Are negative appendectomies still acceptable? - 25/08/11
, Lennard Nadalo, M.D. b, Alicia J. Mangram, M.D. aAbstract |
Background |
The goal was to ascertain if there was a significant change in the negative appendectomy (NA) rate in our community hospital with the increased use of computed tomography (CT).
Methods |
This was a retrospective chart review of all appendectomies for acute disease performed at our institution from January 2000 to December 2002. There is no established protocol; therefore, CT scans were performed at the discretion of the involved physicians. The results of the physical exams, CT scans and pathology were recorded.
Results |
Three hundred eighty-nine appendectomies were performed for appendicitis. There was a progressive increase in the use of CT: 52% in 2000, 74% in 2001, and 86% in 2002. There was also a decrease in the NA rate over the 3 years: 17% in 2000, 9% in 2001 and 2% in 2002. The perforated appendicitis rate decreased from 25% in 2000 to 9% in 2002.
Conclusion |
The appropriate utilization of CT scan as an aid in the diagnosis of acute appendicitis should decrease the NA rate to 2%.
Le texte complet de cet article est disponible en PDF.Keywords : Appendicitis, Computed tomography, Negative appendectomy
Plan
Vol 188 - N° 6
P. 748-754 - décembre 2004 Retour au numéro
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