caa a22 4500 606246940 CHVBK 20210128101342.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0842-3 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0842-3 Impact of the Increased Use of Preoperative Imaging and Laparoscopy on Appendicectomy Outcomes [Elektronische Daten] [A. Sridhar, M. Andrikopoulou, L. Clarke, C. Ashley, P. Mekhail, U. Khan] The diagnosis of appendicitis is based on clinical picture. The aim of this retrospective study was to analyse variation of outcomes and impact of increasing use of radiological investigations and laparoscopy over a 5-year period. A retrospective audit of appendicectomies over the last 5years (01 January 2007-31 December 2011) was conducted. The negative appendicectomy rate (NAR), perforation rate and complication rate were used as outcome endpoints. A statistical analysis was performed to evaluate the difference in outcomes with surgical approach and use of radiology. One thousand fifty-five appendicectomies were performed in this period. The NAR was 22.65% (21% for open and 28% for laparoscopic) and perforation rate was 14%. There was no statistically significant difference in NAR with the use of ultrasound (P 0.3814) but there was a significant reduction in NAR with the use of computed tomography (CT) (P <0.0001). Intra-abdominal abscess (2.3%) and wound infection (1.4%) were the common complications with the former being higher with laparoscopy and the latter with open appendicectomy. Over 5years, there were no significant changes in appendicectomy outcomes. The impact of diagnostic imaging on NAR varies with age, gender and the use of CT. CT can significantly reduce the negative appendicectomy rate in equivocal presentations. Complication rates vary with surgical approach. Association of Surgeons of India, 2013 Appendicectomy nationallicence Treatment outcome nationallicence Ultrasound nationallicence Computed tomography nationallicence Laparoscopy nationallicence Sridhar A. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut Andrikopoulou M. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut Clarke L. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut Ashley C. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut Mekhail P. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut Khan U. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut Indian Journal of Surgery Springer India 77(2015-12-01), 356-360 0972-2068 77<356 2015 77 12262 https://doi.org/10.1007/s12262-013-0842-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0842-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sridhar A. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut NATIONALLICENCE 700 1- Andrikopoulou M. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut NATIONALLICENCE 700 1- Clarke L. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut NATIONALLICENCE 700 1- Ashley C. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut NATIONALLICENCE 700 1- Mekhail P. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut NATIONALLICENCE 700 1- Khan U. Department of Surgery, Macclesfield District General Hospital, East Cheshire NHS Trust, Victoria road, SK10 3BL, Macclesfield, Cheshire, UK aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 356-360 0972-2068 77<356 2015 77 12262