Auditing Appendectomy in Benue State University Teaching Hospital, Makurdi, Nigeria
Int. j. med. surg. sci. (Print)
;
6(4): 123-125, dic. 2019.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Apendicectomia
/
Apendicite
/
Auditoria Médica
Limite:
Humanos
País/Região como assunto:
África
Idioma:
Inglês
Revista:
Int. j. med. surg. sci. (Print)
Assunto da revista:
Cirurgia
/
Medicina
Ano de publicação:
2019
Tipo de documento:
Artigo
País de afiliação:
Nigéria
Instituição/País de afiliação:
Benue State University/NG
/
National Orthopedic Centre/NG
/
North-Bank/NG
/
State House Clinic/NG
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