Preoperative Imaging and Appendicectomy Rates: Insights from General Surgery

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Dr. Mohd Shoeb. J Deshmukh , Dr. Nitin Nangare , Dr. Piyush Rakh

Abstract

Abstract
This study delves into General Surgery by analyzing the Negative Appendicectomy Rate (NAR) within a single tertiary health service, with a specific focus on the influence of pre-operative imaging on acute appendicitis management. The study not only compares NAR data with existing literature but also evaluates the efficacy of various imaging modalities. The analysis encompasses a total of 820 cases, primarily centered around laparoscopic appendicectomies. Among the 633 laparoscopic procedures scrutinized, the NAR was identified at 11.2%, with an overall tumor incidence recorded at 1.5%. Particularly noteworthy were cases lacking preoperative imaging or relying solely on ultrasound, which exhibited elevated NARs of 19.3% and 17.4%, respectively. However, the utilization of Computed Tomography (CT), notably in males under 40, correlated with a significantly lower NAR of 3.0%. The study underscores the pivotal role of preoperative imaging, particularly CT scans, in accurately diagnosing appendicitis and guiding surgical intervention. While the study's NAR shows improvement compared to accepted rates, it remains relatively high on an international scale. These findings underscore the potential of preoperative imaging in refining diagnostic accuracy and optimizing patient selection for surgery within the realm of General Surgery.
 

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Dr. Piyush Rakh , D. M. S. J. D. , D. N. N. ,. (2024). Preoperative Imaging and Appendicectomy Rates: Insights from General Surgery. Obstetrics and Gynaecology Forum, 34(3s), 1063–1067. Retrieved from http://obstetricsandgynaecologyforum.com/index.php/ogf/article/view/421
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