Objective:

To determine if the restructuring of the macroscopic classification of acute appendicitis according to our conclusions can guide surgical management, directly impact, in the duration of the hospital stay, in the prognosis, the rate of complications and reinterventions. Setting: General Hospital of Atizapan, ISEM. Design: Prospective, cross-sectional, comparative, observational and analytical study. Statistical analysis: Descriptive statistics applicated on the demographic data, comparing, in base of the suggested classification, the groups of appendicitis using the “t” of Student for continuing variables with a 95% confidence and Excel’s data analysis system. The probability of < 0.05 was accepted as statistically significant.

Material and methods:

182 patients who entered the emergency service of the General Hospital of Atizapan in the period of time (November 2016-October 2017), with painful abdominal syndrome suggesting acute appendicitis; the suggested classification in evolutionary stages was applied to them by the authors, relating it to the suggested management and contrasting it with the traditional classification as well as the liberal management of the other surgeons, taking into consideration complications, reinterventions and hospital stay.

Results:

The patients with the suggested management (according to the new classification) presented lower rate of infection and reintervention in contrast to the patients without the suggested management whose infection statistics (41.1%), reinterventions (10.5%) and hospital stay (200-300% more)

Conclusions:

This research allow us to recommend the use of the suggested classification. Being precise in the gravity of acute appendicitis and its relationship with peritoneal cavity, giving a guide for surgical management according to the trans operatory recent findings; diminishing, not only the complication rate and hospitality stay days, but also the reintervention.

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