Saucedo MEM, Alabarda PAM, Rodríguez RMP, García PA, Bermúdez CD

Language: Spanish
References: 9
Page: 207-210
PDF size: 137.04 Kb.

ABSTRACT

Acute appendicitis is one of the most common pathologies that need surgical management, and one of its most frequent complications is the development of appendiceal mass (10%), which results from appendiceal perforation, causing fever, leukocytosis and systemic symptoms. Material and methods: Retrospective, cross-sectional, descriptive study in which patients who underwent an appendectomy were included. All criteria were applied prior to a surgical event: 1) appendicular mass, 2) non-visualization of appendix, 3) delay of admission › 3 days and 4) CRP › 10 mg/dL. Results: A total sample of 57 patients. It was divided into two groups. Group 1 (n = 14) patients with at least one positive predictive criterion and group 2 (n = 43) without any positive criteria, showed significant difference in the presence of complications, days of in-hospital stay and surgical conversion. COR curves to demonstrate the discriminative ability of the predictive criteria, were reasonable (AUC = 0.732, CI_95% = 0.57-0.84) for days of in-hospital stay, with a sensitivity and specificity of 46.7 and 83.3%. Conclusions: Finding negative criteria can be a useful tool in making decisions between using laparoscopy or open surgery, as this will determine, secondarily, the intraoperative difficulty, as well as postoperative evolution.

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