Turkish Journal of Surgery最新文献_第10页

Safe postoperative outcomes following early cholecystectomy for acute calculus cholecystitis regardless of symptom onset. 急性结石性胆囊炎早期胆囊切除术后，无论症状出现与否，均可获得安全的术后效果。

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Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.6165

Joseph Do Woong Choi, Matthew John Fong, Aswin Shanmugalingam, Anoosha Aslam, Syed Aqeel Abbas Kazmi, Rukmini Kulkarni, Richard James Curran

{"title":"Safe postoperative outcomes following early cholecystectomy for acute calculus cholecystitis regardless of symptom onset.","authors":"Joseph Do Woong Choi, Matthew John Fong, Aswin Shanmugalingam, Anoosha Aslam, Syed Aqeel Abbas Kazmi, Rukmini Kulkarni, Richard James Curran","doi":"10.47717/turkjsurg.2023.6165","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.6165","url":null,"abstract":"Objectives: There is growing evidence for reduced post-operative complications, and lower hospital costs associated with early cholecystectomy for acute calculus cholecystitis (AC) compared to delayed surgery. Limited high-quality evidence exists for how early, if at all, should surgeons be operating emergently for AC based on symptom onset.Material and methods: Seven hundred seventy-four patients who had cholecystectomy performed by a single surgeon between January 2015-October 2022 were retrospectively reviewed. Five hundred fourty-one patients were analysed. Patients were divided into three groups based on symptom onset: Group 1: 0-72 hours (n= 305), Group 2: 72 hrs-1 week (n= 154) and Group 3: >1 week (n= 82).Results: Median operative time was most prolonged in Group 2 (96.5 minutes), and had the greatest proportion of reconstituting 95% cholecystectomies (n= 22/154, 14.29%) compared to Group 1 (p> 0.05). The conversion to open was between 0.65-1.64% in all groups. The greatest proportion of bile leak occurred in Group 1 (n= 7/305, 2.3%) followed by Group 3 (n= 1/82, 1.22%) (p> 0.05). All were successfully managed with ERCP and biliary stent. Median hospital stay was significantly prolonged in Group 2 (2.3 days) compared to Group 1 (2 days) (p= 0.03). The proportion of 95% cholecystectomies in Group 2 and 3 were not significant compared to Group 1.Conclusion: Early cholecystectomy for calculus cholecystitis, irrespective of the timing of symptoms appears to have safe postoperative outcomes. Surgeons do not necessarily need to limit early cholecystectomy for within 72 hours of symptom onset.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"321-327"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140866414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adult idiopathic hypertrophic pyloric stenosis presenting with gastroduodenal intussusception: A rare case report. 成人特发性肥厚性幽门狭窄伴有胃十二指肠肠套叠：罕见病例报告。

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Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.4552

Loo Guo Hou, Baharudin Nadia Nafasha, Hameed Sultan Mohamed Arif, Rajan Reynu, Ritza Kosai Nik, Rasul Hamidi Lizawati

{"title":"Adult idiopathic hypertrophic pyloric stenosis presenting with gastroduodenal intussusception: A rare case report.","authors":"Loo Guo Hou, Baharudin Nadia Nafasha, Hameed Sultan Mohamed Arif, Rajan Reynu, Ritza Kosai Nik, Rasul Hamidi Lizawati","doi":"10.47717/turkjsurg.2023.4552","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.4552","url":null,"abstract":"Adult idiopathic hypertrophic pyloric stenosis (AIHPS) is a rare entity first described by Cruveilhier in 1835. There are only approximately 200 cases reported in the English literature to date. Histologically, it may be mistaken for spindle cell neoplasms such as gastrointestinal stromal tumour (GIST). Patients with AIHPS usually present with early satiety, abdominal fullness, postprandial vomiting, epigastric pain, and eructations. Adult intussusception is rare and only accounts for 5% of all intussusceptions. Gastroduodenal intussusception is one of the rare types of adult intussusception. This is more likely to occur when a benign or malignant stomach lesion acts as a lead point. We report a case of AIHPS in a 70-year-old lady presenting with gastroduodenal intussusception. An oesophagogastroduodenoscopy (OGDS) was performed, and it revealed a diffusely thickened and narrowed pyloric antrum. A contrasted computed tomography (CECT) of the thorax and abdomen showed a distended stomach with circumferential thickening of the pylorus. The pre-pyloric antrum was intussuscepting into the pylorus, and the apex is seen within the first part of duodenum. She underwent distal gastrectomy with a Roux-en-y reconstruction via laparoscopic approach and was discharged well. AIHPS is a rare condition and should be a differential in adults presenting with gastric outlet obstruction. We believe in cases of AIHPS presenting with gastroduodenal intussusception, a distal gastrectomy with reconstruction is a reasonable approach. A multidisciplinary approach is essential to obtain the best outcome.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"377-382"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The silent threat: A retrospective study of right-sided traumatic diaphragmatic hernias in a university hospital. 无声的威胁一家大学医院对右侧外伤性膈疝的回顾性研究。

