caa a22 4500 606248560 CHVBK 20210128101351.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-014-1063-0 doi (NATIONALLICENCE)springer-10.1007/s12262-014-1063-0 Negative Appendectomy: an Audit of Resident-Performed Surgery. How Can Its Incidence Be Minimized? [Elektronische Daten] [Mohit Joshi, Richa Joshi, Shaan Alam, Sarla Agarwal, Sunil Kumar] Negative appendectomy remains a concern in current surgical practice. Data from the developing world is scarce. Data of appendectomies during the last 5years were analyzed. Interval and incidental appendectomies were excluded. The demographic details, presenting complaints, clinical signs, and investigations performed were recorded in a predesigned proforma. The data were critically analyzed. Six hundred eighty-five appendectomies were performed during the period. One hundred eighty-five patients with a normal appendix were identified on histopathology. Sixty-seven patients with incidental or interval appendectomies were excluded. Thus, 118 patients had appendectomies performed erroneously. All these patients with presumed diagnosis of acute appendicitis were operated on by resident surgeons. Records of 17 patients could not be retrieved. The most common symptom was abdominal pain (100%), and the commonest sign was right iliac fossa tenderness (93%). Most of the patients underwent USG to supplement the diagnosis. CT scan and diagnostic laparoscopy were not performed. The negative appendectomy rate was 17.2% (12.4% in males; 33.3% in females). The highest incidence of negative appendectomy was in females aged 11-20years (66.7%). The rate of negative appendectomy at our institute is comparable with the world statistics. More diligence is required in making the clinical diagnosis of acute appendicitis, especially in young females. The use of C-reactive protein and CT scan may decrease the negative appendectomy rate. Association of Surgeons of India, 2014 Appendicitis nationallicence Acute appendicitis nationallicence Negative appendectomy nationallicence Diagnostic error nationallicence Joshi Mohit Department of Surgery, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut Joshi Richa Department of Pathology, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut Alam Shaan Department of Surgery, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut Agarwal Sarla Department of Pathology, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut Kumar Sunil Department of Surgery, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 913-917 0972-2068 77<913 2015 77 12262 https://doi.org/10.1007/s12262-014-1063-0 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/s12262-014-1063-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Joshi Mohit Department of Surgery, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut NATIONALLICENCE 700 1- Joshi Richa Department of Pathology, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut NATIONALLICENCE 700 1- Alam Shaan Department of Surgery, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut NATIONALLICENCE 700 1- Agarwal Sarla Department of Pathology, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut NATIONALLICENCE 700 1- Kumar Sunil Department of Surgery, University College of Medical Sciences and GTB Hospital, 110095, Delhi, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 913-917 0972-2068 77<913 2015 77 12262