Abstract
BackgroundIn this study our aim was to evaluate the diagnostic value of preoperative laboratory and radiological studies for appendicitis.MethodsThe clinical data of 196 patients who have undergone conventional appendectomy between March 2007 and April 2008 were collected retrospectively. Patients were examined for age, sex, white blood cell count, ultrasonography results, histopathological diagnosis and hospital stay.ResultsNegative appendectomy rate was 17.3% (27% for female, 11.5% for male). White blood cell counts were found to be high in 83% for acute appendicitis group and %61 for negative appendectomy group. There were 66 (34%) patients who had negative USG findings for acute appendicitis. Of these patients, histopathological examination revealed acute appendicitis in 46 patients whereas 20 patients had normal appendix. Hospital stays were 2.79 +/- 1.9 and 2.66 +/- 1.7 days for negative and positive appendicectomies respectively.ConclusionsBesides the improvement of diagnostic tests for acute appendicitis, we could not sufficiently reduce the negative appendectomy rate.
Highlights
In this study our aim was to evaluate the diagnostic value of preoperative laboratory and radiological studies for appendicitis
Appendicectomy is still the most common procedure in general surgery practice but diagnostic failure may still occur and this leads to delay in treatment or negative appendectomies
Data of the 277 conventional appendectomies performed for acute appendicitis (AA) between March 2007 and April 2008 were collected
Summary
In this study our aim was to evaluate the diagnostic value of preoperative laboratory and radiological studies for appendicitis. We aimed to analyze retrospectively the diagnostic efficiency of the preoperative tests in relation with histopathologic results
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