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Acta médica Grupo Ángeles
Print version ISSN 1870-7203
Abstract
SAUCEDO MORENO, Eric Misael et al. Application of preoperative appendicitis criteria as predictors of trans and postoperative complications. Acta méd. Grupo Ángeles [online]. 2019, vol.17, n.3, pp.207-210. Epub Feb 11, 2022. ISSN 1870-7203.
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, CI95% = 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.
Keywords : Laparoscopic appendectomy; open appendectomy; complicated appendicitis.
