Characteristics of Appendicitis Patients Who Underwent Operative Appendectomy at Waled Hospital, Cirebon Regency for the 2020–2025 Period
Main Article Content
Appendicitis is one of the most common causes of acute abdominal pain requiring surgical intervention. The primary treatment is appendectomy, either by open or laparoscopic approach. Knowing the characteristics of patients undergoing appendectomy is essential to improve the quality of diagnosis and clinical management. To determine the characteristics of appendicitis patients undergoing operative appendectomy at Waled Regional Hospital, Cirebon Regency in the period 2020-2025 based on age, gender, main symptoms, and surgical procedures. This study is an observational descriptive study with a retrospective approach. Data were taken from medical records of appendicitis patients undergoing surgery at Waled Regional Hospital during the period January 2020 to June 2025. A total sample of 65 patients met the inclusion criteria. Most patients were in the late adolescent age group (17–25 years), which was 40.0%. The most common gender was female (75.4%). All patients (100%) came with the main symptom of right lower abdominal pain according to the Alvarado score. The most common operative procedure was performed by laparoscopy (66.2%). Most appendicitis patients were aged 17–25 years (26 patients (40.0%), and 49 patients (75.4%) were female. The primary symptom experienced by all 65 patients (100%) was right lower abdominal pain. Laparoscopic appendectomy was the most frequently performed procedure, occurring in 43 cases (66.2%).
Keywords:
Patient characteristics, Appendicitis, operative appendectomy
1. Pujawan Imn, Damayanti Nkam, Riantana W, Mahardika Igdk. Characteristics of Appendicitis Cases. J Ilm Permas J Ilm Stikes Kendal. 2023 Apr 8; 13(3):797–804.
2. Khamila S, Limas Pi. Comparison of the characteristics of appendicitis patients before and during the Covid-19 pandemic at Haji Darjad Samarinda Hospital for the 2019-2020 period. Ebers Pap [Internet]. 2023 Aug 2 [Cited 2025 Jun 12]; 29(1).
3. Singh, Gautam, Sonde, Sarah, Guest, Megan, Astbury, Lauren, Gupta, Ankit, Hamson, George, Et Al. Egs So31 - Does In-Hospital Delay In Appendicectomy Lead To Complicated Appendicitis And Affect Post Operative Outcome - A Single Centre Study. British Journal Of Surgery. 2024; 111(Supplement_9):Znae271.121.
4. Haryanti M, Elliya R, Setiawati S. Relaxation Technique Program for Acute Pain with Post Appendictomy Problems in Talang Village, Java, South Lampung. J Kreat Pengabdi Kpd Masy Pkm. 2023 Feb 1; 6(2):742–56.
5. Purnamasari R, Irsandy Syahruddin F, Dirgahayu Am, Iskandar D, Fadhila F. Clinical Characteristics of Patients with Appendicitis. Umi Med J. 2023 Dec 29; 8(2):117–26.
6. Finance Yw, Prastya Ad, Mawaddatunnadila S. Management of Acute Appendicitis in the Era of the Covid-19 Pandemic.
7. Alexandra Nguyen, Saran Lotfollahzadeh. Appendectomy - Statpearls - Ncbi Bookshelf. 2024.
8. Sani N, Febriyani A, Hermina Yf. Characteristics of Acute Appendicitis Patients at Dr. H. Abdul Moeloek Regional General Hospital, Lampung Province. Malahayati Nurs J. 2020 Jul 13; 2(3):577–86.
9. Nisa H, Ayudia Ei, Trihartanto A, Harahap H. Characteristics of Laparoscopic Surgery Patients in the Pediatric Surgery Department at Raden Mattaher Jambi Hospital in 2018-2022. 2024;4.
10. Wang D, Dong T, Shao Y, Gu T, Xu Y, Jiang Y. Laparoscopy Versus Open Appendectomy For Elderly Patients, A Meta-Analysis And Systematic Review. Bmc Surg. 2019 Dec; 19(1):54.
11. Cristie Jo, Wibowo Aa, Noor Ms, Tedjowitono B, Aflanie I. Analysis of Risk Factors Related to the Incidence of Acute Appendicitis. 4(1).
