Rajeev Kumar Singh and K Singh
Burhar Central Hospital, India
Scientific Tracks Abstracts: Surgery Curr Res
Background: Acute appendicitis is the most common surgical condition of the acute abdomen. Approximately 7% of the population will have appendicitis in their life time. The diagnosis of appendicitis is still based primarily on clinical history & examination. Prompt diagnosis and surgical intervention may reduce the risk and prevent complications. Objectives: To evaluate the efficacy of Modified Alvarado Score and USG abdomen in diagnosis of acute appendicitis as well to reduce the rate of negative appendicectomy. Methods: Patient came to Dept. of Surgery, PCMS, Bhopal during duration of study with acute abdomen. The study includes 60 patients between 5-60 yrs of age. They were prospectively evaluated on admission using the modified Alvarado Score to determine whether or not they had acute appendicitis and all equivocal cases were subjected to ultrasonography examination. The score was correlated with the operative and histological findings. Results: All 60 patients underwent surgery. The sensitivity of the modified Alvarado score was 89.65% and sensitivity of USG was 91.37%, out of 60 cases of acute appendicitis, male were 36 and remaining 24 cases were of female. So it showed sex ratio of 36:24, 3:2 which co relate with literature and old studies. With the use of both MASS and USG as diagnostic tool, out of 60 cases, 57 cases were positive and with the help of histopath it was confirmed in 58 cases. Conclusion: The modified Alvarado scoring system is a good diagnostic indicator for acute appendicitis. It helps in minimizing the rates of negative appendicectomy. It can be used as an adjunct to surgical decision-making along with ultrasonography in doubtful cases. Combining modified Alvarado score and ultrasonography together can work very effectively in diagnosing acute appendicitis correctly and in reducing the number of negative appendicectomy.
Email: drrajeevsingh63@gmail.com
