The Role of the Ultrasonography of Abdomen Performed by a General Surgeon on Diagnosis of Acute Appendicitis

Autor: Hüseyin Taş, Şahin Kaymak, Emin Lapsekili, Rahman Şenocak, Ramazan Yıldız
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Turkish Journal of Colorectal Disease, Vol 26, Iss 2, Pp 27-31 (2016)
Druh dokumentu: article
ISSN: 2536-4898
2536-4901
DOI: 10.4274/tjcd.35582
Popis: Aim: In this study, we aimed to investigate whether abdominal ultrasonography (USG) performed by a general surgeon provides significant contribution to himself in diagnosing acute appendicitis. Method: This study was performed at two different hospitals where referral of patients to another hospital is not possible due to geographical reasons. Two hundred fifteen patients with suspicious diagnosis of acute appendicitis were included into the study among 2140 patients with abdominal pain at three different periods during 12 months. Data of the patients were evaluated retrospectively and patients were divided into three groups. Group 1 and 2 include patients followed and treated in the same hospital. Group 1 patients were followed and treated by general surgeon using conventional methods without abdominal USG. Group 2 patients were followed and treated by same general surgeon using both conventional methods and abdominal USG. Group 3 patients were followed and treated by a different general surgeon in a different hospital using conventional methods and abdominal USG performed by a radiologist. Results: Of patients, 200 male and 15 were female, and mean age was 23. A total of 66 patients from all groups underwent appendectomy. When the groups were compared with according to the pathological results which were consistent with acute appendicitis; there was not statistically significant difference among groups (p=0.362). Conservative treatment were applied to the patients with sonographically negative for appendicitis and with negative findings for physical examination and laboratory tests in their follow-up. When the groups were compared in terms of correctly identification of nonacute appendicitis and avoidance of negative appendectomy (laparotomy); statistically significant difference in favor of group 2 (p=0.002) was found. Conclusion: According to the results of the study; when surgeons use USG as an adjunctive method, the rate of negative appendectomy decreases.
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