Prevalence of appendectomy at Alwahda hospital in city of Derma, Libya. Cross-sectional survey.

Background: Acute appendicitis (AA) is a major common disease that need urgent surgical treatment. Appendectomy is the right choice treatment for AA. The aim of our study was to assess the prevalence of acute appendicitis and the associated risk factors at Alwahda hospital patients in Derna city, Libya. Material and Methods: This is a cross sectional study. All patients who attend to general surgery department at Alwahda hospital and undergoing to surgical operations with different reasons from December 2020 to December 2021 were included in this study. Demographic and clinical data on patient’s age, sex, and symptoms were collected. Result: Out of 403 patients were underwent general surgery at Alwahda hospital in period of the study. The most common reasons for surgery were GBS 116 (28.7%), appendectomy 96 (23.8%) and Brest surgery 46(11.4%). Out of 96 patients with suspect acute appendicitis, 36(37.5%) were males and 60(62.5%) were females. The incidence of AA most occurs in patients with age groups between 11-20 year 51 (53.1%) and age groups 3-10 years 32(33.3%), respectively. Most common clinical findings were abdominal pain 94(97.9%), vomiting86 (89.6%), and fever 52(54.2%). Positive Ultrasound report was 33 (34.4%), and complications of appendicitis were (19.8%). Negative rate of appendectomy was (16.6%). Conclusion: The study shows high Prevalence rate of acute appendicitis in younger patients with high incidence of complications, which lead us to have deep thinking in way that will help in early diagnosis of acute appendicitis and to reduce the complications and negative rate of appendectomy.