Auditing Appendectomy in Benue State University Teaching Hospital, Makurdi, Nigeria

• Eke, Barnabas ^[1] ; Ojo, Babarinde ^[1] ; Omolobake, Bamidele ^[1] ; Emanso, Umobong ^[2] ; Akpor, Issac ^[1] ; Vhriterhire, Raymond ^[1] ; Ugwu, Victor ^[3] ; Efu, Michael Enokela ^[1] ; David, Gyenger ^[1] ; Udu, Confort ^[4]
  1. [1] Benue State University

     Benue State University

     Nigeria

     
  2. [2] Department of Laboratory Medicine, State House Clinic, Asokoro, Abuja, Nigeria
  3. [3] Department of Histopathology, National Orthopedic Centre, Enugu, Nigeria
  4. [4] General Hospital, North-Bank, Makurdi, Nigeria

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• Localización: International Journal of Medical and Surgical Sciences, (IJMSS), ISSN-e 0719-532X, ISSN 0719-3904, Vol. 6, Nº. 4, 2019 (Ejemplar dedicado a: December 2019), págs. 123-125
• Idioma: inglés
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• Resumen

  • Appendicitis is the leading cause of surgical admission in most hospitals in Nigeria and the removed appendix, a frequent surgical specimen in most routine histopathological laboratories in Nigeria. The aim of this study is to audit the appendectomy procedures in Benue State University Teaching Hospital. Sixty-two appendices removed for acute appendix in Benue State University Teaching Hospital, Makurdi, Nigeria middle belt, over an 8-year period were analyzed. Twenty-eight (45%) were found to be normal, while 29 (46%) showed histopathological evidence of acute inflammation. There were 5 (9%) cases of unusual pathologies which include a case each of metastatic adenocarcinoma and chronic granulomatous inflammation (2% each) and 3 (5%) cases of schistosomiasis. The Negative Appendectomy Rate (NAR) was 27% in females compared with 18% in males. Adult (>16 years) represented 29% of the NAR. The overall NAR was 45%. The NAR in this study is considerable higher when compared with existing literature. In a poor resource center like Benue State University Teaching Hospital, due diligence in taking detailed history coupled with good clinical examination cannot be over emphasized. The use of a combination of Total Leukocyte Count (TCC) and C-Reactive Protein (CPR) in every patient may help in reducing NAR, though it’s definitely going to be impossible to eradicate it.