means that for patients with acute appendicitis, mesoappendix volume and appendicitis type should be factored into consideration in pain management and decision-making. Further studies with more samples should be conducted to identify other factors affecting pain in acute appendicitis.