Negative Appendectomy Rate in Sultan Qaboos University Hospital, Oman
Journal of Surgery
Volume 1, Issue 3, August 2013, Pages: 43-45
Received: Jul. 29, 2013;
Published: Aug. 20, 2013
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Kamran Ahmad Malik, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman
Adil Aljarrah, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman
Huda Razvi, Student Year 7 College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
Laila Al-Khanbashi, Student Year 7 College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman
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Diagnosing acute appendicitis remains a challenge even with the presence of multiple diagnostic tools therefore, normal appendices are removed from some patients thought to have acute appendicitis. This is known as the negative appendectomy rate (NAR). The aim of this study was to find the rate of negative appendectomies in our institution among both adults and children and to analyze the characteristics of this group. The study included 654 patients who underwent appendectomies between January 2009 and January 2011 at Sultan Qaboos University Hospital in Muscat, Oman. The final diagnosis was based on histopathological analysis. The NAR was found to be 12.23% for the entire study population and was found to be 17.7% among children. There was no difference in the NAR between males and females. The NAR was higher than what was found in developed countries and further research needs to be conducted to know the reasons behind this relatively high NAR.
Negative Appendectomy, Acute Appendicitis
To cite this article
Kamran Ahmad Malik,
Negative Appendectomy Rate in Sultan Qaboos University Hospital, Oman, Journal of Surgery.
Vol. 1, No. 3,
2013, pp. 43-45.
Seetahal, SA. Negative appendectomy: a 10-year review of a nationally representative sample. American Journal of Surgery 2011, 201 (4): 433-437.
Kamran, H. Role of total leukocyte count in diagnosis of acute appendicitis. Journal of Ayub Medical College 2008, 20 (3):70-71.
Ditillo, M.Is It Safe to Delay Appendectomy in Adults With Acute Appendicitis? Annals of Surgery 2006, 244 (5):656-660.
Harswick, C. Clinical guidelines, computed tomography scan, and negative appendectomies: a case series. The American Journal of Emergency Medicine 2006, 24 (1):68-72.
Dhupar, R.. Outcomes of operative management of appendicitis. Surgical Infections 2012, 13 (3):141-146.
John SK. Avoiding negative appendectomies in rural surgical practice: is C-reactive protein estimation useful as a diagnostic tool? The National Medical Journal of India 2011, 24 (3):144-147.
Limpawattanasiri, C. Alvarado score for the acute appendicitis in a provincial hospital. Journal of the Medical Association of Thialand 2011, 94 (4):441-449.
Engin, O. Gynecologic pathologies in our appendectomy series and literature review. Journal of the Korean Surgical Society 2011, 80 (4):267-271.
Ma, KW. If not appendicitis, then what else can it be? A retrospective review of 1492 appendectomies. Hong Kong Medical Journal 2010, 16 (1):12-17.
Oyetunji, TA. Pediatric negative appendectomy rate: trend, predictors, and differentials. The Journal of Surgical Research 2012,173 (1): 16-20.
Bachur, RG. Diagnostic imaging and negative appendectomy rates in children: effects of age and gender. Paediatrics 2012,129 (5):877-884.