Correlation between intraoperative surgical diagnosis of complicated acute appendicitis and the pathology report: clinical implications

Surgical Infections
Jessica CorreaDavid Parés

Abstract

The post-operative management of appendectomy for acute appendicitis is based primarily on the operative findings. The surgeon describes the severity of the disease, and antibiotic therapy is administered accordingly. The histologic findings are not always considered in the decision about the management and may not be correlated with the clinical outcome. The aim of this study was to investigate the agreement between the surgeon's intra-operative visual description of the appendix and the pathologist's report in a consecutive series of patients with acute appendicitis. Complications were analyzed in relation to the classification. A comparative observational study was performed in 69 patients who underwent surgery for acute appendicitis at the same hospital during a one-year period (the entire year of 2011). The surgeon's classification of the severity of appendicitis was compared with the pathologist's report using the kappa coefficient. Patient demographics, surgical techniques, and post-operative complications also were analyzed. Complicated appendicitis (gangrenous or perforated) was considered to be present in 36.2% of patients in the surgeon's classification and 43% of the patients in the histopathologic reports (p=0.033)...Continue Reading

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Citations

Jun 11, 2016·Pediatric Radiology·Morgan E TelesmanichR Paul Guillerman
Oct 15, 2018·Pediatric Surgery International·Katherine J BaxterMehul V Raval
Jul 15, 2017·Annals of Surgical Treatment and Research·Jinbeom ChoJunhyun Lee
Apr 18, 2018·The British Journal of Surgery·A L van den BoomB P L Wijnhoven
Aug 15, 2019·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Matthijs D M BolmersUNKNOWN Snapshot Appendicitis Collaborative Study group
May 9, 2021·The Journal of Surgical Research·Khaled Abdul JawadUNKNOWN EAST Appendicitis Research Group
Jul 1, 2021·Open Access Emergency Medicine : OAEM·Hana Gebre SelassieDaniel Ashebir

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