TP9.2.5Routine ultrasound in paediatric appendicitis is highly accurate and substantially reduces negative appendicectomy rate

Appendicitis and Appendicectomy

Negative appendicectomy rate as a quality metric in the management of appendicitis: impact of computed tomography, Alvarado score and the definition of negative appendicectomy

INTRODUCTION The negative appendicectomy rate (NAR) is a quality metric in the management of appendicitis. While computed tomography (CT) has been associated with a low NAR, Alvarado scoring produces an acceptable NAR. The definition of negative appendicectomy may affect the NAR. This study examined the impact of CT, Alvarado score and definition on the NAR. METHODS The charts of 1,306 emerg...

Importance of clinical assessment in diagnosis of acute appendicitis and its role in decreasing negative appendicectomy rate.

BACKGROUND Appendicitis is a common diagnosis, but is by no means a simple one to establish. It is impractical to have a definitive preoperative diagnosis, which leads to an appreciable rate of negative appendicectomy as reported in world literature varying from 20-40% with its morbidity around 10%. This retrospective study investigated the value of clinical assessment and medical imaging (ultr...

Appendicectomy for Appendicitis and Laparoscopy Training

Background: Globally, acute appendicitis is the most common cause of acute surgical abdomen with significant morbidity and mortality. Laparoscopy is a notable stride in the improvement of surgical care. Aims: To study the practice of appendicectomy in the tertiary hospital setting of a developing country to know who performs it, when and how. Patients and Methods: A retrospective study of all a...

Negative appendicectomy and perforation rates after laparoscopic appendicectomy

1Department of Surgery, Division of Visceral Surgery and Transplantation, University of Berne, Berne, Switzerland, 2University of Toronto, Dalla Lana School of Public Health, Toronto, Ontario, Canada, and 3Duke Clinical Research Institute, Durham, North Carolina, USA Correspondence to: Professor U. Güller, Department of Surgery, Division of Visceral Surgery and Transplantation, University of Be...