12. R. Sjamsuhidajat, Theddeus O. H. Prasetyono Reno Rudiman, Ignatius Riwanto Paul Tahalele. Textbook of Organ System Surgery and Its Surgical Procedures (2). 2016;3.
13. Paulsen W. Sobotts Atlas Of Human Anatomy Internal Organs 24th. 2019.
14. Saran Lotfollahzadeh, Richard A. Lopez, Jeffrey G. Deppen. Appendicitis. 2024;
15. Hanson, Keith A, Jacob, Daron, Alhaj Saleh, Adel, Dissanaike, Sharmila. In-Hospital Perforation Risk In Acute Appendicitis: Age Matters. 2020; (1).
16. Emektar E. Determination Of Factors Associated With Perforation In Patients With Geriatric Acute Appendicitis. Turk J Trauma Emerg Surg [Internet]. 2020.
17. Meklin J, Eskelinen M, Syrjänen K, Eskelinen M. Gender-Specific Performance Of A Diagnostic Score In Acute Appendicitis. In Vivo. 2020; 34(6):3687–703.
18. Capoglu R, Gonullu E, Bayhan Z, Coskun M, Harmantepe T, Kucuk F. Comparison Of Scoring Systems Regarding The Gender As A Parameter With The Traditional Scoring Systems For Predicting Appendicitis. Updat Surg. 2022 Jun; 74(3):1035–42.
19. Sabiston Textbook Of Surgery The Biological Basis Of Modern Surgical Practice. 21st Ed. 2021.
20. Primary Y. Clinical Aspects and Management of Acute Appendicitis in Children. 2022; 5(2).
21. Aditya F, Satria M. Acute appendicitis in adult patients: a brief review.
22. Angelica S.O Siahaan, Dwi Sartika Habeahan, Deltarianto Zalukhu, Chrismis Novalinda Ginting. The Effect Of Before And After Early Mobilization On Changes In Pain Level In Clients Post Operation Of Appendix In Hospital Royal Prima Year 2021. 2021;
23. Sholehah L. The Importance of Early Nutrition for Post-Operative Patients of Ileus Perforation Laparotomy. J Ilm Health Sandi Husada. 2021 Dec 31; 10(2):423–30.
24. Kheru A, Sudiadnyani Np, Lestari P. Differences in the number of leukocytes in patients with acute appendicitis and perforation. J Ilm Health Sandi Husada. 2022 June 1; 161–7.
25. Antu Y, Suarno Fi. Characteristics of Acute Appendicitis Patients at Dr. Zainal Umar Sidiki Gorontalo Hospital.
26. Wickramasinghe Dp, Xavier C, Samarasekera Dn. The Worldwide Epidemiology Of Acute Appendicitis: An Analysis Of The Global Health Data Exchange Dataset. World J Surg. 2021 Jul; 45(7):1999–2008.
27. Mustaqim Mh, Sophia A. Comparison of Blood Leukocyte Levels in Patients with Acute Appendicitis and Perforated Appendicitis at Meuraxa Banda Aceh Hospital.
28. Kollias Tf, Gallagher Cp, Albaashiki A, Burle Vs, Slouha E. Sex Differences In Appendicitis: A Systematic Review. Cureus [Internet]. 2024 May 10 [Cited 2025 Jul 4]; Available From: Https://Www.Cureus.Com/Articles/249823-Sex-Differences-In-Appendicitis-A-Systematic-Review.
29. Schildberg C, Weber U, König V, Linnartz M, Heisler S, Hafkesbrink J, Et Al. Laparoscopic Appendectomy As The Gold Standard: What Role Remains For Open Surgery, Conversion, And Disease Severity?: An Analysis Of 32,000 Cases With Appendicitis In Germany. World J Emerg Surg. 2025 Jun 18; 20(1):53.
30. Capoglu R, Gonullu E, Bayhan Z, Coskun M, Harmantepe T, Kucuk F. Comparison Of Scoring Systems Regarding The Gender As A Parameter With The Traditional Scoring Systems For Predicting Appendicitis. Updat Surg. 2022 Jun; 74(3):1035–42.
