Auditing Appendectomy in Benue State University Teaching Hospital, Makurdi, Nigeria
| Autor: | Gyenger David, Issac Akpor, Bamidele Omolobake, Victor Ugwu, Raymond Akpobome Vhriterhire, Confort Udu, Umobong Emanso, B Ojo, Michael Efu, B Eke |
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| Rok vydání: | 2019 |
| Předmět: |
histopathological
lcsh:R5-920 medicine.medical_specialty medicine.diagnostic_test diagnosis business.industry General surgery Metastatic adenocarcinoma lcsh:Surgery Physical examination lcsh:RD1-811 Audit medicine.disease Surgical specimen appendectomy Appendix Appendicitis medicine.anatomical_structure medicine Appendectomy procedures University teaching lcsh:Medicine (General) business negative appendectomy rate |
| Zdroj: | International Journal of Medical and Surgical Sciences, Vol 6, Iss 4, Pp 123-125 (2019) |
| ISSN: | 0719-532X 0719-3904 |
| Popis: | Appendicitis is the leading cause of surgical admission in most hospitals in Nigeria and the removed appendix, a frequent surgical specimen in most routine histopathological laboratories in Nigeria. The aim of this study is to audit the appendectomy procedures in Benue State University Teaching Hospital. Sixty-two appendices removed for acute appendix in Benue State University Teaching Hospital, Makurdi, Nigeria middle belt, over an 8-year period were analyzed. Twenty-eight (45%) were found to be normal, while 29 (46%) showed histopathological evidence of acute inflammation. There were 5 (9%) cases of unusual pathologies which include a case each of metastatic adenocarcinoma and chronic granulomatous inflammation (2% each) and 3 (5%) cases of schistosomiasis. The Negative Appendectomy Rate (NAR) was 27% in females compared with 18% in males. Adult (>16 years) represented 29% of the NAR. The overall NAR was 45%. The NAR in this study is considerable higher when compared with existing literature. In a poor resource center like Benue State University Teaching Hospital, due diligence in taking detailed history coupled with good clinical examination cannot be over emphasized. The use of a combination of Total Leukocyte Count (TCC) and C-Reactive Protein (CPR) in every patient may help in reducing NAR, though it’s definitely going to be impossible to eradicate it. |
| Databáze: | OpenAIRE |
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