Effect of new technologies on diagnosis and therapy of acute appendicitis

Acute appendicitis remains a diagnosis based primarily on the history and the physical examination performed by an experienced surgeon. Ultrasonography and CT can be an useful adjunct, but they should not be used without context to the clinical picture. In therapy, open appendicectomy remains the go...

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Bibliographic Details
Published inPraxis (Bern. 1994) Vol. 91; no. 7; p. 275
Main Authors Gianom, D, Köstler, T, Goti, F, Decurtins, M
Format Journal Article
LanguageGerman
Published Switzerland 13.02.2002
Subjects
Acute Disease
Appendicitis - diagnosis
Appendicitis - epidemiology
Appendicitis - surgery
Diagnosis, Differential
Female
Humans
Laparoscopy
Male
Retrospective Studies
Switzerland
Tomography, X-Ray Computed
Ultrasonography
Unnecessary Procedures - statistics & numerical data
Switzerland
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Summary:Acute appendicitis remains a diagnosis based primarily on the history and the physical examination performed by an experienced surgeon. Ultrasonography and CT can be an useful adjunct, but they should not be used without context to the clinical picture. In therapy, open appendicectomy remains the golden standard. Laparoscopic appendectomy is reserved for special situations. Preoperative ultrasound is useful to decide upon the operative procedure. When the clinical picture and ultrasonography reveals acute appendicitis one can expect a minimal negative appendectomy- and laparotomy rate of 2.7% and 2.1%. In these situations open appendectomy is indicated. In the case where ultrasonography reveals no appendicitis, negative appendectomy rate is 31%. In this situation further abdominal exploration and thus diagnostic laparoscopy and laparoscopic appendectomy is indicated.
ISSN:1661-8157