31. Wendari A, Kusumajaya H, Faizal Km. Factors Related to the Incidence of Appendicitis at Bakti Timah Pangkalpinang Hospital in 2023. 2025;6.
32. Reismann M. A Concise Pathophysiological Model Of Acute Appendicitis Against The Background Of The Covid-19 Pandemic. Front Pediatr. 2022 Oct 13;10:908524.
33. Han Sb, Hou Xj, Yu Yh, Ju Z, Zhang R, Wang Rj, Et Al. Correction To: Description Of Wenzhouxiangella Salilacus Sp. Nov., A Moderate Halophilic Bacterium Isolated From A Salt Lake In Xinjiang Province, China. Antonie Van Leeuwenhoek. 2020 Mar; 113(3):447–447.
34. Di Saverio S, Podda M, De Simone B, Ceresoli M, Augustin G, Gori A, Et Al. Diagnosis And Treatment Of Acute Appendicitis: 2020 Update Of The Wses Jerusalem Guidelines. World J Emerg Surg. 2020 Dec; 15(1):27.
35. Patmasari L, Herizal H, Muhammad S. Characteristics of Appendicitis Patients Who Operated on in the Pediatric Surgery Division of Dr. M. Djamil Padang Hospital for the 2019-2020 Period. J Indonesian Health Sciences. 2022 Aug 28; 2(4):286–93.
36. Islam Mt, Hasan Mm, Ahmed S, Basir Ak, Hasnat F. Beyond The Incisions: Unraveling The Superiority Between Laparoscopic Versus Open Appendectomy. Int Surg J. 2023 Jul 28; 10(8):1289–94.
37. Patil M, Gharde P, Reddy K, Nayak K. Comparative Analysis Of Laparoscopic Versus Open Procedures In Specific General Surgical Interventions. Cureus [Internet]. 2024 Feb 19 [Cited 2025 Jul 4]; Available From: Https://Www.Cureus.Com/Articles/198299-Comparative-Analysis-Of-Laparoscopic-Versus-Open-Procedures-In-Specific-General-Surgical-Interventions.
38. Zhang G, Wu B. Meta-Analysis Of The Clinical Efficacy Of Laparoscopic Appendectomy In The Treatment Of Acute Appendicitis. World J Emerg Surg. 2022 Dec; 17(1):26.
39. Srivastava S, Yadav Gd, Shukla P, Verma S. A Prospective And Comparative Study Of Laparoscopic Appendectomy And Open Appendectomy In The Surgical Treatment Of Appendicitis. Cureus [Internet]. 2025 Jan 18 [Cited 2025 Jul 6]; Available From: Https://Www.Cureus.Com/Articles/320357-A-Prospective-And-Comparative-Study-Of-Laparoscopic-Appendectomy-And-Open-Appendectomy-In-The-Surgical-Treatment-Of-Appendicitis.
2. Khamila S, Limas Pi. Comparison of the characteristics of appendicitis patients before and during the Covid-19 pandemic at Haji Darjad Samarinda Hospital for the 2019-2020 period. Ebers Pap [Internet]. 2023 Aug 2 [Cited 2025 Jun 12]; 29(1).
3. Singh, Gautam, Sonde, Sarah, Guest, Megan, Astbury, Lauren, Gupta, Ankit, Hamson, George, Et Al. Egs So31 - Does In-Hospital Delay In Appendicectomy Lead To Complicated Appendicitis And Affect Post Operative Outcome - A Single Centre Study. British Journal Of Surgery. 2024; 111(Supplement_9):Znae271.121.
4. Haryanti M, Elliya R, Setiawati S. Relaxation Technique Program for Acute Pain with Post Appendictomy Problems in Talang Village, Java, South Lampung. J Kreat Pengabdi Kpd Masy Pkm. 2023 Feb 1; 6(2):742–56.
5. Purnamasari R, Irsandy Syahruddin F, Dirgahayu Am, Iskandar D, Fadhila F. Clinical Characteristics of Patients with Appendicitis. Umi Med J. 2023 Dec 29; 8(2):117–26.
