Auditing Appendectomy in Benue State University Teaching Hospital, Makurdi, Nigeria
Int. j. med. surg. sci. (Print)
;
6(4): 123-125, dic. 2019.
Article
Dans Anglais
| LILACS
| ID: biblio-1247391
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.
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Appendicectomie
/
Appendicite
/
Audit médical
Limites du sujet:
Humains
Pays comme sujet:
Afrique
langue:
Anglais
Texte intégral:
Int. j. med. surg. sci. (Print)
Thème du journal:
Chirurgie
/
Médicament
Année:
2019
Type:
Article
Pays d'affiliation:
Nigeria
Institution/Pays d'affiliation:
Benue State University/NG
/
National Orthopedic Centre/NG
/
North-Bank/NG
/
State House Clinic/NG
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS