Acute Appendicitis: How Often is Appendectomy Negative?
Sh. V. Timerbulatov,
M. V. Timerbulatov,
S. V. Fedorov,
A. R. Gafarova,
V. M. Timerbulatov,
V. M. Sibaev https://doi.org/10.24060/2076-3093-2023-13-2-112-118
Abstract
Introduction. At present, medical practice lacks a unifi ed approach to the choice of therapeutic tactics for acute catarrhal appendicitis and therefore lacks understanding of negative appendectomy.
Aim. To study the incidence of negative appendectomy in acute appendicitis. Materials and methods. The methodology involved a retrospective analysis of the results of 1590 appendectomies performed from 2003 to 2005 and a prospective non-randomized study of 1112 patients
for the period from 2018 to 2019. During the first observation period, the examination included physical and laboratory examinations, and in the second period, Alvaro scoring, ultrasound scan, and videolaparoscopy.
Results and discussion. In the first period, catarrhal forms of appendicitis were reported in 7.82 % of cases, while in the second period — in 3.04 %. The diagnoses were confi rmed pathohistologically in all cases.
Conclusion. No cases of performing negative appendectomy were reported, based on the results of clinical, endoscopic and pathomorphological examinations. However, the ambiguous interpretation of acute catarrhal appendicitis in the national clinical practice guidelines for acute appendicitis does not allow for unambiguous conclusions from the study.
Keywords
acute catarrhal appendicitis,
appendectomy,
Alvarado score,
laparoscopy,
negative appendectomy,
diagnostic error
Supporting agencies: This work is not funded
About the Authors
Sh. V. Timerbulatov
Bashkir State Medical University
Russian Federation
Russian Federation
Shamil V. Timerbulatov, Dr. Sci. (Med.), Prof.
Department of Surgery with a Course of Endoscopy for Advanced Professional Education
Ufa
M. V. Timerbulatov
Bashkir State Medical University
Russian Federation
Russian Federation
Mahmud V. Timerbulatov, Dr. Sci. (Med.), Prof.
Department of Faculty Surgery
Ufa
S. V. Fedorov
Bashkir State Medical University
Russian Federation
Russian Federation
Sergei V. Fedorov, Dr. Sci. (Med.)
Department of Surgery with a Course of Endoscopy for Advanced Professional Education
Ufa
A. R. Gafarova
Bashkir State Medical University
Russian Federation
Russian Federation
Aigul R. Gafarova
Department of Surgery with a Course of Endoscopy for Advanced Professional Education
Ufa
V. M. Timerbulatov
Bashkir State Medical University
Russian Federation
Russian Federation
Vil M. Timerbulatov, Dr. Sci. (Med.), Prof.
Department of Surgery with a Course of Endoscopy for Advanced Professional Education
Ufa
V. M. Sibaev
Bashkir State Medical University
Russian Federation
Russian Federation
Vazir M. Sibaev, Dr. Sci. (Med.)
Department of Surgery with a Course of Endoscopy for Advanced Professional Education
Ufa
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For citations:
Timerbulatov Sh.V., Timerbulatov M.V., Fedorov S.V., Gafarova A.R., Timerbulatov V.M., Sibaev V.M. Acute Appendicitis: How Often is Appendectomy Negative? Creative surgery and oncology. 2023;13(2):112-118. (In Russ.) https://doi.org/10.24060/2076-3093-2023-13-2-112-118
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