The inverse correlation of appendectomy and ulcerative colitis is well known, but the effect of appendectomy on the clinical course of ulcerative colitis remains unclear. Although the majority of opinions were negative for the therapeutic advantage of appendectomy in patients with ulcerative colitis, advocates for positive effect of appendectomy have been proposed in a few case reports and a pr...

OBJECTIVE To audit the appendectomies at our institute, and summarise atypical pathological results with a discussion of appropriate management. DESIGN. Retrospective study. SETTING Regional hospital, Hong Kong. PATIENTS All patients who underwent appendectomy for presumed acute appendicitis from June 2003 to June 2008 were recruited. Incidental appendectomy was excluded. Patient demographi...

BACKGROUND The preoperative diagnosis of acute appendicitis is often inaccurate in pregnant women, and complicated appendicitis is associated with a high rate of fetal loss. The study objective was to evaluate rates of fetal loss and early delivery in pregnant patients undergoing appendectomy, using a large population-based database. STUDY DESIGN Using the California Inpatient File, we retros...

PURPOSE Appendectomy applied from the diagnosis of acute appendicitis is one the most common operations in surgery. The rates of negative appendectomy are still high. The rates of negative appendectomy in males and females differ and are higher in females. In our study, these differences, particularly in females, were studied and possible solutions were discussed. METHODS Between October 2002...

Background And Objectives – to assess accuracy of modified Alvarado score along with aid of ultrasonography in the pre-operative diagnosis of acute appendicitis to decrease the negative appendicectomy rate. Methods-A consecutive series of 100 patients who came to emergency opd with provisional dia gnosis of acute appendicitis was evaluated with modified Alvarado score and subjected to ultrasono...

Introduction. At present, medical practice lacks a unifi ed approach to the choice of therapeutic tactics for acute catarrhal appendicitis and therefore understanding negative appendectomy. Aim. To study incidence appendectomy in appendicitis. Materials methods. The methodology involved retrospective analysis results 1590 appendectomies performed from 2003 2005 prospective non-randomized 1112 p...

background:   acute appendicitis is the most common emergency operation in the world. considering negative appendectomy, it is necessary to use accurate diagnostic methods to lower the rate. this study evaluated the sensitivity and specificity of abdominal sonography in comparison to clinical alvarado criteria in patients with suspected appendicitis. methods:   370 patients with suspected appen...

BACKGROUND Clinical assessment of acute appendicitis can be challenging due to atypical presentation. Computed-tomography can reduce negative appendectomies but not without adverse effects. We report our experience with preoperative CT-scan in patients with suspected acute appendicitis. PATIENTS AND METHODS During 3-years, 257 adult patients underwent appendectomy. We retrospectively reviewed...

The diagnostics of appendicitis are everyday routine for surgeons at emergency units. In many cases, the diagnosis of appendicitis is straightforward and the decision regarding surgery simple. However, the diagnosis can be challenging, and despite advanced diagnostic imaging, the rate of removal of healthy appendices in suspected cases of appendicitis (negative appendectomies) remains high. Ear...