How To Avoid Negative Appendectomies: Can Us Achieve This?

Kartal, Kinyas

doi:10.5505/tjtes.2016.79328

Cited by 3 publications

(3 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[9] Utilization of high-technology has decreased the rate of negative appendectomy. [10,11] In the present study, the rate of negative appendectomy was quite higher when compared to our series including whole patients who underwent appendectomy with or without preoperative CT, [12,13] but it was comparable with the literature. [11] However, this could be attributed to the fact that the present study included patients whose clinical presentation was suspicious for appendicitis and who underwent advanced imaging method (CT).…”

Section: Discussionsupporting

confidence: 86%

Emergency computed tomography for diagnosis of acute appendicitis: How effectively we use it?

Yazici¹

2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

Most patients who underwent CT in the diagnostic process had an Alvarado score between 5 and 8 and negative ultrasound for appendicitis preoperatively. These findings may provide efficient use of CT in the diagnosis of appendicitis with an acceptable rate of 25% compared with the findings in current literature. However, further research is needed to ensure more efficient use of CT because negative appendectomy has been a concern in our series despite promising results of this study.

show abstract

Section: Discussionsupporting

confidence: 86%

Emergency computed tomography for diagnosis of acute appendicitis: How effectively we use it?

Yazici¹

2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…Despite all of the developments in diagnosis and treatment methods, high NA and perforation rates have still been reported (13-36%, 12-21%, respectively). [4,10,12,[19][20][21][22] Perforation rates can reach 50%, particularly among the elderly. [3,5,6,22] As perforation rates increase, the rates of morbidity and mortality, the duration of hospital stay, and medical costs increase as well.…”

Section: Discussionmentioning

confidence: 99%

A New And Early Marker In Diagnosis Of Acute Complicated Appendicitis: Immature Granulocyte

Ünal

2018

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

BACKGROUND:The aim of this study was to investigate the effectiveness of the immature granulocyte (IG) count (IGC) and percentage (IG%) in both diagnosing acute appendicitis (AA) and discriminating between simple appendicitis (SA) and complicated appendicitis (CA). METHODS:This study was carried out using the data of 438 adult patients who underwent an appendectomy. Demographic details, the preoperative white blood cell (WBC) count, neutrophil/lymphocyte ratio (NLR), IGC and IG%, operation findings, and pathology results were assessed retrospectively. The patients were grouped as AA and normal appendix (NA) according to the pathology reports, and the AA cases were subdivided into SA and CA groups according to the intraoperative findings. RESULTS: WBC, NLR, IGC, and IG% were significant parameters in the diagnosis of AA. The area under the receiver operating characteristic curve (AUROC: 0.795), sensitivity (55.5%) and specificity (96.1%) values of IGC were higher than the other parameters. All of the parameters were also significant for a CA diagnosis; however, the value of IG% in a CA diagnosis was stronger than the other parameters (IG% AUROC: 0.979, sensitivity: 94.4%, specificity: 97.9%). CONCLUSION:The IG value is a fast, easily available, and reliable parameter in both diagnosing AA and discriminating between SA and CA.

show abstract

“…Scoring systems in the management of appendicitis are more successful in the Western World when compared with the Middle East and Asia. 19 Therefore, in our study, we think that demographic characteristics might also have been effective in the evaluation of the scoring systems.…”

Section: Discussionmentioning

confidence: 85%

Comparison of Appendicitis Scoring Systems in Childhood Appendicitis

Sağ¹,

Başar²,

Yurdadogan³

et al. 2022

Turk Arch Pediatrics

View full text Add to dashboard Cite

Objective: Appendicitis scoring systems have been developed as a diagnostic tool to improve the decision-making process in patients with suspected appendicitis.The aim of the study was to compare the results of the Alvarado, The Pediatric Appendicitis Score, modified Pediatric Appendicitis Score, Lintula, and Tzanakis scoring systems in childhood appendicitis. We also aimed to see whether our rates of correct diagnosis and negative appendectomy could change, if we had made decisions using the scoring systems. Materials and Methods: The patients who underwent appendectomy because of suspected appendicitis between June 2019 and June 2020 were evaluated prospectively. The patients were divided into appendicitis and non-appendicitis groups according to histopathological findings. The obtained data were used to calculate the scores for the scoring systems and statistical analyses. Results: In the study, 141 patients were included. The negative appendectomy rate was 14.8%. The lowest negative appendectomy rate (6.38%) was obtained with the Lintula scoring system. Tzanakis scoring system had the highest accuracy rate (85.1%) compared to the other scoring systems. Conclusion: The present scoring systems may assist in establishing the diagnosis of appendicitis and reducing negative appendectomy rates. The Lintula scoring system has the lowest negative appendectomy rate due to its higher specificity compared to Alvarado, Pediatric Appendicitis Score, modified Pediatric Appendicitis Score, and Tzanakis scoring systems. Tzanakis scoring system has the highest accuracy rate in the diagnosis of appendicitis, and thus we believe that it may be used as an alternative scoring system for children.

show abstract

How To Avoid Negative Appendectomies: Can Us Achieve This?

Cited by 3 publications

References 15 publications

Emergency computed tomography for diagnosis of acute appendicitis: How effectively we use it?

Emergency computed tomography for diagnosis of acute appendicitis: How effectively we use it?

A New And Early Marker In Diagnosis Of Acute Complicated Appendicitis: Immature Granulocyte

Comparison of Appendicitis Scoring Systems in Childhood Appendicitis

Contact Info

Product

Resources

About