What is the margin of error of surgeons and radiological imaging in diagnosing acute appendicitis?

dc.authorid0000-0001-6406-4095
dc.contributor.authorOcakoğlu, Aziz
dc.contributor.authorSakoğlu, Nevin
dc.contributor.authorYılmaz, Serhan
dc.contributor.authorBölükbaşı, Hakan
dc.contributor.authorAbdulkadir, Asan
dc.date.accessioned2023-08-28T10:42:04Z
dc.date.available2023-08-28T10:42:04Z
dc.date.issued2023
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyoloji Ana Bilim Dalı
dc.description.abstractBackground: Acute appendicitis is the most common emergency requiring surgical intervention in general surgery. Negative appendectomy is defined as the removal of a pathologically normal appendix. Aim: In this study, we aimed to show our negative appendectomy rate. Materials and Methods: This study was carried out among 2990 patients who were operated on for appendicitis between 2015-2020 at the Health Sciences University, Istanbul Kanuni Sultan Suleyman Training, and Research Hospital. Accrual and historical records of the patients were analyzed using NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah, USA) package program. The results were evaluated at the significance level of P < 0.05. Results: The mean age of all patients was 33. Of the patients, 1011 were women and 1979 were men. 27 of the women patients were pregnant. We requested a blood test (WBC count) and an abdominal ultrasound for all our patients who came with the complaint of abdominal pain in the right lower quadrant. Negative appendectomy was performed with ultrasonography in 622 patients with pathological diagnoses of lymphoid hyperplasia and fibrous obliteration (20.8%). We had abdominal computerized tomography (CT) for 285 patients and abdominal magnetic resonance imaging (MRI) for 16 of 27 pregnant women (59.25%) due to unclear clinical picture. Diagnostic laparoscopy was performed in 36 of the patients who underwent CT and 4 of the patients who underwent MRI since the diagnosis could not be made. We performed unnecessary appendectomy in 21.2% of the patients. Conclusion: With the increasing clinical follow-up experience of surgeons and developing technology in radiology, our aim is to minimize the negative appendectomy rate as much as possible.
dc.identifier.citationOcakoğlu, A., Sakoğlu, N., Yılmaz, S., Bölükbaşı, H. ve Abdulkadir, A. (2023). What is the margin of error of surgeons and radiological imaging in diagnosing acute appendicitis? Nigerian Journal of Clinical Practice, 26(7), 881-888. https://dx.doi.org/10.4103/njcp.njcp_284_22
dc.identifier.doi10.4103/njcp.njcp_284_22
dc.identifier.endpage888
dc.identifier.issn1119-3077
dc.identifier.issn2229-7731
dc.identifier.issue7
dc.identifier.pmid37635570
dc.identifier.scopus2-s2.0-85168132523
dc.identifier.scopusqualityQ3
dc.identifier.startpage881
dc.identifier.urihttps://dx.doi.org/10.4103/njcp.njcp_284_22
dc.identifier.urihttps://hdl.handle.net/20.500.12511/11369
dc.identifier.volume26
dc.identifier.wos001043942100005en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorSakoğlu, Nevin
dc.institutionauthorAbdulkadir, Asan
dc.language.isoen
dc.publisherWolters Kluwer Medknow Publications
dc.relation.ispartofNigerian Journal of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial-ShareAlike 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc-sa/4.0/*
dc.subjectAppendicitis
dc.subjectLeukocytosis
dc.subjectPathological Diameter
dc.subjectRadiology
dc.subjectSurgery
dc.titleWhat is the margin of error of surgeons and radiological imaging in diagnosing acute appendicitis?
dc.typeArticle

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