Journal of Cardiovascular Disease Research
A SIMPLE SCORE SYSTEM TO REDUCE NEGATIVE APPENDICECTOMY RATE
Dr Inuganti Gopal, Dr Mrutyunjaya Mallick, Dr Vattikulla Rajesh, Dr Nirod kumar Sahoo, Dr Sujit Kumar Mohanty
JCDR. 2024: 2591-2596
Abstract
Appendicectomy is commonest emergency operation in surgical practice. A negative appendicectomy rate of 20-40% has been reported and many surgeons would accept rate of 30% as inevitable. Removing normal appendix is an economic burden both on patients and health resources. Misdiagnosis and delay in surgery can lead to complications like perforation and finally peritonitis. Difficulty in diagnosis arises in very young, elderly patients and females of reproductive age because they usually have atypical presentation and many other conditions also present like appendicitis. Therefore, in the present study the clinical finding in respect to Alvarado score will be evaluated against the operative findings and histopathological findings and a relationship will be established among them to reduce negative appendectomy rate.
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