The negative appendectomy rate is defined as the rate of a normal appendix, which is confirmed by histopathological diagnosis and generally accepted in the treatment of acute appendicitis to prevent complications like perforation. This rate varies according to countries in the western and eastern regions of the world. This study reviews current incidence trends, contributing factors, and strategies to reduce the negative appendectomy rate. A literature review was conducted using databases including PubMed, the Cochrane Database of clinical reviews, and Google Scholar, focusing on original articles, clinical trials, observational and cohort studies, and clinical reviews published between 1996 and 2023. In these studies, clinical scoring systems, inflammatory markers, and imaging were used to reduce the negative appendectomy rate. The introduction of computerised tomography has improved the diagnostic accuracy of acute appendicitis. As this rate has been progressively decreasing over the past few years, with better diagnosis of acute appendicitis, but the increased use of conservative treatment of acute appendicitis and laparoscopic appendectomy may have an impact on this rate.
Author(s)
Details
Kumar
H.R.
Department of Surgery, Taylor’s University School of Medicine and
Health Science, 47500 Subang Jaya, Selangor, Malaysia.
Please see the book here:- https://doi.org/10.9734/bpi/msraa/v7/5766
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