Title: An Audit of Appendectomies with Histopathological Correlations in A Single Centre
Authors: Sapna M, Navya N O, Magdalene K F, Sumangala B
DOI: http://dx.doi.org/10.18535/jmscr/v3i12.42
Appendicitis is one of the most common acute surgical conditions of the abdomen and an appendectomy is one of the most frequently performed operations worldwide. This is a retrospective analytical study during the period of October 2013 to October 2015. Overall 260 appendectomies were performed during the study period. 211 (81.1%) had histopathological findings consistent with appendicitis, which was variously reported as acute suppurative appendicitis, transmural inflammation of the appendix with or without fecolith and gangrenous perforated appendix. Nine cases of fibrous obliteration of the lumen without evidence of inflammation were reported. Two cases showed parasite infection of Enterobius Vermicularis, one Chron s disease, one with tuberculosis and one with metastatic deposit of adenocarcinoma from stomach. The negative appendectomy rate was 9.6%, the female sex accounted for 60% of the negative appendectomies Key words: appendicitis, negative appendectomy rate 1. Omiyale, Ayodeji Oluwarotimi, Samuel Adjepong. Histopathological Correlations of Appendectomies: A Clinical Audit of a Single Center. Ann Transl Med 2015; Jun; 3(9): 119 2. Shrestha R , Ranabhat SR , Tiwari M. Histopathologic analysis of appendectomy specimens. Journal of Pathology of Nepal 2012; mar 3: 215-219 3. Hale DA, Molloy M, Pearl RH, et al. Appendectomy: a contemporary appraisal. Ann Surg 1997;225:252-61. 4. Zoarets I, Poluksht N, Halevy A. Does selective use of computed tomography scan reduce the rate of "white" (negative) appendectomy? Isr Med Assoc J 2014;16:335-7. 5. Fitzmaurice GJ, McWilliams B, Hurreiz H, Epanomeritakis E. Antibiotics versus appendectomy in the management of acute appendicitis: a review of the current evidence. Can J Surg 2011;54(5):307-314 6. Naveen K, Sareesh NN, Satheesha BN et al. Appendicitis and Appendectomy: A Retrospective survey in south Indian population. J of Surgical Academica 2013;3(2): 10-13 7. Al-Omran M, Mamdani M, McLeod RS. Epidemiologic features of acute appendicitis in Ontario, Canada. Can J Surg 2003; 46(4):263- 268. 8. Oguntola AS, Adeoti ML, Oyemolade TA. Appendicitis: Trends in incidence, age, sex, and seasonal variations in South-Western Nigeria. Ann Afr Med 2010;9:213-7. 9. Lee JH, Park YS, Choi JS. The epidemiology of appendicitis and appendectomy in South Korea: National Registry Data. J Epidemiol 2010;20:97-105. 10. Subedi N et al. Acute appendicitis: a 2- year review of clinical presentation and histopathology. Journal of Pathology of Nepal Oct 2011:104-107 11. Sanda RB, Zalloum M, El-Hossary M, Al Rashid F, Ahmed O, Awad A, Farouk A, Seliemt S, Mogazy K. Seasonal variation of appendicitis in northern Saudi Arabia. Ann Saudi Med 2008; 28(2):140-141 12. Malloy HR, Jason RS, Drew CR. The role of lymphoid hyperplasia in acute appendicitis. The Am J Surg 1945;67:81-6 13. Marudanayagam R, Williams GT, Rees BI.Review of the pathological results of 2660 appendicectomy specimens. J Gastroenterol 2006;41:745-9. 14. Park CS, Chang MS, Park IA, Kim YI, Choe G. Pathologic analysis of 2159 cases of appendix. Korean J Pathol 2000;34:39-49 15. Kim Choy Ng, Shih Wei L. Clinical analysis of the related factors in acute appendicitis. Yale J bio med 200;75:41-5 16. Chang SKY, Chan P. Recurrent appendicitis as a cause of recurrent right iliac fossa pain. Singapore Med J 2004;45:6-8 17. Wang Y, Reen DJ, Puri P. Is a histologically normal appendix following emergency appendicectomy alway normal? Lancet 1996;20:1076-9.Abstract
References