6. Finance Yw, Prastya Ad, Mawaddatunnadila S. Management of Acute Appendicitis in the Era of the Covid-19 Pandemic.
7. Alexandra Nguyen, Saran Lotfollahzadeh. Appendectomy - Statpearls - Ncbi Bookshelf. 2024.
8. Sani N, Febriyani A, Hermina Yf. Characteristics of Acute Appendicitis Patients at Dr. H. Abdul Moeloek Regional General Hospital, Lampung Province. Malahayati Nurs J. 2020 Jul 13; 2(3):577–86.
9. Nisa H, Ayudia Ei, Trihartanto A, Harahap H. Characteristics of Laparoscopic Surgery Patients in the Pediatric Surgery Department at Raden Mattaher Jambi Hospital in 2018-2022. 2024;4.
10. Wang D, Dong T, Shao Y, Gu T, Xu Y, Jiang Y. Laparoscopy Versus Open Appendectomy For Elderly Patients, A Meta-Analysis And Systematic Review. Bmc Surg. 2019 Dec; 19(1):54.
11. Cristie Jo, Wibowo Aa, Noor Ms, Tedjowitono B, Aflanie I. Analysis of Risk Factors Related to the Incidence of Acute Appendicitis. 4(1).
12. R. Sjamsuhidajat, Theddeus O. H. Prasetyono Reno Rudiman, Ignatius Riwanto Paul Tahalele. Textbook of Organ System Surgery and Its Surgical Procedures (2). 2016;3.
13. Paulsen W. Sobotts Atlas Of Human Anatomy Internal Organs 24th. 2019.
14. Saran Lotfollahzadeh, Richard A. Lopez, Jeffrey G. Deppen. Appendicitis. 2024;
15. Hanson, Keith A, Jacob, Daron, Alhaj Saleh, Adel, Dissanaike, Sharmila. In-Hospital Perforation Risk In Acute Appendicitis: Age Matters. 2020; (1).
16. Emektar E. Determination Of Factors Associated With Perforation In Patients With Geriatric Acute Appendicitis. Turk J Trauma Emerg Surg [Internet]. 2020.
17. Meklin J, Eskelinen M, Syrjänen K, Eskelinen M. Gender-Specific Performance Of A Diagnostic Score In Acute Appendicitis. In Vivo. 2020; 34(6):3687–703.
18. Capoglu R, Gonullu E, Bayhan Z, Coskun M, Harmantepe T, Kucuk F. Comparison Of Scoring Systems Regarding The Gender As A Parameter With The Traditional Scoring Systems For Predicting Appendicitis. Updat Surg. 2022 Jun; 74(3):1035–42.
19. Sabiston Textbook Of Surgery The Biological Basis Of Modern Surgical Practice. 21st Ed. 2021.
20. Primary Y. Clinical Aspects and Management of Acute Appendicitis in Children. 2022; 5(2).
21. Aditya F, Satria M. Acute appendicitis in adult patients: a brief review.
22. Angelica S.O Siahaan, Dwi Sartika Habeahan, Deltarianto Zalukhu, Chrismis Novalinda Ginting. The Effect Of Before And After Early Mobilization On Changes In Pain Level In Clients Post Operation Of Appendix In Hospital Royal Prima Year 2021. 2021;
23. Sholehah L. The Importance of Early Nutrition for Post-Operative Patients of Ileus Perforation Laparotomy. J Ilm Health Sandi Husada. 2021 Dec 31; 10(2):423–30.
24. Kheru A, Sudiadnyani Np, Lestari P. Differences in the number of leukocytes in patients with acute appendicitis and perforation. J Ilm Health Sandi Husada. 2022 June 1; 161–7.
25. Antu Y, Suarno Fi. Characteristics of Acute Appendicitis Patients at Dr. Zainal Umar Sidiki Gorontalo Hospital.
26. Wickramasinghe Dp, Xavier C, Samarasekera Dn. The Worldwide Epidemiology Of Acute Appendicitis: An Analysis Of The Global Health Data Exchange Dataset. World J Surg. 2021 Jul; 45(7):1999–2008.
