A PLETHORA OF HISTOPATHOLOGY FINDINGS OF APPENDICECTOMY SPECIMEN ANDITS USE AS AN AUDIT FOR NEGATIVE APPENDICETOMY RATE

Gunjan Desai; Suhani Gupta; Kusum Meena; Shaji Thomas

Volume : VII, Issue : VII, July - 2017

A PLETHORA OF HISTOPATHOLOGY FINDINGS OF APPENDICECTOMY SPECIMEN ANDITS USE AS AN AUDIT FOR NEGATIVE APPENDICETOMY RATE

Gunjan Desai, Suhani Gupta, Kusum Meena, Shaji Thomas

Abstract :

Introduction: The accuracy of clinical diagnosis of acute appendicitis is 80%. Histopathology is gold standard for diagnosis. Measurement of negative appendicectomy rate is a part of surgical audit.

Aim: To evaluate histopathology of resected specimens in clinically diagnosed acute appendicitis cases and negative appendicectomy rate at our hospital.

Material and methods: A retrospective study was done to evaluate all patients from January 2010 to January 2015 with a clinical diagnosis of acute appendicitis with regard to their histopathology findings. The data was compiled and evaluated using appropriate statistical methods.

Observtion and Results: Histopathology confirmed appendicitis as acute inflamed appendicitis{160, 53.33%}, resolving appendicitis{100, 33.33%}, normal appendix {32,10.66%}, perforated appendix{30,10.0%}, gangrenous appendicitis{5, 1.66%}, xanthogranulomatous{4, 1.33%} and tubercular{1, 0.33%}. The negative appendicectomy rate in our hospital is 9.64%.

Conclusion: All appendicectomy specimens should be routinely subjected to histopthological evaluation. The negative appendicectomy rate is a means of institutional surgical audit outcome measure.