| Diagnostic laparoscopy: reducing the number of normal appendectomies. | |
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MedLine Citation:
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PMID: 8348867 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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C K Kum; E K Sim; P M Goh; S S Ngoi; A Rauff |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Diseases of the colon and rectum Volume: 36 ISSN: 0012-3706 ISO Abbreviation: Dis. Colon Rectum Publication Date: 1993 Aug |
Date Detail:
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Created Date: 1993-09-14 Completed Date: 1993-09-14 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0372764 Medline TA: Dis Colon Rectum Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 763-6 Citation Subset: IM |
Affiliation:
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Department of Surgery, National University Hospital, Singapore. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Appendectomy* Appendicitis / diagnosis*, surgery Child Female Humans Laparoscopy* Male Middle Aged Prospective Studies |
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