27. Mustaqim Mh, Sophia A. Comparison of Blood Leukocyte Levels in Patients with Acute Appendicitis and Perforated Appendicitis at Meuraxa Banda Aceh Hospital.
28. Kollias Tf, Gallagher Cp, Albaashiki A, Burle Vs, Slouha E. Sex Differences In Appendicitis: A Systematic Review. Cureus [Internet]. 2024 May 10 [Cited 2025 Jul 4]; Available From: Https://Www.Cureus.Com/Articles/249823-Sex-Differences-In-Appendicitis-A-Systematic-Review.
29. Schildberg C, Weber U, König V, Linnartz M, Heisler S, Hafkesbrink J, Et Al. Laparoscopic Appendectomy As The Gold Standard: What Role Remains For Open Surgery, Conversion, And Disease Severity?: An Analysis Of 32,000 Cases With Appendicitis In Germany. World J Emerg Surg. 2025 Jun 18; 20(1):53.
30. Capoglu R, Gonullu E, Bayhan Z, Coskun M, Harmantepe T, Kucuk F. Comparison Of Scoring Systems Regarding The Gender As A Parameter With The Traditional Scoring Systems For Predicting Appendicitis. Updat Surg. 2022 Jun; 74(3):1035–42.
31. Wendari A, Kusumajaya H, Faizal Km. Factors Related to the Incidence of Appendicitis at Bakti Timah Pangkalpinang Hospital in 2023. 2025;6.
32. Reismann M. A Concise Pathophysiological Model Of Acute Appendicitis Against The Background Of The Covid-19 Pandemic. Front Pediatr. 2022 Oct 13;10:908524.
33. Han Sb, Hou Xj, Yu Yh, Ju Z, Zhang R, Wang Rj, Et Al. Correction To: Description Of Wenzhouxiangella Salilacus Sp. Nov., A Moderate Halophilic Bacterium Isolated From A Salt Lake In Xinjiang Province, China. Antonie Van Leeuwenhoek. 2020 Mar; 113(3):447–447.
34. Di Saverio S, Podda M, De Simone B, Ceresoli M, Augustin G, Gori A, Et Al. Diagnosis And Treatment Of Acute Appendicitis: 2020 Update Of The Wses Jerusalem Guidelines. World J Emerg Surg. 2020 Dec; 15(1):27.
35. Patmasari L, Herizal H, Muhammad S. Characteristics of Appendicitis Patients Who Operated on in the Pediatric Surgery Division of Dr. M. Djamil Padang Hospital for the 2019-2020 Period. J Indonesian Health Sciences. 2022 Aug 28; 2(4):286–93.
36. Islam Mt, Hasan Mm, Ahmed S, Basir Ak, Hasnat F. Beyond The Incisions: Unraveling The Superiority Between Laparoscopic Versus Open Appendectomy. Int Surg J. 2023 Jul 28; 10(8):1289–94.
37. Patil M, Gharde P, Reddy K, Nayak K. Comparative Analysis Of Laparoscopic Versus Open Procedures In Specific General Surgical Interventions. Cureus [Internet]. 2024 Feb 19 [Cited 2025 Jul 4]; Available From: Https://Www.Cureus.Com/Articles/198299-Comparative-Analysis-Of-Laparoscopic-Versus-Open-Procedures-In-Specific-General-Surgical-Interventions.
38. Zhang G, Wu B. Meta-Analysis Of The Clinical Efficacy Of Laparoscopic Appendectomy In The Treatment Of Acute Appendicitis. World J Emerg Surg. 2022 Dec; 17(1):26.
39. Srivastava S, Yadav Gd, Shukla P, Verma S. A Prospective And Comparative Study Of Laparoscopic Appendectomy And Open Appendectomy In The Surgical Treatment Of Appendicitis. Cureus [Internet]. 2025 Jan 18 [Cited 2025 Jul 6]; Available From: Https://Www.Cureus.Com/Articles/320357-A-Prospective-And-Comparative-Study-Of-Laparoscopic-Appendectomy-And-Open-Appendectomy-In-The-Surgical-Treatment-Of-Appendicitis.
