Document Detail


Negative findings at appendectomy.
MedLine Citation:
PMID:  6476229     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A prospective study was conducted on 107 patients with negative findings at appendectomy. The operation was unnecessary in 94 of the patients. A cause for the symptoms could be found in 43 patients, 32 during operation and 11 later by investigation or by a second operation. Diagnosis remained unclear in 64 patients. There are many diseases that mimic acute appendicitis, and based on the disease entities encountered in this series, the surgeon must examine the abdominal organs carefully if the appendix is normal. The financial loss of negative appendectomy was substantial in our study, and the total early and late complication rate was 14 percent. Patients with negative appendectomy should be regularly followed up to 1 year, since 9.3 percent of patients had a diagnosis made later by investigation, and 12.1 percent had moderate to severe pain on follow-up. Possible means to cut down the negative appendectomy rate without increasing the perforation rate have been suggested herein for further evaluation.
Authors:
W Y Lau; S T Fan; T F Yiu; K W Chu; S H Wong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of surgery     Volume:  148     ISSN:  0002-9610     ISO Abbreviation:  Am. J. Surg.     Publication Date:  1984 Sep 
Date Detail:
Created Date:  1984-10-02     Completed Date:  1984-10-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370473     Medline TA:  Am J Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  375-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abdomen, Acute / diagnosis
Adolescent
Adult
Aged
Appendectomy* / economics
Appendicitis / diagnosis*
Child
Costs and Cost Analysis
Diagnostic Errors
Female
Follow-Up Studies
Humans
Male
Middle Aged
Postoperative Complications
Prospective Studies

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


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