EFFECTIVENESS OF ADJUVANT USE OF POSTERIOR MANUAL COMPRESSION WITH GRADED COMPRESSION IN THE SONOGRAPHIC DIAGNOSIS OF ACUTE APPENDICITIS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 6
Abstract
BACKGROUND Diagnosing appendicitis by Graded Compression Ultrasonogram is a difficult task because of limiting factors such as operator– dependent technique, retrocaecal location of the appendix and patient obesity. Posterior manual compression technique visualizes the appendix better in the Grey-scale Ultrasonogram. The Aim of this study is to determine the accuracy of ultrasound in detecting or excluding acute appendicitis and to evaluate the usefulness of the adjuvant use of posterior manual compression technique in visualization of the appendix and in the diagnosis of acute appendicitis MATERIALS AND METHODS This prospective study involved a total of 240 patients in all age groups and both sexes. All these patients underwent USG for suspected appendicitis. Ultrasonography was performed with transverse and longitudinal graded compression sonography. If the appendix is not visualized on graded compression sonography, posterior manual compression technique was used to further improve the detection of appendix. RESULTS The vermiform appendix was visualized in 185 patients (77.1%) out of 240 patients with graded compression alone. 55 out of 240 patients whose appendix could not be visualized by graded compression alone were subjected to both graded followed by posterior manual compression technique among that Appendix was visualized in 43 patients on posterior manual compression technique amounting to 78.2% of cases, Appendix could not be visualized in the remaining 12 patients (21.8%) out of 55. CONCLUSION Combined method of graded compression with posterior manual compression technique is better than the graded compression technique alone in diagnostic accuracy and detection rate of the vermiform appendix.
Authors and Affiliations
Senthilnathan V, Gnanavelraja C, Alli Arimapamagan, Rajajeyakumar M
Keywords
Related Articles
- EP ID EP454090
- DOI 10.18410/jebmh/2018/102
- Views 79
- Downloads 0
A STUDY OF ASSOCIATION OF FLUOROQUINOLONES IN TENDINITIS AND ASSOCIATED COMPLICATIONS
BACKGROUND Fluoroquinolones are the quinolone antimicrobials, which are known to have one or more fluorine substitutions. The first generation fluoroquinolones, which was introduced in 1980s have one fluoro substitution....
AGGRESSIVE ALLERGIC FUNGAL SINUSITIS MANAGED COMPLETELY BY ENDOSCOPY
Aggressive Allergic fungal sinusitis with bony destruction, deviation of eye, proptosis & anosmia required extensive surgical approach. However with newer modalities like CT scan & MRI imaging, Endoscopic staging & biops...
ULTRASOUND SCREENING OF THYROID GLAND AMONG A SECTION OF POPULATION IN CENTRAL KERALA
BACKGROUND Thyroid diseases are commonest endocrine disorders in India. Studies have shown that one in ten adults in India suffer from hypothyroidism. But it is often underdiagnosed and goes undetected for years. The pre...
INCIDENCE AND CLINICOPATHOLOGICAL FEATURES OF NEUROCUTANEOUS DISORDERS
BACKGROUND Neurocutaneous disorders are genetically determined disorders showing both cutaneous and neurologic involvement. The definition includes both hereditary and non-hereditary phenotypes, but excludes acquired dis...
A COMPARATIVE STUDY OF CENTRAL FOVEAL THICKNESS PRE AND POST CATARACT SURGERY USING SD-OPTICAL COHERENCE TOMOGRAPHY
BACKGROUND The purpose of this study is to compare central foveal thickness (CFT) of patients preoperatively and postoperatively cataract surgery using SD- optical coherence tomography and to correlate CFT with vision. M...