Peri Anaesthesia Management in Appendectomy with Regional Anaesthesia Subarachnoid Block in Appendicitis and Leucocytosis
Keywords:
Appendectomy, Appendicitis, Haemorrhage, LeucocytosisAbstract
The prevalence of surgery in cases of appendicitis is one of the most common diseases in the world and is the most common disease affecting children and adults. Therefore, anaesthesiologists are often faced with perioperative measures in appendectomy patients. With the action of peri anaesthesia on preventing the increase in infection due to leucocytosis and adjusting the anaesthetic agent drugs given so that the operation given can be successful without adverse effects on the patient. In this case we describe the peri anaesthesia related to Appendicitis surgery with Laparotomy Appendectomy technique with the management of Leucocytosis and Bleeding in peri anaesthesia management.
References
1. Louw J, McCaul M, English R, Nyasulu PS, Davies J, Fourie C, et al. Factors Contributing to Delays to Accessing Appendectomy in Low- and Middle-Income Countries: A Scoping Review. World J Surg. 2023;47(12):3060–9.
2. Fantodji C, Jantchou P, Parent ME, Rousseau MC. Appendectomy and risk for inflammatory bowel disease: effect of age and time post appendectomy - a cohort study. BMJ Open Gastroenterol. 2022;9(1):1–8.
3. Tuasamu DI, Hataul II, Devi CIA, Angkejaya OW. Hubungan Antara Lama Nyeri Pra Operasi Dengan Lama Perawatan Post Operasi Pada Pasien Apendisitis Perforasi Yang Dilakukan Laparotomi Apendektomi Di Rsud Dr M Haulussy Ambon Tahun 2018-2019. PAMERI: Pattimura Medical Review. 2022;4(2):30–5.
4. Echevarria† S, Rauf† F, Hussain† N, Zaka H, Farwa U e, Ahsan N, et al. Typical and Atypical Presentations of Appendicitis and Their Implications for Diagnosis and Treatment: A Literature Review. Cureus. 2023;15(4).
5. Fersahoğlu MM, Çiyiltepe H, Fersahoğlu AT, Bulut NE, Ergin A, Timuçin Aydın M, et al. The Effect of Symptom/Waiting Periods and Appendectomy Timing on Clinical Outcomes in Patients with Appendectomy. Turkish Journal of Colorectal Disease. 2022;32(1):63–9.
6. Kartal İ. Childhood neuroendocrine tumors of the digestive system: A single center experience. Medicine (United States). 2022;101(6):E28795.
7. Chaochankit W, Boocha A, Samphao S. Negative appendectomy rate in patients diagnosed with acute appendicitis. BMC Surg. 2022;22(1):1–7.
8. Krzyzak M, Mulrooney SM. Acute Appendicitis Review: Background, Epidemiology, Diagnosis, and Treatment. Cureus. 2020;12(6):6–13.
9. Article R, Resutra R, Gupta R. Comparative Study of Laparoscopic Appendectomy versus Open Appendectomy for the Treatment of Acute Appendicitis. International Journal of Minimal Access Surgery. 2020;1:1005.
10. Shaikh MR, Ali A, Saeed S, Ali N, Rauf H, Shaikh NA. Laparoscopic versus open appendectomy, a comparative study. Journal of the Liaquat University of Medical and Health Sciences. 2019;18(2):90–3.
11. Liu J, Zheng QQ, Wu YT. Effect of enhanced recovery after surgery with multidisciplinary collaboration on nursing outcomes after total knee arthroplasty. World J Clin Cases. 2023;11(32):7745–52.
12. Bilal M, Yusufzai A, Asghar N, Sohail A, Khan ZZ, Zahid T, et al. Total Leukocyte Count Depicting the Degree of Inflammation in Acute Appendicitis. Cureus. 2021;13(8).
13. Ribeiro AM, Romero I, Pereira CC, Soares F, Gonçalves Á, Costa S, et al. Inflammatory parameters as predictive factors for complicated appendicitis: A retrospective cohort study. Annals of Medicine and Surgery. 2022;74(December 2021):4–8.
14. Planas Díaz I, Díaz Menéndez L, Cabello Laureano R, Molina M. Beneficios de la estandarización en el manejo de la apendicitis aguda. Cir Pediatr. 2024;37(1):5–10.
15. Medicine A. Role of hematological parameters in the selection of acute appendicitis treatment. Annals of Clinical and Analytical Medicine. 2020;11(05):420–4.
16. Ali S, Athar M, Ahmed SM. Basics of CPB. Indian J Anaesth. 2019;49(4):257–62.
17. Bromfalk Å, Myrberg T, Walldén J, Engström Å, Hultin M. Preoperative anxiety in preschool children: A randomized clinical trial comparing midazolam, clonidine, and dexmedetomidine. Paediatr Anaesth. 2021;31(11):1225–33.
18. Jin Z, Ding O, Islam A, Li R, Lin J. Comparison of Liposomal Bupivacaine and Conventional Local Anesthetic Agents in Regional Anesthesia: A Systematic Review. Anesth Analg. 2021;132(6):1626–34.
19. Schneider BJ, Joshi M, Ehsanian R, McCormick ZL, Patel J, Zheng P, et al. Patient-perceived duration of effect of lidocaine and bupivacaine following diagnostic medial branch blocks; a multicenter study. Interventional Pain Medicine. 2022;1(2):100083.
20. Shirasu D, Tsuchiya M, Oomae N, Shirasaka W, Iino T, Hirano D, et al. Effect of tranexamic acid administration on intraoperative blood loss during peritonectomy: a single-center retrospective observational study. JA Clin Rep. 2023;9(1).
21. Koh A, Adiamah A, Gomez D, Sanyal S. Safety and efficacy of tranexamic acid in minimizing perioperative bleeding in extrahepatic abdominal surgery: Meta-analysis. BJS Open. 2021;5(2).
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Kevin Virirey Mondawitu, M. Ka’bil Mubarrak, The Ayodhya Santam Budjana, Rahmaya Nova Handayani , Made Suandika (Author)

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.