[Suspected appendicitis -- is a conservative attitude advantageous? (author's transl)].
Between 1970 and 1973 1333 patients with suspected appendicitis were seen at the University Hospital of Basle. Operations were performed on 87.5%, of whom 89.8% proved to have appendicitis. The incidence of perforation was 13.5%. A five-year follow-up study was carried out on 100 cases dismissed without operative revision and appendectomy. Of these patients 20 later had an appendectomy and 42% did not approve of the conservative attitude. The high rate of secondary appendectomies within 5 years seems to advocate liberal indication for appendectomy if appendicitis is considered.
D001064:Appendicitis / Q000175:diagnosis / Q000601:surgery*; D003937:Diagnosis, Differential; D004751:Enteritis / Q000175:diagnosis; D005500:Follow-Up Studies; D006801:Humans; D007416:Intestinal Perforation / Q000517:prevention & control
Appendicitisverdacht: Zurückhaltende Operationsindikation -- ein Vorteil?