Surgical Endoscopy

, Volume 29, Issue 8, pp 2365–2370

Less negative appendectomies due to imaging in patients with suspected appendicitis

  • P. A. Boonstra
  • R. N. van Veen
  • H. B. A. C. Stockmann
Article

Abstract

Background

The optimal diagnostics and treatment of acute appendicitis continues to be a challenge. We evaluated the implementation of the guideline “diagnostics and treatment in acute appendicitis” in 2010. This guideline states that, in every patient with clinically suspected acute appendicitis, an ultrasonography or CT scan is advised to confirm the diagnosis before surgery.

Patients and methods

We selected all consecutive patients with acute appendicitis in our hospital in the years 2008 and 2011. We compared the use of imaging and the operation results in both years.

Results

In 2008, 228 patients were treated for acute appendicitis. In 43 %, imaging was performed. In 2011, 238 patients were treated; in 99 % of the cases, imaging was performed. A decrease in patients with negative appendectomy was seen from 19 % in 2008 to 5 % in 2011. Financial analysis showed a reduction in costs favoring 2011.

Conclusions

The increased use of pre-operative imaging in patients with suspected acute appendicitis resulted in a cost-effective way to decrease the number of patients with negative appendectomies.

Keywords

Appendicitis Imaging Guideline 

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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • P. A. Boonstra
    • 1
  • R. N. van Veen
    • 1
  • H. B. A. C. Stockmann
    • 1
  1. 1.Department of SurgeryKennemer GasthuisHaarlemThe Netherlands

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