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ORIGINAL ARTICLE   

Chirurgia 2022 June;35(3):143-6

DOI: 10.23736/S0394-9508.21.05300-6

Copyright © 2021 EDIZIONI MINERVA MEDICA

language: English

The incidence of negative appendectomy in Al-Karak Teaching Hospital, Jordan

Mahmoud AL-AWAYSHEH 1 , Mohammad N. NOFAL 2, Batool M. AL-AWAYSHEH 3, Taima M. AL-AWAYSHEH 4

1 Department of Surgery, Faculty of Medicine, Al Karak Teaching Hospital, University of Mutah, Mutah, Jordan; 2 Faculty of Medicine, University of Muftah, Mutah, Jordan; 3 Faculty of Medicine, Jordan University Hospital, University of Jordan, Amman, Jordan; 4 Faculty of Medicine, Hashemite University, Zarqa, Jordan



BACKGROUND: Appendicitis is considered as one of the emergency abdominal conditions want surgical intervention. The appendectomy, similar to other surgical procedures, has its own complications and consequently should only be done when indicated. Case chains have reported the occurrence of negative appendectomy in many different parts of the world including western nations. A high rate of negative appendectomy is unacceptable. At the same time, surgeons should try to prevent perforation at all circumstances. For this reason, great efforts are now being made to get better diagnostic accuracy and avoid needless appendectomies.
METHODS: All case files of patients who undergo appendectomies at Al-Karak Teaching Hospital in Jordan between January 2014 and December 2015 were reviewed. Demographic data, symptoms, signs on presentation, intra-operative findings, and histological reports on the excised vermiform appendixes were extracted from the case files and analyzed.
RESULTS: The incidence of negative appendectomy in our study was 18% with no difference in incidence between genders.
CONCLUSIONS: The incidence of negative appendectomy observed at Al-Karak Teaching Hospital is near or around that reported by most studies. This alarming figure clearly indicates the need for accurate diagnostic procedures to confirm the diagnosis of acute appendicitis. Further studies and evaluations arewarranted.


KEY WORDS: Appendectomy; Incidence; Appendicitis; Jordan

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