Commonest Position of the Vermiform Appendix among Sudanese: Cadaveric study

Document Type : Original Article

Author

Department of Anatomy, Faculty of Medicine and Health Sciences, Omdurman Islamic University, Sudan. -Department of Anatomy, Faculty of Midence, University of AL-Baha, KSA

Abstract

The appendicular signs and appendicectomy are associated with its anatomical location. Therefore, good knowledge about the location of the appendix will contribute to reducing diagnostic and surgical errors. Several studies have shed light on this topic in different populations using different methods, but still, the commonest position of VA is a subject of debate among researchers, whether in living individuals or cadavers. The current study aims to determine the commonest position of VA to provide a complete understanding of anatomical variations in both genders, using dissection. 122 bodies (92 males and 30 females) were dissected in a mortuary in 10 Sudanese medical schools, between January and September 2022, using Cunningham’s dissection method. The dissection was evaluated for various anatomical locations of the free end of the VA in both genders. The most common position of the VA in both genders was (40.2%) retrocaecal followed by (23.9%) pelvic. The incidence of retrocaecal position in both genders was about the same, while pelvic was greater in males. The commonest location of VA in Sudanese was retrocecal followed by pelvic. No statistically significant association between males and females with the position of the appendix in dissected cadavers.  Cadaveric dissection is the best method for detecting the different positions of the VA, it gives wide scope for follow up its free end. 

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