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Negative Appendectomy - Many appendix operations are unnecessary
Sun - June 19, 2016 11:17 am  |  Article Hits:1599  |  A+ | a-
A negative appendectomy occurs when a normal appendix is removed following a medical workup for acute abdominal pain that indicates surgical intervention, and is more common in people diagnosed with various lower abdominal pain. Approximately 30% of patients admitted to the hospital for acute lower abdominal pain are discharged without fully diagnosed the cause of the pain, as lab tests are often of limited value in case of acute appendicitis. Advanced imaging studies like multidetector-row computed tomography (MDCT) are very helpful in diagnosis of acute abdominal pain of unknown etiology, however they are not 100 percent promising and as cost as well as a patient's cumulative dose of ionizing radiation need to be taken into account, it doesn't always make sense to order these studies. Specialists are as yet neglecting to analyze a ruptured appendix precisely in spite of numerous diagnostic advances, research recommends. US researchers from Washington University found that regardless of the accessibility of new analytic tests, about one in four supplement expulsions appendectomy performed in ladies of childbearing age were pointless and useless. It is ideal to take out a couple of ordinary innocent organs, than to miss those that may prompt complexities, for example, rupture appendic pelvic abscess and peritonitis Truth be told, the rate of misdiagnosis among young ladies as suffering from appendicitis is quite high and more seasoned men has really expanded. The appendix is connected to the cecum in a way that even after inflammation it is difficult to diagnose, even if it is removed which appears to play no significant role in adult humans. The opening can become blocked and infected, resulting in pain in the lower right side of the belly, loss of appetite and nausea. There is a risk that an infected appendix will perforate and spread potentially life-threatening infection to the peritoneum with shock, generalized peritonitis and may be septicemia. For this reason, appendix removal, or appendectomy, is a relatively common operation. Tests developed to aid the diagnosis of appendicitis during the last 30 years include ultrasound, laparoscopy and computer-assisted scans. However, it is estimated that instpite of all the advancement in medicine the misdiagnosis rate remains about 9% in men, and 23% in women. The disparity may be due to the fact that reproductive age group women have more complex anatomy in the right side of their abdomen, where the appendix is found. Mr John Heyworth, president of the British Association for Accident and Emergency Medicine, said the public assumed that diagnosing appendicitis was straightforward. But there are many many other conditions that produce exactly the same symptoms - for instance, viral infections in children and gynecological problems like salpingitic, ovarian torsion, endometriosis in adult women. The appendix is very small, and is located near other organs that might be inflamed. This means that even the most sophisticated diagnostic tests are less than perfect. Clinical acumen Mr Heyworth said: "There are various tests available, but often it comes down to clinical acumen. "There is diagnostic inaccuracy, but people tend to err on the side of caution. "It is better to take out a few normal organs, than to miss those that might lead to complications such as perforation and peritonititis. "It is an operation and requires nowadays laparoscopic surgery and a general anaesthetic, so nobody takes that lightly, but it is a fairly straightforward and rapid procedure." The research is published in the Journal of the American Medical Association that appendix is the most frequently removed innocent organ of the body by general surgeon.
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