| Autor: |
Baigrie, R J, Scott‐Coombes, D, Saidan, Z, Vipond, M N, Paterson‐Brown, S, Thompson, J N |
| Zdroj: |
International Journal of Clinical Practice; September 1992, Vol. 46 Issue: 3 p173-176, 4p |
| Abstrakt: |
The effect of a management protocol incorporating the selective use of fine catheter peritoneal cytology (FCPC) and laparoscopy on the unnecessary appendicectomy rate was studied in adult patients (≥16 years) treated at one district general hospital over an 11 ‐month period. Appendicectomy was performed on 62 adult patients managed according to this protocol, six (10%) of whom had a histologically normal appendix and no other acute condition requiring surgery. A further 57 patients underwent appendicectomy after standard clinical assessment and investigation without the use of FCPC or laparoscopy. Nineteen (33%) of these patients had a histologically normal appendix removed, with no other acute condition requiring surgical treatment. The selective use of FCPC and laparoscopy significantly reduced the unnecessary appendicectomy rate from 33% to 10% (χ2= 10.0, P<0.005). The more widespread use of these techniques in patients with suspected appendicitis is therefore recommended. |
| Databáze: |
Supplemental Index |
| Externí odkaz: |
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