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American Journal of Advanced Medical & Surgical Research

Volume 2, Issue 1, 2016
Mcmed International
American Journal of Advanced Medical & Surgical Research
Issn
XXX-XXXX (Print), XXXX-XXXX (Online)
Frequency
bi-annual
Email
editorajamsr@mcmed.us
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Abstract
Title
CLINICAL STUDY TO EVALUATE THE RIPASA SCORING SYSTEM IN THE DIAGNOSIS OF ACUTE APPENDICITIS
Author
Sandeep Khadda, Ajay Kumar Yadav, Anwar Ali, Ashok Parmar, Jitender Kumar Sakrani, Hemant Beniwal
Email
drajaykyadav 24@gmail.com
keyword
Computed tomography, Radiological modalities, Appendicectomy.
Abstract
Acute appendicitis is the most common surgical emergencies encountered by surgeons on-call, with emergency appendicectomy making up one in ten of all emergency abdominal surgeries. A quick and correct diagnosis of acute appendicitis leading to early appendicectomy and avoidance of complications arising from perforation can be difficult at times. Radiological modalities such as computed tomography (CT) imaging further aid in making a definite diagnosis and have been reported to have high sensitivity (94%) and specificity (95%) for diagnosing acute appendicitis. Thus, in most large hospitals, it is routine to request for CT imaging in all patients suspected of acute appendicitis. However, such routine practice will inflate the cost of healthcare substantially. Furthermore, the process of arranging for CT imaging may cause further delay for emergency appendicectomy. A recent study has suggested that such indiscriminate use of CT imaging may lead to the detection of early low-grade appendicitis and unnecessary appendicectomies in a condition that would otherwise have resolved spontaneously with antibiotics therapy The present study was conducted in an attempt to evaluate the RIPASA score which is a new scoring system for diagnosis of acute appendicitis in patients presented to emergency department and the surgical wards with comlaint of right iliac fossa pain.
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