Negative appendectomy rate was 5.6% and was significantly higher in female patients (p< 0.001). Perforation rate was 5.8% and was significantly higher in male patients (p 30 years age group (p= 0.024). Results: Out of the 4012 cases, 3530 (88%) patients showed findings consistent with acute appendicitis on HPE. Material and Methods: From January 2009 to June 2017, all histopathology reports of 4012 consecutive appendectomy specimens for a clinical suspicion of acute appendicitis were retrospectively analyzed in two university hospitals. The aim of this study was to assess whether a routine HPE of appendectomy specimens is needed and whether routine HPE has an impact on further management of patients. However, the need for routine histopathological examination (HPE) of all appendectomy specimens has recently been questioned. Objective: For a suspected diagnosis of acute appendicitis, appendectomy is one of the most common emergency abdominal operations performed. Luke’s Hospital, Kilkenny, IrelandĢDepartment of General Surgery, Benghazi Medical Center, Benghazi University, Benghazi, LibyaģDepartment of General Surgery, Al-jala Hospital, Benghazi University, Benghazi, Libya Abstract ![]() Osama Elfaedy 1, Mohamed Benkhadoura 2, Akrem Elshaikhy 3, Khaled Elgazwi 3ġDepartment of General Surgery, St. Impact of routine histopathological examination of appendectomy specimens on patient management: a study of 4012 appendectomy specimens
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