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Article: Negative findings at appendectomy

TitleNegative findings at appendectomy
Authors
Issue Date1984
PublisherElsevier 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?
AbstractA 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 Identifierhttp://hdl.handle.net/10722/172526
ISSN
2015 Impact Factor: 2.403
2015 SCImago Journal Rankings: 1.286
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, Wen_US
dc.contributor.authorFan, Sen_US
dc.contributor.authorYiu, Ten_US
dc.date.accessioned2012-10-30T06:23:15Z-
dc.date.available2012-10-30T06:23:15Z-
dc.date.issued1984en_US
dc.identifier.citationAmerican Journal Of Surgery, 1984, v. 148 n. 3, p. 375-378en_US
dc.identifier.issn0002-9610en_US
dc.identifier.urihttp://hdl.handle.net/10722/172526-
dc.description.abstractA 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.languageengen_US
dc.publisherElsevier Inc. The Journal's web site is located at http://www.elsevier.com/locate/amjsurgen_US
dc.relation.ispartofAmerican Journal of Surgeryen_US
dc.subject.meshAbdomen, Acute - Diagnosisen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshAppendectomy - Economicsen_US
dc.subject.meshAppendicitis - Diagnosisen_US
dc.subject.meshChilden_US
dc.subject.meshCosts And Cost Analysisen_US
dc.subject.meshDiagnostic Errorsen_US
dc.subject.meshFemaleen_US
dc.subject.meshFollow-Up Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshProspective Studiesen_US
dc.titleNegative findings at appendectomyen_US
dc.typeArticleen_US
dc.identifier.emailFan, S: stfan@hku.hken_US
dc.identifier.authorityFan, S=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/0002-9610(84)90475-6-
dc.identifier.pmid6476229-
dc.identifier.scopuseid_2-s2.0-0021206925en_US
dc.identifier.volume148en_US
dc.identifier.issue3en_US
dc.identifier.spage375en_US
dc.identifier.epage378en_US
dc.identifier.isiWOS:A1984TG87600019-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLau, W=7402933199en_US
dc.identifier.scopusauthoridFan, S=7402678224en_US
dc.identifier.scopusauthoridYiu, T=36887055400en_US

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