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September 5, 2025British journal of surgery

TTP8.09 Negative Appendicectomy - is imaging the way forward to cutting out the unnecessary?

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Authors

KEK EmslieNinewells HospitalSDS DreverNHS GrampianLFLaszlo FoglizzoNHS Grampian

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Overview

Retrospective analysis reveals a 6.1% negative appendectomy rate in NHS Grampian, indicating imaging's potential benefit.

Key Points

  • The negative appendectomy rate in NHS Grampian was found to be 6.1%, significantly lower than the national average of 20%.
  • A total of 293 patients underwent emergency appendectomy, with 18 specimens deemed histologically normal, leading to a low negative appendectomy rate.
  • Use of pre-operative imaging appeared effective in reducing unnecessary surgeries, especially as all negative appendixes were completed laparoscopically.
  • The study highlights that right iliac fossa pain frequently poses diagnostic challenges, underscoring the need for improved imaging in appendicitis diagnosis.

Cite This Study

Emslie et al. (2025) studied this question.

synapsesocial.com/papers/68c2384fb210217d647775a4https://doi.org/10.1093/bjs/znaf166.315
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1WTP3.04 Assessing Negative Appendicectomy Rates in the Paediatric population: A review of Trends and Implications2025
  2. 2SP4.09 A follow up audit of negative appendicectomy rates in a single site acute hospital2025
  3. 3eP25 Rate of Negative Histology of the Appendix in Children (Age 8-16 Years)2025
  4. 4Negative Appendectomy Rates in Surgeries by Residents: An Audit and Preventive Strategies2025 · 1 citations
  5. 5MTP8.11 A Service Review and Retrospective Audit of Diagnostic Imaging and Clinical Outcomes in Acute Appendicitis: Evaluating Service and Adherence to the World Society of Emergency Surgery 2020 Guidelines2025