PubMed · 8769931
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E J Thomas. 1996. Laparoscopic appendectomy.. https://pubmed.ncbi.nlm.nih.gov/8769931/
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161 patients underwent appendectomy at the Surgical Unit of the Department Paediatrics, Medical School of Pécs, Hungary between 1. January, 1988 and 31. December, 1995. Biochemical results--sedimentation rate, CRP (C-reactive protein) and leucocytosis were compared to the operative findings as far as their predictive diagnostic value was concerned. The patients were grouped according to inflamed (n = 141) or non-inflamed appendix (n = 20). Based on the outcome of statistical analysis the author concluded, that there was no significant difference between the informations given by the above-mentioned biochemical results, regarding the strengthening of the preoperative diagnosis, also the combination of the data of the biochemistry tests did not help in deciding to operate on patients with suspected appendicitis. The changing policy and conditions of the health insurance in Hungary are forcing the medical doctors to analyse more frequently the effectiveness of their activity.
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The incidence of appendiceal diverticulosis in pathologic specimens is 0.004-2.1%. Diverticular disease of the appendix is classified as congenital (true) or acquired (false). The clinical presentation differs from that of acute appendicitis. The average age is older, the pain is often intermittent, and while localized in the right lower abdominal quadrant, is of longer duration. No further treatment besides appendectomy is needed. Since a high rate of perforations, peritonitis and lower gastrointestinal bleeding have been reported as complications, it is recommended that in those with an incidental finding of diverticula of the appendix during surgery, that appendectomy be performed. It is not recommended to perform prophylactic appendectomy when diverticula of the appendix are found on barium enema.