Apendicectomías no enfermas en el Hospital Vicente Corral Moscoso y Hospital José Carrasco Arteaga, Cuenca 2014

Abstract

General Objective: To determine the incident of not sick appendectomies in the surgery service of the Vicente Corral Moscoso (HVCM) and Jose Carrasco Arteaga(HJCA) hospitals during the year of 2014. Method: Analytical study of cross section, in 300 patients undergoing appendectomy in HVCM and Jose HJCA of the city of Cuenca; We collected demographic data, clinical picture, exams results and complementary blood results and the Alvarado´s scale and RIPASA´s scale results; Using this data we created a data base on SPSS and proceeded to their analysis. Results: The general prevalence of not sick appendectomy was 24.7%, being higher in the following cases: Teen 30%; women 29,7%; from HVCM 29,4%; and in the HJCA 19,3%; The most frequent symptom found in patients with negative appendectomy was the migration of pain with 26,8%. Patients with Leukocytosis showed 26,2 % of negative appendectomy, same as the 26,4% of patients with deviation to the left of neutrophils more than 75%; 23,5% of the patients with positive EMO also end up with same negative results and pathological anatomy. 26,5 % of the patients diagnosed with appendicitis on the Alvarado´s scale and the 29,3% with the RIPASA score were false positive since their diagnostic wasn´t confirmed by pathological anatomy. Conclusions: The prevalence of not sick appendectomy is inside of range provided by other epidemiological studies, highlighting the value of the clinic in the treatment of patients with abdominal pain