920 Long Term Outcomes After Resection of A 'Normal' Appendix

Abstract Introduction Recent studies have suggested that there should be diagnostic confirmation of appendicitis prior to surgical resection reduce the rate negative (normal) appendicectomy. There are few long-term analyses morbidity after Method All appendicectomy specimens removed for suspected from June 2010 August 2015 at a single-centre unit were identified. Patients with histologically 'normal' appendix analysed. Demographics, pre-operative and operative details post-operative outcomes (Clavien-Dindo system) recorded. Minimum follow-up was 5 years. Results 1977 patients. Most (1938 patients, 98%) had laparoscopic procedure. 241 normal (12.1%); none these patients CT imaging. Thirty-two least one re-admission in years surgery; 12 multiple re-admissions (range, 2-5 re-admissions). 22 (69%) within 30 days primary surgery. 4 (<1%) required further surgery mortality 0%. 6 (2%) Grade III complication, IV complication. Conclusions low this study. The cost confirming diagnosis by way mandatory does not represent cost-effective method management.