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Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.6271

Vitor F Kruger, Thiago A R Calderan, Elcio S Hirano, Gustavo P Fraga

{"title":"The silent threat: A retrospective study of right-sided traumatic diaphragmatic hernias in a university hospital.","authors":"Vitor F Kruger, Thiago A R Calderan, Elcio S Hirano, Gustavo P Fraga","doi":"10.47717/turkjsurg.2023.6271","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.6271","url":null,"abstract":"Objectives: In hospital attendance, 75% of diaphragmatic hernias occur on left as opposed to 25% on the right side. Right side hernias are associated with abdominal injuries, mainly the liver. However, right-side injuries are frequently underdiagnosed due to the complexity of associated injuries and high mortality rates. The aim of this study was to perform a retrospective analysis of records from our clinical experience to investigate demographics, TM, diagnosis, morbidity, and mortality associated with right sided TDH. These findings may provide insights into improving the clinical management of patients with this serious injury, potentially reducing morbidity and mortality rates.Material and methods: Retrospective analysis of the medical records of patients from the trauma database of the Division of Trauma Surgery at University of Campinas in 32-year period was performed. Only records of patients with right sided TDH were included in the analysis.Results: Blunt trauma was the most common mechanism. Diagnoses were made by laparotomy in eight cases, all these cases were hemodynamically unstable. TDH grade III injury occurred in most cases followed by grade IV. Liver injuries were present in almost all cases, most of them high grade, followed by colon and small bowel. Extra-abdominal associated injuries with a predominance of femur fractures, pelvic fractures and hemothorax. Post-operative complications were associated with length of stay in intensive care unit. Pneumonia was the most frequent complication. The overall mortality rate was 16%.Conclusion: Most diagnoses were performed through laparotomy and not by radiologic exams, due to hemodynamic instability on admission. There is underdiagnosis of right-side TDH due to the high-energy trauma mechanism with high grade associated injuries and mortality on pre-hospital.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"365-372"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057937/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140872040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Translation and validation of Indonesian hemorrhoidal disease symptom score (HDSS) and short health scale hemorrhoidal disease (SHSHD). 印度尼西亚痔疮疾病症状评分（HDSS）和痔疮疾病简易健康量表（SHSHD）的翻译和验证。

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Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.6148

Fadli Robby Amsriza, Rizka Fakhriani, Asmaya Aji Pangki

{"title":"Translation and validation of Indonesian hemorrhoidal disease symptom score (HDSS) and short health scale hemorrhoidal disease (SHSHD).","authors":"Fadli Robby Amsriza, Rizka Fakhriani, Asmaya Aji Pangki","doi":"10.47717/turkjsurg.2023.6148","DOIUrl":"https://doi.org/10.47717/turkjsurg.2023.6148","url":null,"abstract":"Objectives: Hemorrhoidal disease, which affects nearly 40% of people, is characterized by pathological alterations and distal displacement of hemorrhoidal tissue. The short health scale (SHSHD) and the hemorrhoidal disease symptom score (HDSS) are two tools that can be utilized to assess the quality of life of hemorrhoidal patients. The present study aims to translate, modify, and validate the HDSS and SHSHD questionnaires in Indonesian.Material and methods: This cross-sectional study assessed the validity and reliability of the HDSS and SHSHD Indonesian adaptation instrument in hemorrhoidal patients from April 15, 2022, and April 1, 2023.Results: There were 91 study subjects, 55 males and 36 females. The study showed that the subscale interpretations of the R-values and the full scale scored above 0.25, indicating weak to very strong correlations. These results mean that the HDSS and SHSHD questionnaires are valid for use. Based on the study's results, the R-value of each item, domain, and total score ≥0.8 (p <0.05) indicates that the HDSS and SHSHD instruments are reliable.Conclusion: The Indonesian adaptation of the HDSS and SHSHD demonstrates validity and reliability as an assessment tool for measuring the healthrelated quality of life in Indonesian patients diagnosed with hemorrhoidal disease.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 4","pages":"336-343"},"PeriodicalIF":0.6,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140851501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How to do it: Splenic flexure mobilisation via medial trans-mesocolic approach. 如何操作通过经内侧结肠途径进行脾曲活动。

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Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI: 10.47717/turkjsurg.2023.6258

Binura Buwaneka Wijesinghe Lekamalage, Anh Ngoc Vu, Lucinda Jane Duncan-Were, Asiri Arachchi, Andrew Bui

引用次数: 0

Does mechanical bowel preparation really prevent complications after colorectal surgery depending on the lesion localization? A myth or fact? 机械肠道准备真的能根据病变定位预防结直肠手术后并发症吗?神话还是事实?

