Veesar Vignesh, R (2020) A Study on Correlation of Radiological Investigations and RIPASA Score in Diagnosis of Acute Appendicitis. Masters thesis, K.A.P. Viswanatham Government Medical College, Tiruchirappalli.
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Abstract
INTRODUCTION: Acute appendicitis is defined as inflammation of vermiform appendix and is one of the commonest cause of abdominal pain seen in emergencies, and being the most common surgical emergencies encountered in the world particularly among the young adults and children. Life time risk of having acute appendicitis in general population is 8.6% for males and 6.7% for females. The present study was therefore planned to correlate RIPASA scoring system, which is based on purely clinical and laboratory findings and radiological investigations such us ultrasound (USG) abdomen and pelvis, and contrast enhanced computer tomography (CECT) keeping in mind to effectively reduce the negative appendicectomy rate. AIM & OBJECTIVES: Correlation of Radiological Investigations and Ripasa Score in Diagnosis of Acute Appendicitis. METHODOLOGY: All patients satisfying inclusion criteria admitted in General surgery department, MGM Government hospital for a period of 2 year. RIPASA score, USG abdomen and pelvis and Contrast enhanced Computer topography are done to all patients undergoing Emergency open appendectomy under regional or general anaesthesia in general surgery department coming under eligibility criteria. Inclusion Criteria: 1. All patients undergoing open appendicectomy in department of general surgery in MGMGH, Trichy. Exclusion Criteria: 1. Pregnant womens, 2. Patients < 18 years of age, 3. History of appendicectomy, 4. Appendicular mass or any history of inflammatory pelvic disease. CONCLUSION: In conclusion, the current study suggests that CECT is the optimum diagnostic tool for Acute Appendicitis compared with RIPASA and USG abdomen. The study also showed that the RIPASA, an easy and a bedside scoring system, may be a superior diagnostic scoring system compared with the USG abdomen for Acute Appendicitis, which is important in hospitals where CECT scans or 24*7 Reporting radiologist are not readily available.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711565 |
| Uncontrolled Keywords: | Radiological Investigations, RIPASA Score, Diagnosis, Acute Appendicitis. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 12 Feb 2021 17:18 |
| Last Modified: | 12 Feb 2021 17:18 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14072 |
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