Appendicitis can be treated safely with a negative appendectomy rate of 10%


Journal Article

The surgical literature supports a negative laparotomy rate of 20% for patients who are explored for the diagnosis of appendicitis. It has been assumed that attempts at decreasing the negative laparotomy rate will increase the perforation rate to above 25%. We reviewed the experience at a community hospital with the treatment of appendicitis in 970 consecutive patients. Close inhospital observation was used to evaluate difficult cases. The negative laparotomy and perforation rates were 10 and 23%, respectively. No patients perforated under observation. The surgical standards for negative appendectomy rate can be revised downward to 10% without fear of increasing the perforation rate. © 1989 S. Karger AG, Basel.

Full Text

Duke Authors

Cited Authors

  • Pppas, TN; Gale, F; Ross, RP

Published Date

  • January 1, 1989

Published In

Volume / Issue

  • 6 / 2

Start / End Page

  • 74 - 77

International Standard Serial Number (ISSN)

  • 0253-4886

Digital Object Identifier (DOI)

  • 10.1159/000171893

Citation Source

  • Scopus