Research Article
Volume 8 Issue 11 - 2021
Negative Appendectomy in Children in a Tertiary Hospital in Enugu, Nigeria
Chukwubuike Kevin Emeka*
Pediatric Surgery Unit, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria
*Corresponding Author: Chukwubuike Kevin Emeka, Pediatric Surgery Unit, Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria.
Received: July 16, 2021; Published: October 20, 2021




Abstract

Background: Appendectomy is one of the most performed general surgical emergency operations and negative appendectomy rate is a quality metric in the management of appendicitis. The aim of this study was to evaluate our experience in the management of children with suspected appendicitis who had negative appendectomy.

Materials and Methods: This was a retrospective study of children aged 15 years and younger who were managed for acute appendicitis between January 2010 and December 2019 at the pediatric surgery unit of Enugu State University Teaching Hospital (ESUTH) Enugu, Nigeria. The specimens (removed appendix) were assessed histologically for the presence or absence of any pathology. Positive and negative appendectomies are defined by the presence or absence of pathology/inflammatory cells on histopathological examination of the removed vermiform appendix respectively.

Results: There were 582 appendectomies performed for acute appendicitis during the study period; out of this number, 58 (10.1%) cases were negative appendectomies with a female predominance. Majority of the patients presented after 48 hours of onset of their symptoms. Abdominal pain and abdominal ultrasound were the most common presenting symptom and imaging investigation respectively. All the patients had appendectomy and surgical site infection was the most common post-operative complication. Two (3.4%) patients expired from overwhelming sepsis.

Conclusion: Negative appendectomy may be associated with some morbidity and mortality. One in 10 children who had appendectomy for suspected acute appendicitis does not require the procedure.

Keywords: Appendectomy; Children; Negative; Tertiary Hospital

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Citation: Chukwubuike Kevin Emeka. “Negative Appendectomy in Children in a Tertiary Hospital in Enugu, Nigeria”. EC Gastroenterology and Digestive System 8.11 (2021): 27-33.

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