Auditing Appendectomy in Benue State University Teaching Hospital, Makurdi, Nigeria
Int. j. med. surg. sci. (Print)
; 6(4): 123-125, dic. 2019.
Article
ي En
| LILACS
| ID: biblio-1247391
المكتبة المسؤولة:
CL61.1
ABSTRACT
Appendicitis is the leading cause of surgical admission in most hospitals in Nigeria and the removed appendix, a frequent surgical specimen in most routine histopathological laborato-ries in Nigeria. The aim of this study is to audit the appendectomy procedures in Benue State University Teaching Hospital. Sixty-two appendices removed for acute appendix in Benue State University Teaching Hospital, Makurdi, Nigeria middle belt, over an 8-year period were analyzed. Twenty-eight (45%) were found to be normal, while 29 (46%) showed histopathological eviden-ce of acute inflammation. There were 5 (9%) cases of unusual pathologies which include a case each of metastatic adenocarcinoma and chronic granulomatous inflammation (2% each) and 3 (5%) cases of schistosomiasis. The Negative Appendectomy Rate (NAR) was 27% in females compared with 18% in males. Adult (>16 years) represented 29% of the NAR. The overall NAR was 45%. The NAR in this study is considerable higher when compared with existing literature. In a poor resource center like Benue State University Teaching Hospital, due diligence in taking detailed history coupled with good clinical examination cannot be over emphasized. The use of a combination of Total Leukocyte Count (TCC) and C-Reactive Protein (CPR) in every patient may help in reducing NAR, though it's definitely going to be impossible to eradicate it.
النص الكامل:
1
الفهرس:
LILACS
الموضوع الرئيسي:
Appendectomy
/
Appendicitis
/
Medical Audit
المحددات:
Humans
البلد/الأقليم حسب الموضوع:
Africa
اللغة:
En
مجلة:
Int. j. med. surg. sci. (Print)
موضوع المجلة:
CIRURGIA
/
MEDICINA
السنة:
2019
نوع:
Article