[Questionable appendectomies].
Each year in France, 75,000 appendectomies are carried out for normal or fibrous appendix and another 75,000 for a mere inflammation of the mucosa of submucosa. To decrease the incidence--four times higher than in other countries--it is suggested to keep under observation the patient with RIQ tenderness if they have neither rebound nor guarding, a temperature below or equal to 38 degrees C and a white blood cell count lower than 10,000/mm3. By following these guidelines, there is no risk to miss perforated or suppurated appendicitis.
Flamant
Y
Y
Service de chirurgie générale, hôpital Louis-Mourier, Colombes.
Zantain
O L
OL
Barge
J
J
D000006:Abdomen, Acute / Q000209:etiology*; D001062:Appendectomy; D001064:Appendicitis / Q000175:diagnosis; D003951:Diagnostic Errors; D006801:Humans; D012189:Retrospective Studies
Appendicectomies discutables.