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Paper Information

Journal:   BULLETIN OF EMERGENCY AND TRAUMA BEAT   2014 , Volume 2 , Number 1; Page(s) 15 To 21.
 
Paper: 

ACCURACY OF SURGEON’S INTRAOPERATION DIAGNOSIS OF ACUTE APPENDICITIS, COMPARED WITH THE HISTOPATHOLOGY RESULTS

 
 
Author(s):  POURHABIBI ZARANDI NIMA, JAVIDI PARSIJANI PARISA, BOLANDPARVAZ SHAHRAM, PAYDAR SHAHRAM*
 
* TRAUMA RESEARCH CENTER, SHAHID RAJAEE (EMTIAZ) TRAUMA HOSPITAL, SHIRAZ UNIVERSITY OF MEDICAL SCIENCES, SHIRAZ, IRAN
 
Abstract: 

Objective: To evaluate the accuracy of surgeons’ intraoperative diagnosis in open appendectomy and compare it with the histopathology examination results afterwards.
Methods: This was a cross-sectional retrospective study accomplished in Namazee hospital affiliated with Shiraz University of Medical Sciences, in a one-year period from 2007 to 2008. Medical charts of all the patients who were admitted with impression of acute appendicitis and underwent open appendectomy in our center were included. Demographic information, intraoperative findings as in the operation note based on a method used by our surgeons, and histopathology examination of the removed appendix were recorded and reported.
Results: A total of 342 patients were studied including 229 (67%) males and 113 (33%) females, with the mean age of 16.02±9.89 (range 3 to 76) years, with a large proportion from 10 to 15 years. Surgeons reported 97.4% of the patients to have acute appendicitis, 29.5%, 10.2% and 5.6% with severe, moderate and mild inflammation respectively, whereas 26.6% and 9.4% with suppurated and gangrenous appendicitis separately, 14.6% to have perforated appendicitis and only 1.5%hadperforated appendicitis with peritonitis. However, 79.5% of cases showed appendicitis in the histopathology review. The accuracy of surgeons’ intraoperative diagnosis is 81.6%, 85.2% for men and 72.6% for women.
Conclusion: The method used by our surgeon is not completely indicative in mild to severe inflamed appendix but it is almost always compatible with the pathology results in suppurated, gangrened, and perforated appendix.
Therefore surgeons’ gross observation of the inflamed appendix may not always be in concordance with the histopathology examination of the resected appendix.

 
Keyword(s): APPENDICITIS, SURGICAL FINDINGS, HISTOPATHOLOGICAL FINDINGS, INTRAOPERATIVE OBSERVATIONS, NEGATIVE APPENDECTOMY
 
 
References: 
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Click to Cite.
APA: Copy

POURHABIBI ZARANDI, N., & JAVIDI PARSIJANI, P., & BOLANDPARVAZ, S., & PAYDAR, S. (2014). ACCURACY OF SURGEON’S INTRAOPERATION DIAGNOSIS OF ACUTE APPENDICITIS, COMPARED WITH THE HISTOPATHOLOGY RESULTS. BULLETIN OF EMERGENCY AND TRAUMA BEAT, 2(1), 15-21. https://www.sid.ir/en/journal/ViewPaper.aspx?id=403575



Vancouver: Copy

POURHABIBI ZARANDI NIMA, JAVIDI PARSIJANI PARISA, BOLANDPARVAZ SHAHRAM, PAYDAR SHAHRAM. ACCURACY OF SURGEON’S INTRAOPERATION DIAGNOSIS OF ACUTE APPENDICITIS, COMPARED WITH THE HISTOPATHOLOGY RESULTS. BULLETIN OF EMERGENCY AND TRAUMA BEAT. 2014 [cited 2021May06];2(1):15-21. Available from: https://www.sid.ir/en/journal/ViewPaper.aspx?id=403575



IEEE: Copy

POURHABIBI ZARANDI, N., JAVIDI PARSIJANI, P., BOLANDPARVAZ, S., PAYDAR, S., 2014. ACCURACY OF SURGEON’S INTRAOPERATION DIAGNOSIS OF ACUTE APPENDICITIS, COMPARED WITH THE HISTOPATHOLOGY RESULTS. BULLETIN OF EMERGENCY AND TRAUMA BEAT, [online] 2(1), pp.15-21. Available: https://www.sid.ir/en/journal/ViewPaper.aspx?id=403575.



 
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