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usefulness of various scoring systems for acute appendicitis

Jianguo Cao, Feng Tao, Hao Xing, Jun Han, Xiaojun Zhou, Tinghao Chen, Hong Wang, Zhizhou Li, Yahao Zhou, Shusheng Wang, Tian Yang
AIM: The aim of this study was to identify independent risk factors for postoperative intra-abdominal abscess (IAA) after appendectomy for patients with acute appendicitis. BACKGRAOUND: Although laparoscopic appendectomy (LA) has been performed universally, whether LA is associated with an increased incidence of postoperative IAA compared with open appendectomy (OA) remains controversial, which causes some surgeons' increasing concerns. METHODS: We retrospectively analyzed 6805 consecutive adult patients with acute appendicitis who underwent LA or OA at 7 general hospitals in China...
October 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Kuotho T Nyuwi, Ch Gyan Singh, Sridartha Khumukcham, Raju Rangaswamy, Yibenthung S Ezung, Sowdin Reddy Chittvolu, A Barindra Sharma, H Manihar Singh
INTRODUCTION: Acute appendicitis is the most common indication for emergent surgery and affects a wide range of patients at any age group. However, inspite of the presence of various imaging modalities, biochemical markers, and scoring systems the negative appendectomy rate remain high. Serum fibrinogen, an acute inflammatory mediator is usually raised in any acute inflammatory condition and the same is expected to rise in acute appendicitis, which may be used as a new inflammatory marker in the diagnosis and more importantly in decision making of management of acute appendicitis...
January 2017: Journal of Clinical and Diagnostic Research: JCDR
Muhammad Usman Malik, Tara M Connelly, Faisal Awan, Frederik Pretorius, Constantino Fiuza-Castineira, Osama El Faedy, Paul Balfe
AIM: The definitive diagnosis of acute appendicitis (AA) requires histopathological examination. Various clinical diagnostic scoring systems attempt to reduce negative appendectomy rates. The most commonly used in Western Europe and the USA is the Alvarado score. The Raja Isteri Pengiran Anak Saleha appendicitis (RIPASA) score achieves better sensitivity and specificity in Asian and Middle Eastern populations. We aimed to determine the diagnostic accuracy of the RIPASA score in Irish patients with AA...
April 2017: International Journal of Colorectal Disease
Dominik A Walczak, Dariusz Pawełczak, Agata Żółtaszek, Rajmund Jaguścik, Wojciech Fałek, Monika Czerwińska, Karolina Ptasińska, Piotr W Trzeciak, Zbigniew Pasieka
UNLABELLED: Accurate diagnosis of acute appendicitis (AA) is still a problem and is not always easy, even for experienced surgeons. Studies have shown that 20 to 30% of the appendices removedwere normal. Therefore, various scoring systems have been developed to aid in the diagnosis of doubtful cases and reduce the number of unnecessary appendectomies. The aim of this study was to assess the diagnostic value of different scoring systems in acute appendicitis. MATERIAL AND METHODS: The study involved 94 patients who underwent laparotomy due to suspected acute appendicitis...
February 2015: Polski Przeglad Chirurgiczny
Emmanuel S Kanumba, Joseph B Mabula, Peter Rambau, Phillipo L Chalya
BACKGROUND: Decision-making in patients with acute appendicitis poses a diagnostic challenge worldwide, despite much advancement in abdominal surgery. The Modified Alvarado Scoring System (MASS) has been reported to be a cheap and quick diagnostic tool in patients with acute appendicitis. However, differences in diagnostic accuracy have been observed if the scores were applied to various populations and clinical settings. The purpose of this study was to evaluate the diagnostic value of Modified Alvarado Scoring System in patients with acute appendicitis in our setting...
2011: BMC Surgery
Matija Horzić, Antun Salamon, Mario Kopljar, Maja Skupnjak, Kristijan Cupurdija, Dana Vanjak
Acute appendicitis is a common surgical condition that requires prompt diagnosis. Besides modern imaging techniques, scoring systems, based on clinical signs and symptoms and routine laboratory assessments, have been used as a diagnostic aid. However, differences in sensitivities and specificities were observed if the scores were applied to various populations and clinical settings. The purpose of this paper is to assess validity of three scores (modified Alvarado score, Ohmann score and Eskelinen score) for diagnosis of acute appendicitis in women...
June 2005: Collegium Antropologicum
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