Journal of Surgery

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Negative Appendectomy Rate in Sultan Qaboos University Hospital, Oman

Received: 29 July 2013    Accepted:     Published: 20 August 2013
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Abstract

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.

DOI 10.11648/j.js.20130103.11
Published in Journal of Surgery (Volume 1, Issue 3, August 2013)
Page(s) 43-45
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Negative Appendectomy, Acute Appendicitis

References
[1] Seetahal, SA. Negative appendectomy: a 10-year review of a nationally representative sample. American Journal of Surgery 2011, 201 (4): 433-437.
[2] Kamran, H. Role of total leukocyte count in diagnosis of acute appendicitis. Journal of Ayub Medical College 2008, 20 (3):70-71.
[3] Ditillo, M.Is It Safe to Delay Appendectomy in Adults With Acute Appendicitis? Annals of Surgery 2006, 244 (5):656-660.
[4] Harswick, C. Clinical guidelines, computed tomography scan, and negative appendectomies: a case series. The American Journal of Emergency Medicine 2006, 24 (1):68-72.
[5] Dhupar, R.. Outcomes of operative management of appendicitis. Surgical Infections 2012, 13 (3):141-146.
[6] 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.
[7] Limpawattanasiri, C. Alvarado score for the acute appendicitis in a provincial hospital. Journal of the Medical Association of Thialand 2011, 94 (4):441-449.
[8] Engin, O. Gynecologic pathologies in our appendectomy series and literature review. Journal of the Korean Surgical Society 2011, 80 (4):267-271.
[9] 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.
[10] Oyetunji, TA. Pediatric negative appendectomy rate: trend, predictors, and differentials. The Journal of Surgical Research 2012,173 (1): 16-20.
[11] Bachur, RG. Diagnostic imaging and negative appendectomy rates in children: effects of age and gender. Paediatrics 2012,129 (5):877-884.
Author Information
  • Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman

  • Department of Surgery, Sultan Qaboos University Hospital, Muscat, Oman

  • Student Year 7 College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman

  • Student Year 7 College of Medicine & Health Sciences, Sultan Qaboos University, Muscat, Oman

Cite This Article
  • APA Style

    Kamran Ahmad Malik, Adil Aljarrah, Huda Razvi, Laila Al-Khanbashi. (2013). Negative Appendectomy Rate in Sultan Qaboos University Hospital, Oman. Journal of Surgery, 1(3), 43-45. https://doi.org/10.11648/j.js.20130103.11

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    ACS Style

    Kamran Ahmad Malik; Adil Aljarrah; Huda Razvi; Laila Al-Khanbashi. Negative Appendectomy Rate in Sultan Qaboos University Hospital, Oman. J. Surg. 2013, 1(3), 43-45. doi: 10.11648/j.js.20130103.11

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    AMA Style

    Kamran Ahmad Malik, Adil Aljarrah, Huda Razvi, Laila Al-Khanbashi. Negative Appendectomy Rate in Sultan Qaboos University Hospital, Oman. J Surg. 2013;1(3):43-45. doi: 10.11648/j.js.20130103.11

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  • @article{10.11648/j.js.20130103.11,
      author = {Kamran Ahmad Malik and Adil Aljarrah and Huda Razvi and Laila Al-Khanbashi},
      title = {Negative Appendectomy Rate in Sultan Qaboos University Hospital, Oman},
      journal = {Journal of Surgery},
      volume = {1},
      number = {3},
      pages = {43-45},
      doi = {10.11648/j.js.20130103.11},
      url = {https://doi.org/10.11648/j.js.20130103.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.js.20130103.11},
      abstract = {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.},
     year = {2013}
    }
    

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  • TY  - JOUR
    T1  - Negative Appendectomy Rate in Sultan Qaboos University Hospital, Oman
    AU  - Kamran Ahmad Malik
    AU  - Adil Aljarrah
    AU  - Huda Razvi
    AU  - Laila Al-Khanbashi
    Y1  - 2013/08/20
    PY  - 2013
    N1  - https://doi.org/10.11648/j.js.20130103.11
    DO  - 10.11648/j.js.20130103.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 43
    EP  - 45
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20130103.11
    AB  - 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.
    VL  - 1
    IS  - 3
    ER  - 

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