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Turkish Journal of Surgery Pub Date : 2023-09-27 eCollection Date: 2023-09-01 DOI: 10.47717/turkjsurg.2023.6059

Sami Benli, Deniz Tikici, Caner Baysan, Mehmet Özgür Türkmenoğlu, Tahsin Çolak

{"title":"Does mechanical bowel preparation really prevent complications after colorectal surgery depending on the lesion localization? A myth or fact?","authors":"Sami Benli, Deniz Tikici, Caner Baysan, Mehmet Özgür Türkmenoğlu, Tahsin Çolak","doi":"10.47717/turkjsurg.2023.6059","DOIUrl":"10.47717/turkjsurg.2023.6059","url":null,"abstract":"Objectives: Despite being routinely used before elective colorectal surgery in most surgical clinics, mechanical bowel preparation (MBP) remains controversial. This study aimed to investigate postoperative complications and outcomes of right, left, or rectosigmoid resection without MBP.Material and methods: Patients who underwent elective colorectal surgery without mechanical bowel preparation and oral antibiotics between January 2011 and December 2021 were included in the study. Patients were categorized according to the side of resection, and these subgroups were compared for anastomotic leakage, surgical site infections (SSI), and overall morbidity measured using the Clavien-Dindo complication grade.Results: Data of 422 patients were analyzed. Overall anastomotic leakage was found in 14 patients (3.3%), SSI in 46 (10.9%), collection in 14 (3.3%), mortality in 18 (4.3%), and reoperation in 17 (%4) patients. Anastomotic leakage was observed in six (3.9%) in right colectomy, two (1.9%) in left colectomy, and in six (3.7%) patients in the rectosigmoid resection group when the groups were evaluated separately. There was no statistical difference between the groups (p= 0.630). Furthermore, there was no statistical difference between the groups regarding collection and reoperation (p values were p= 0.31, and p= 0.251, respectively).Conclusion: Study results showed that anastomotic leakage, surgical site infection, intra-abdominal collection, reoperation, and mortality rates were similar to the current literature obtained from the studies with mechanical bowel preparation. In addition, these results were found to be similar according to the resection site.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 3","pages":"222-230"},"PeriodicalIF":0.6,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How good is lobectomy for the Turkish population with papillary thyroid cancer? A clinicopathological evaluation. 对于患有甲状腺乳头状癌的土耳其人来说，肺叶切除术有多好?临床病理评价。

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Turkish Journal of Surgery Pub Date : 2023-09-27 eCollection Date: 2023-09-01 DOI: 10.47717/turkjsurg.2023.6210

Can Konca

{"title":"How good is lobectomy for the Turkish population with papillary thyroid cancer? A clinicopathological evaluation.","authors":"Can Konca","doi":"10.47717/turkjsurg.2023.6210","DOIUrl":"10.47717/turkjsurg.2023.6210","url":null,"abstract":"Objectives: In modern practice, there is an increasing recommendation for higher utilization of lobectomy in the management of papillary thyroid cancer (PTC). However, in this decision where the optimal balance of locoregional recurrence and complication burden should be achieved, there are still conflicting results in the literature. The aim of this study was to evaluate the effect of high-risk factors in the Turkish population with PTC on the decision of hypothetical lobectomy.Material and methods: In this study, 96 PTC patients undergoing total thyroidectomy were retrospectively analyzed. Preoperative and postoperative evaluation differences and the impact of high-risk factors (tumor size, multifocality, extrathyroidal extension and central lymph node metastasis) on the decision for hypothetical lobectomy were investigated.Results: In all patients and lobectomy-eligible patients, postoperative evaluations of multifocality, contralateral multifocality, and central lymph node metastases were significantly higher than preoperative evaluations. Consequently, postoperative evaluation revealed that completion thyroidectomy would be required in 52.9% of 51 patients who were hypothetically suitable for lobectomy. Furthermore, comparisons of tumor size-based grouping in lobectomy and total thyroidectomy suitable patients showed similar high-risk factor distribution except for central lymph node metastasis for tumors <10 mm and contralateral multifocality between 11-20 mm.Conclusion: Completion thyroidectomy will be required in approximately half of the patients evaluated as suitable for lobectomy in the treatment of PTC in the Turkish population. In the treatment decision, in which many patient- and surgeon-related factors are influential, each patient should be considered separately.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 3","pages":"249-257"},"PeriodicalIF":0.6,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coexisting of small bowel perforation and abdominal cocoon syndrome: A case report. 小肠穿孔并发腹茧综合征1例。

