Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Appendicectomy in childhood: pathology found.

J E Wright1, M Rowley

  • 1Newcastle Mater Misericordiae Hospital, NSW, Australia.

The Australian and New Zealand Journal of Surgery
|June 1, 1987
PubMed
Summary

Accurate appendicitis diagnosis is crucial. A review of childhood appendectomies highlights the need for critical pre- and peroperative assessment and histological examination to improve diagnostic accuracy.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Advanced risk signature analysis of inflammation markers in predicting prostate cancer using the Swedish Apolipoprotein-related MOrtality RISk (AMORIS) cohort.

ESMO real world data and digital oncology·2026
Same author

Epidemic Dysentery.

The Southern medical record·2022
Same author

In reply.

Anaesthesia and intensive care·2018
Same author

Postoperative euglycaemic diabetic ketoacidosis associated with sodium-glucose cotransporter-2 inhibitors (gliflozins): a report of two cases and review of the literature.

Anaesthesia and intensive care·2018
Same author

Wound Infection: Experience with 12,000 Sutured Surgical Wounds in a General Hospital over a Period of 11 years.

The Australian and New Zealand journal of surgery·2017
Same author

A latent class model for competing risks.

Statistics in medicine·2017

Area of Science:

  • Pediatric Surgery
  • Surgical Pathology

Background:

  • Acute appendicitis is a common surgical emergency in children.
  • Accurate diagnosis is essential to avoid unnecessary surgery and complications.

Purpose of the Study:

  • To evaluate the accuracy of preoperative and operative diagnosis of acute appendicitis in a pediatric population.
  • To assess the diagnostic yield of examining the peritoneal cavity when a normal appendix is found.
  • To determine the concordance between surgeon's assessment and histological findings of the appendix.

Main Methods:

  • Retrospective review of 500 consecutive childhood appendicectomy cases.
  • Analysis of operative findings, surgeon's assessment, and histopathological reports.
  • Documentation of findings in the adjacent peritoneal cavity when the appendix was deemed normal.

Main Results:

  • True acute appendicitis was confirmed in 64% of cases.
  • Other pathologies were found in 19.8%, and normal findings in 16.2%.
  • Histological examination revealed discrepancies in 8.7% of appendices deemed normal and 3.5% deemed inflamed by the surgeon.
  • Exploration of the peritoneal cavity yielded positive findings in 14% of cases with a normal-appearing appendix.

Conclusions:

  • There is a need for a more critical approach to diagnosing appendicitis preoperatively and peroperatively.
  • Histological examination of the appendix is crucial for accurate diagnosis.
  • Thorough exploration of the peritoneal cavity can identify incidental pathologies in cases of suspected appendicitis.

Related Experiment Videos