Open AccessA Clinicopathological Study of Emergency Appendectomies to Evaluate Negative Appendectomy Rate in a Tertiary Care Hospital
Author(s) -
Rashmi Aithmia,
Shagufta Choudhary,
Saloni Mahajan
Publication year - 2022
Publication title -
saudi journal of pathology and microbiology
Language(s) - English
Resource type - Journals
eISSN - 2518-3370
pISSN - 2518-3362
DOI - 10.36348/sjpm.2022.v07i02.006
Subject(s) - medicine , appendix , gold standard (test) , acute appendicitis , appendicitis , histopathology , general surgery , acute abdomen , tertiary care , emergency department , diagnostic accuracy , medical record , surgery , radiology , pathology , paleontology , psychiatry , biology
Background: Acute appendicitis is the most common cause of acute surgical abdomen worldwide. This clinicopathological study aims to determine the negative appendectomy rates of the surgically removed appendix in our centre and to determine the diagnostic accuracy of acute appendicitis by considering HPE as the gold standard. Method: A retrospective study was undertaken to review the histopathology reports of all the emergency appendicectomy specimens submitted to the Department of Pathology Government medical college and Hospital, Jammu; from 30th June 2020 to 1st July 2021. Patient’s biodata, clinical signs and symptoms were extracted from the request forms. Result: A total of 250 appendices were received during the 1-year study period. The male to female ratio was 3.1:1 with age ranging from 5 to 75 years of age. Acute appendicitis was found in 50.4%, followed by suppurative appendicitis (20%), perforated appendix (15.2), gangrenous appendix (6.4%), acute on chronic appendicitis (8%) and 2 cases of carcinoid tumor (0.8%). NAR was calculated as 4.8%. The diagnostic sensitivity was calculated to be 95.2%. Conclusion: HPE is the gold standard test and helps to determine the negative appendectomy rates which is regarded as the quality indicator of the treating centre.