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Article: The clinical significance of routine histopathologic study of the resected appendix and safety of appendiceal inversion

TitleThe clinical significance of routine histopathologic study of the resected appendix and safety of appendiceal inversion
Authors
Issue Date1986
Citation
Surgery Gynecology And Obstetrics, 1986, v. 162 n. 3, p. 256-258 How to Cite?
AbstractA prospective study was done on 1,699 patients operated upon for appendicitis to correlate the operative diagnosis of the surgeon and the histopathologic diagnosis of the pathologist. There are surgeons who only send the appendices for histopathologic study when the operative findings are inconclusive and surgeons who invert rather than resect the appendices on finding a grossly normal appendix at operation. This study was done to find out whether or not these practices of leaving some of the appendix unexamined histopathologically are clinically safe. In this study, surgeons missed abnormal pathologic findings in the appendix in ten of 13 patients and this is irrespective of whether the appendix was normal, acutely inflamed, gangrenous or perforated. The majority of these lesions either require further investigation, treatment or they affected the prognosis of the patient. Nineteen per cent of the patients diagnosed as having normal appendices grossly were found to have acute appendicitis and 7.7 per cent diagnosed as acute appendicitis were normal. Based upon these data, we conclude that the operative diagnosis of the surgeon cannot be relied on to detect abnormal pathologic findings in the appendix. Additional important clinical information can be gained by routine histopathologic study of the resected specimens, and inversion of the appendix is clinically not safe.
Persistent Identifierhttp://hdl.handle.net/10722/172544
ISSN
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorLau, WYen_US
dc.contributor.authorFan, STen_US
dc.contributor.authorYiu, TFen_US
dc.date.accessioned2012-10-30T06:23:20Z-
dc.date.available2012-10-30T06:23:20Z-
dc.date.issued1986en_US
dc.identifier.citationSurgery Gynecology And Obstetrics, 1986, v. 162 n. 3, p. 256-258en_US
dc.identifier.issn0039-6087en_US
dc.identifier.urihttp://hdl.handle.net/10722/172544-
dc.description.abstractA prospective study was done on 1,699 patients operated upon for appendicitis to correlate the operative diagnosis of the surgeon and the histopathologic diagnosis of the pathologist. There are surgeons who only send the appendices for histopathologic study when the operative findings are inconclusive and surgeons who invert rather than resect the appendices on finding a grossly normal appendix at operation. This study was done to find out whether or not these practices of leaving some of the appendix unexamined histopathologically are clinically safe. In this study, surgeons missed abnormal pathologic findings in the appendix in ten of 13 patients and this is irrespective of whether the appendix was normal, acutely inflamed, gangrenous or perforated. The majority of these lesions either require further investigation, treatment or they affected the prognosis of the patient. Nineteen per cent of the patients diagnosed as having normal appendices grossly were found to have acute appendicitis and 7.7 per cent diagnosed as acute appendicitis were normal. Based upon these data, we conclude that the operative diagnosis of the surgeon cannot be relied on to detect abnormal pathologic findings in the appendix. Additional important clinical information can be gained by routine histopathologic study of the resected specimens, and inversion of the appendix is clinically not safe.en_US
dc.languageengen_US
dc.relation.ispartofSurgery Gynecology and Obstetricsen_US
dc.subject.meshAcute Diseaseen_US
dc.subject.meshAppendicitis - Pathology - Surgeryen_US
dc.subject.meshAppendix - Pathology - Surgeryen_US
dc.subject.meshBiopsyen_US
dc.subject.meshFalse Negative Reactionsen_US
dc.subject.meshGangreneen_US
dc.subject.meshHumansen_US
dc.subject.meshIntestinal Perforation - Pathologyen_US
dc.subject.meshPrognosisen_US
dc.subject.meshProspective Studiesen_US
dc.titleThe clinical significance of routine histopathologic study of the resected appendix and safety of appendiceal inversionen_US
dc.typeArticleen_US
dc.identifier.emailFan, ST: stfan@hku.hken_US
dc.identifier.authorityFan, ST=rp00355en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid3952618-
dc.identifier.scopuseid_2-s2.0-0022530630en_US
dc.identifier.volume162en_US
dc.identifier.issue3en_US
dc.identifier.spage256en_US
dc.identifier.epage258en_US
dc.identifier.isiWOS:A1986A333400012-
dc.identifier.scopusauthoridLau, WY=7402933199en_US
dc.identifier.scopusauthoridFan, ST=7402678224en_US
dc.identifier.scopusauthoridYiu, TF=36887055400en_US

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