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[Acute appendicitis. Analysis of surgical indications]
S Kahrau1, T Foitzik, J Klinnert
1Abteilung für Allgemein-, Gefäss- und Thoraxchirurgie, Universitätsklinikum Benjamin Franklin, Berlin.
Zentralblatt Fur Chirurgie
|January 9, 1999
Summary
This study found that nearly a quarter of patients undergoing appendicitis surgery had other conditions. Negative appendectomy findings were more common in younger females, suggesting alternative diagnostic approaches may be beneficial.
Area of Science:
- Gastroenterology
- Surgical Pathology
Context:
- Analysis of 276 patients undergoing surgery for suspected acute appendicitis between 1995 and 1997.
- Intraoperative findings revealed pathologies other than appendicitis in 26 patients.
Purpose:
- To evaluate the diagnostic accuracy and clinical presentation of acute appendicitis.
- To identify factors associated with negative appendectomies and suggest improved diagnostic strategies.
Summary:
- Histological examination confirmed acute appendicitis in 116 patients (42%), perforated appendix in 59 (24%), and other findings (chronic appendicitis or no appendicitis) in 75 (30%).
- Patients with confirmed acute appendicitis met more clinical criteria (5.1) compared to those without (3.7).
- Negative histological findings were predominantly observed in younger females admitted on Mondays and Tuesdays.
Impact:
- Suggests clinical observation and laparoscopy may reduce negative appendectomy rates in specific patient demographics.
- Highlights the importance of histological confirmation in appendicitis diagnosis.
- Informs surgical decision-making and patient selection for appendicitis treatment.