Evaluation of Right Iliac Fossa Pain with Reference to Alvarado Score Can We Prevent Unnecessary Appendicectomies?
Journal Title: Journal of Krishna Institute of Medical Sciences University - Year 2013, Vol 2, Issue 2
Abstract
Background: Appendicectomy for acute appendicitisis the most common surgical cause ofemergency laparotomy throughout the world.Acute appendicitis is a clinical diagnosis; theaccuracy of clinical examination has been reportedfrom 71 to 97% and varies greatly dependingupon the experience of the examiner.The treatment being surgical, negative appendicectomyrates are high. Aim and Objective:Present study was conducted to evaluateAlvarado Scoring system for diagnosis of acuteappendicitis and its co-relation by histopathology.Material and Methods: Prospective studyof consecutive patients admitted with suspectedacute appendicitis during the period of July2011 to December 2012 was undertaken.Alvarado Score of each patient was calculated.Out of 130, 95 patients had histologicallyproven acute appendicitis. Reliability of scoringsystem was assessed by calculating positivepredictive value and negative appendicectomyrate. Results and Conclusion: The positivepredictive value was 88.37% and negativeappendicectomy rate was 11.63% (with respectto Alvarado score > 7). Alvarado Scoring systemis easy, simple, cheap, useful tool in preoperativediagnosis of acute appendicitis.
Authors and Affiliations
P. D. Gurav , N. N. Hombalkar , Priya Dhandore , Mohd. Hamid
Keywords
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