[How to reduce the number of negative appendectomies? A prospective two-center study of 120 patients].
A decisional protocol based on clinical findings and laboratory data was assessed prospectively in a consecutive series of 120 patients with suspected appendicitis over a 24-month period at 2 teaching hospitals. Using this protocol the high rate of negative appendectomy (31.5%) during the 2 years prior to the study was reduced to 22% without increasing morbidity or mortality. Ultrasound examination was poorly predictive in unclear cases. Laparoscopy was used to assess diagnosis in persistent symptoms.
Département de chirurgie, Hôpital, La Chaux-de-Fonds.
M A
MA
Reymond
M
M
Merlini
P
P
Tschantz
Y
Y
Groebli
D000293:Adolescent; D000328:Adult; D001062:Appendectomy; D001064:Appendicitis / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D001065:Appendix / Q000473:pathology; D002648:Child; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011446:Prospective Studies
Comment diminuer le nombre d'appendicectomies blanches? A propos d'une étude prospective bicentrique portant sur 120 patients.