Interobserver variability in the classification of appendicitis during laparoscopy.

ABSTRACT: BACKGROUND:The intraoperative classification of appendicitis dictates the patient's postoperative management. Prolonged antibiotic prophylaxis is recommended for complex appendicitis (gangrenous, perforated, abscess), whereas preoperative prophylaxis suffices for simple appendicitis. Distinguishing these two conditions can be challenging. The aim of this study was to assess interobserver variability in the classification of appendicitis during laparoscopy. METHODS:Short video recordings taken during laparoscopy for suspected appendicitis were shown to surgeons and surgical residents. They were asked to: classify the appendix as indicative of no, simple or complex appendicitis; categorize the appendix as normal, phlegmonous, gangrenous, perforated and/or abscess; and decide whether they wou

SUBMITTER: van den Boom AL 

PROVIDER: S-EPMC6033013 | biostudies-literature | 2018 Jul

REPOSITORIES: biostudies-literature