The Role of Ultrasound and CT Scan In Reducing Negative Appendectomy Rate | [Journal of Surgery Pakistan • 2022]

Author(s):

1. Maha Shaheen: Department of Surgery Liaquat National Hospital & Medical College Karachi, Pakistan

2. Mariya Asghar: Department of Surgery Liaquat National Hospital & Medical College Karachi, Pakistan

3. Hassan Tahir: Department of Surgery Liaquat National Hospital & Medical College Karachi, Pakistan

4. Sheeraz Ur Rahman: Department of Surgery Liaquat National Hospital & Medical College Karachi, Pakistan

5. Zahid Habib: Department of Surgery Liaquat National Hospital & Medical College Karachi, Pakistan

Abstract:

Objective To assess the utility of ultrasound and CT scan abdomen and in patients with clinical diagnosis of acute appendicitis so as to reduce the negative appendectomy rate.Study design A retrospective observational study. Place & Duration of study Department of General Surgery, Liaquat National Hospital Karachi, from January 2016 to December 2020 Methodology We reviewed the records of 440 patients who had an appendectomy at our institute. Of this 101 patients with incomplete records were excluded from final analysis. The primary outcome measure was the negative appendectomy rate. Descriptive statistics were applied and logistic regression analysis done to find out the relationship. Odds ratio were also calculated for multiple variables. Results The negative appendectomy rate when computed tomography was used to aid in diagnosis was 2.08% and for ultrasound scan 5.89%. Logistic regression analysis suggested the superiority of computed tomography over ultrasound in the diagnosis of acute appendicitis with odds of 3.895 times when compared to ultrasound with odds of 1.949 times only. Conclusion Use of computed tomography preoperatively for diagnosis of acute appendicitis can help in reducing the negative appendectomy rate.

Page(s): 46-49

DOI: 10.21699/jsp.27.2.4

Published: Journal: Journal of Surgery Pakistan, Volume: 27, Issue: 2, Year: 2022

Keywords:

Computed tomography , Ultrasonography , Acute appendicitis , Negative appendectomy rate

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views