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- Publisher Website: 10.1016/0002-9610(84)90475-6
- Scopus: eid_2-s2.0-0021206925
- PMID: 6476229
- WOS: WOS:A1984TG87600019
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Article: Negative findings at appendectomy
Title | Negative findings at appendectomy |
---|---|
Authors | |
Issue Date | 1984 |
Publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg |
Citation | American Journal Of Surgery, 1984, v. 148 n. 3, p. 375-378 How to Cite? |
Abstract | 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 mimick 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 diagosis 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. |
Persistent Identifier | http://hdl.handle.net/10722/172526 |
ISSN | 2023 Impact Factor: 2.7 2023 SCImago Journal Rankings: 0.897 |
ISI Accession Number ID |
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lau, W | en_US |
dc.contributor.author | Fan, S | en_US |
dc.contributor.author | Yiu, T | en_US |
dc.date.accessioned | 2012-10-30T06:23:15Z | - |
dc.date.available | 2012-10-30T06:23:15Z | - |
dc.date.issued | 1984 | en_US |
dc.identifier.citation | American Journal Of Surgery, 1984, v. 148 n. 3, p. 375-378 | en_US |
dc.identifier.issn | 0002-9610 | en_US |
dc.identifier.uri | http://hdl.handle.net/10722/172526 | - |
dc.description.abstract | 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 mimick 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 diagosis 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. | en_US |
dc.language | eng | en_US |
dc.publisher | Elsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurg | en_US |
dc.relation.ispartof | American Journal of Surgery | en_US |
dc.subject.mesh | Abdomen, Acute - Diagnosis | en_US |
dc.subject.mesh | Adolescent | en_US |
dc.subject.mesh | Adult | en_US |
dc.subject.mesh | Aged | en_US |
dc.subject.mesh | Appendectomy - Economics | en_US |
dc.subject.mesh | Appendicitis - Diagnosis | en_US |
dc.subject.mesh | Child | en_US |
dc.subject.mesh | Costs And Cost Analysis | en_US |
dc.subject.mesh | Diagnostic Errors | en_US |
dc.subject.mesh | Female | en_US |
dc.subject.mesh | Follow-Up Studies | en_US |
dc.subject.mesh | Humans | en_US |
dc.subject.mesh | Male | en_US |
dc.subject.mesh | Middle Aged | en_US |
dc.subject.mesh | Postoperative Complications | en_US |
dc.subject.mesh | Prospective Studies | en_US |
dc.title | Negative findings at appendectomy | en_US |
dc.type | Article | en_US |
dc.identifier.email | Fan, S: stfan@hku.hk | en_US |
dc.identifier.authority | Fan, S=rp00355 | en_US |
dc.description.nature | link_to_subscribed_fulltext | en_US |
dc.identifier.doi | 10.1016/0002-9610(84)90475-6 | - |
dc.identifier.pmid | 6476229 | - |
dc.identifier.scopus | eid_2-s2.0-0021206925 | en_US |
dc.identifier.volume | 148 | en_US |
dc.identifier.issue | 3 | en_US |
dc.identifier.spage | 375 | en_US |
dc.identifier.epage | 378 | en_US |
dc.identifier.isi | WOS:A1984TG87600019 | - |
dc.publisher.place | United States | en_US |
dc.identifier.scopusauthorid | Lau, W=7402933199 | en_US |
dc.identifier.scopusauthorid | Fan, S=7402678224 | en_US |
dc.identifier.scopusauthorid | Yiu, T=36887055400 | en_US |
dc.identifier.issnl | 0002-9610 | - |