Negative Appendectomy Rate in Sultan Qaboos University Hospital, Oman

Malik, Kamran Ahmad

doi:10.11648/j.js.20130103.11

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…In a study conducted in Oman, in line with this study, there were more boys than girls who had their appendix removed, and also the children under 12 years of age had a higher rate of unnecessary appendix removal compared to adults over 12 years. 35 In the study by Zouari et al, the average age of children who underwent appendectomy was reported to be 9 years. However, contrary to the current study, the rate of unnecessary appendix removal did not show a significant correlation with the gender of the children.…”

Section: Discussionmentioning

confidence: 99%

Pathological Assessment of the Appendix in Appendectomies Performed in Children

Javanmard,

Hasanzadegan Sadegh

2024

Arch Iran Med

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Background: Acute appendicitis is known as the most common diagnosis of acute abdomen leading to surgery. Therefore, timely diagnosis is of special importance. This study was conducted with the aim of pathological assessment of the appendix in appendectomies performed in children to determine the rate of negative appendectomies and the predictors of negative appendectomy and to evaluate the paraclinical tools used in the diagnosis of acute appendicitis. Methods: This is a cross-sectional descriptive study. All children who underwent appendectomy at Shahid Motahari Hospital in Urmia from March 2021 to March 2022 were examined. The required data including demographic, paraclinical, and final pathology characteristics were collected and recorded. The investigated cases were classified into positive and negative appendectomy categories for comparison. Results: Among 234 pathology samples of the appendix, 22 cases were related to accidental appendectomy. In addition, 11.3% of cases were negative appendectomy and 88.7% were positive appendectomy. The age range of 8 to 14 years and male gender were associated with a lower negative appendectomy rate (both P<0.001). Inflammatory (49.5%) and gangrenous appendicitis (30.2%) were the most commonly reported histopathologies. Sonography had a sensitivity of 84%, a specificity of 79%, and an overall diagnostic accuracy of 83%. Conclusion: A relatively significant number of accidental and negative appendectomies are performed. More careful investigation and the use of expectant and medical treatment instead of surgery, especially in females and young children, can be effective in improving diagnostic accuracy and preventing negative appendectomies.

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Section: Discussionmentioning

confidence: 99%

Pathological Assessment of the Appendix in Appendectomies Performed in Children

Javanmard,

Hasanzadegan Sadegh

2024

Arch Iran Med

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“…Certain countries like Oman in central Asia have reported a negative appendectomy rate of 12.23%. In the East Asia the negative appendectomy rate is about 18.2% as reported in Hong Kong [10][11][12][13].…”

Section: Negative Appendectomy Defini-tion and Ratementioning

confidence: 99%

Negative Appendectomy Rates -Current Prospective- A Review

Kumar

Soma

2023

AJMAH

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The negative appendectomy rate is generally accepted in the diagnosis of acute appendicitis to prevent complications like perforation. This rate varies according to countries in western and eastern regions of the world. Clinical scoring systems, inflammatory markers and imaging have been used to reduce the negative appendectomy rate. The introduction of computerized tomography has improved the diagnostic accuracy of acute appendicitis. As this rate has been progressively decreasing over the past few years, a review article was done to look at the role of scoring systems, inflammatory markers, and imaging in diagnosing acute appendicitis and hence reduce the negative appendectomy rate.

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