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Zollinger's Atlas of Surgical Operations, 8th Edition
| Gastrointestinal Procedures > |
Appendectomy, Laparoscopic
Topics Discussed: acute abdomen; appendectomy; appendectomy, laparoscopic; gastrointestinal therapeutic procedures; small and large intestine.
Excerpt:
"Acute appendicitis is a clinical diagnosis, which—despite
improved modern diagnostic imaging techniques—still has
a preoperative accuracy of only about 85 percent. The diagnosis
is made using a combination of history, physical examination, and
laboratory tests plus an elevated temperature and white blood cell
count. A positive imaging study is helpful and gives reassurance about
the diagnosis. In equivocal cases, serial observations and studies
over time improve the accuracy of diagnosis, but at the risk of
an increasing rate of perforation...."
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