Document Detail


Diagnostic laparoscopy: reducing the number of normal appendectomies.
MedLine Citation:
PMID:  8348867     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective, controlled study was conducted to determine whether a selective policy of diagnostic laparoscopy could reduce the number of unnecessary normal appendectomies in patients with acute right iliac fossa pain. The cohort consisted of patients admitted with acute right iliac fossa pain by the emergency department. Of 102 patients in the study group, 28 subsequently required a diagnostic laparoscopy when a definite diagnosis could not be reached after 8 to 12 hours of observation. Of these, only 18 had inflamed appendices, which were removed. In the rest of the patients (10), the appendices were normal and unnecessary laparotomies were avoided. In the control group, wherein equivocal cases were laparotomized after a similar period of observation, there was a normal appendectomy rate of 15.7 percent (P < 0.05). There was no significant difference in the incidence of perforation between the control and study groups. Diagnostic laparoscopy in equivocal cases could thus significantly reduce the number of unnecessary appendectomies without compromising on the rate of perforation.
Authors:
C K Kum; E K Sim; P M Goh; S S Ngoi; A Rauff
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  36     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1993 Aug 
Date Detail:
Created Date:  1993-09-14     Completed Date:  1993-09-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  763-6     Citation Subset:  IM    
Affiliation:
Department of Surgery, National University Hospital, Singapore.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Appendectomy*
Appendicitis / diagnosis*,  surgery
Child
Female
Humans
Laparoscopy*
Male
Middle Aged
Prospective Studies

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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