Volume : IV, Issue : V, May - 2015

A SIMPLE SCORE SYSTEM TO REDUCE THE NEGATIVE APPENDICECTOMY RATE

Rakesh Panda, Charan Panda, Sushanta Ku. Das, Sachin Katyal

Abstract :

 The vermiform appendix is considered by most to be a vestigial organ ; its importance in surgery results only from  its propensity for inflammation, which results in clinical syndrome known as acute appendicitis. Appendicectomy is  commonest emergency operation in surgical practice. However 15% to 30% of all appendicectomies, the appendix is healthy. Alvarado scoring  system is a simple simple which not only helps in diagnosing acute appendicitis clinically but also decreasing the negative appendicectomy  rate and its hazards performed in the cases of non specific abdominal pain having low Alvarado score1. The aim of my study was to analyze the age, sex, dietary habit, clinical presentations , to apply Alvarado score to each patient and to calculate its accuracy by compå with the histopathological study of resected specimens and the standard literature results. The study was  conducted on 216 patients who came to MKCG MCH ,Berhampur, Odisha for treatment during the period of July 2012– Jun 2014. The patients  underwent thorough clinical examination and were applied Alvarado Score system in diagnosing acute appendicitis . The data of the study  was represented by bar graphs and pie charts. Majority of the patients were of 10–30 years (%). In our study males constituted 56% and females 44%.Low fie diet intake was common in appendicitis group. The most common complaint was pain RIF(100%).The most frequently  found sign was Tenderness RIF(100%),. 73.9% cases of the appendicitis group showed W.B..C count within 10,000 to 14,000/cc and among  these 96% showed shift to left. "Alvarado Score" of more than 8 found to be highly effective in the establishment of accurate diagnosis. In Histological study 88% patients proved to be histologically positive for acute appendicitis, proving diagnostic accuracy of Alvarado Score 88%.So  the negative appendicectomy rate was reduced from 21%(MY P Chan Study) to 12% in this study

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

Rakesh Panda, Charan Panda, Sushanta Ku. Das, Sachin Katyal A SIMPLE SCORE SYSTEM TO REDUCE THE NEGATIVE APPENDICECTOMY RATE International Journal of Scientific Research, Vol : 4, Issue : 5 May 2015

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