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Comparison Between Tzanakis Scoring System and Yash Scoring System in The Diagnosis Of Acute Appendicitis
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| Author:
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ADITYA MUNDADA, Y. R. LAMTURE, KAVITA SINGH
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| Abstract:
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Acute appendicitis is amongst the most encountered emergencies seen in casualties requiring intervention. The incidence of negative laparotomy is 15% to 25% and is associated with notable morbidity. The delay in diagnosis may lead to rupture of appendix in 17% to 40% of cases mostly in extremes of age. In the adolescents and elderly, it is associated with dramatic complications such as intra-abdominal abscess, wound infection and ultimately death. Thus, confirmation of acute appendicitis is very crucial so as to achieve lower morbidity and mortality rates. In spite of various scoring systems and advances in the diagnostic and imaging techniques, the diagnosis of appendicitis is in dilemma which fails to decrease the rates of wrong diagnosis and the negative appendicectomy rate. This sequentially increases the cost for diagnosis by the use of expensive radiological modalities like Computed Tomography and MRI thus causing delay in the treatment leading to increase in morbidity and mortality of the patients. This comparative study has been undertaken to diagnose acute appendicitis by evaluating the Tzanakis scoring system in contrast to that of the relatively newer Yash scoring system which has been found more effective for the Indian population.
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| Keyword:
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Acute appendicitis, scoring system, negative appendicectomy rate.
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| EOI:
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| DOI:
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https://doi.org/10.31838/ijpr/2019.11.03.157
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| Download:
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