Appendicitis: Clinical implications in negative appendectomy

ABSTRACT Objective: Appendectomy is one of the most common surgical emergencies for appendicitis. Despite the improvement in diagnosis, increased incidence of negative appendectomy is widely reported. The aim of this study to investigate the incidence of negative appendectomy. Method: In this observational study, records 538 patients who underwent appendectomy were evaluated. Demographic data and pathological findings of the appendix were noted, and statistical analysis was conducted on the data obtained. Result: Among 200 female and 338 male patients, there were 28% and 18.3% negative appendectomies, respectively. Second half of the year was associated with greater frequency of negative appendectomy, 25.7%. According to the age groups, the highest incidence of the negative appendectomy was reported in patients aged 10–19 years and 50–59 years, respectively. Ovarian cyst had the greatest incidence among negative appendectomy cases. Conclusions: Our findings indicate that the incidence of negative appendectomy is more common in female gender and reproductive disorders can be the common cause of this. Furthermore, young people are exposed to the increased incidence of negative appendectomy. Diagnostic methods to distinguish gynecological and abdominal dysfunction with acute appendicitis can reduce the incidence of negative appendectomy. Highlights