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Turkish Journal of Surgery Pub Date : 2023-09-27 eCollection Date: 2023-09-01 DOI: 10.47717/turkjsurg.2022.4687

Emrah Akın, Fatih Altıntoprak, Emre Gönüllü, Fahri Yılmaz, Yasin Alper Yıldız

引用次数: 0

Indocyanine green guided sentinel lymph node biopsy may have a high sensitivity for early (T1/T2) colon cancer: A prospective study in Indian patients. 吲哚青绿引导前哨淋巴结活检可能对早期(T1/T2)结肠癌有很高的敏感性:一项对印度患者的前瞻性研究。

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Turkish Journal of Surgery Pub Date : 2023-09-27 eCollection Date: 2023-09-01 DOI: 10.47717/turkjsurg.2023.6106

Zeeshan Ahmed, Sanjeev M Patil, Anuradha Sekaran, Pradeep Rebala, G V Rao

{"title":"Indocyanine green guided sentinel lymph node biopsy may have a high sensitivity for early (T1/T2) colon cancer: A prospective study in Indian patients.","authors":"Zeeshan Ahmed, Sanjeev M Patil, Anuradha Sekaran, Pradeep Rebala, G V Rao","doi":"10.47717/turkjsurg.2023.6106","DOIUrl":"10.47717/turkjsurg.2023.6106","url":null,"abstract":"Objectives: Indocyanine green (ICG) dye guided near infrared fluorescence (NIR) imaging is a promising tool for mapping lymphatics. The aim of this study was to evaluate the role of ICG guided SLN biopsy in Indian colon cancer patients.Material and methods: Forty-eight patients of clinically staged T1-T3 node negative colon cancer underwent laparoscopic/open resection. Patients received colonoscopic peritumoral submucosal ICG injections for laparoscopic (n= 32) and subserosal injections for open resections (n= 16) followed by the detection of SLN using NIR camera. SLNs underwent conventional hematoxylin and eosin (H & E) staging with additional serial sectioning and immunohistochemistry for pancytokeratin antibody (ultra-staging). Detection rate and upstaging rate were the primary end points.Results: Forty-eight patients were recruited. An average of 2.08 ± 1.27 SLNs were identified in 45 patients at a mean time of 8.2 ± 3.68 minutes with a detection rate of 93.75%. Mean age and mean BMI were 59.7 ± 12.54 years and 24.8 ± 4.09 kg/m2 , respectively. Eighteen patients had node positive disease, and SLN was false negative in four of these patients resulting in a sensitivity of 77.77% with a trend towards higher sensitivity for T1-T2 tumours (90% vs. 62.5%, p= 0.068). Upstaging rate was 10%. Negative predictive value (NPV) and accuracy of the procedure were 87.09% and 91.11%, respectively.Conclusion: ICG guided SLN biopsy can identify metastatic lymph nodes in colon cancer patients that can be missed on H & E staging with relatively higher sensitivity for early (T1/T2) tumours.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 3","pages":"190-196"},"PeriodicalIF":0.6,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

RIPASA versus Alvarado score in the assessment of acute appendicitis: A prospective study. 评估急性阑尾炎的RIPASA与Alvarado评分:一项前瞻性研究。

IF 0.6

Turkish Journal of Surgery Pub Date : 2023-09-27 eCollection Date: 2023-09-01 DOI: 10.47717/turkjsurg.2023.6124

Syed Shams Ud Din, Inayat Ullah Baig, Mirza Tassawar Hussain, Abdullah Sadiq, Talha Humayun, Umair Ahmad, Aqsa Syed

{"title":"RIPASA versus Alvarado score in the assessment of acute appendicitis: A prospective study.","authors":"Syed Shams Ud Din, Inayat Ullah Baig, Mirza Tassawar Hussain, Abdullah Sadiq, Talha Humayun, Umair Ahmad, Aqsa Syed","doi":"10.47717/turkjsurg.2023.6124","DOIUrl":"10.47717/turkjsurg.2023.6124","url":null,"abstract":"Objectives: This study aimed to compare Raja Isteri Pengiran Anak Saleha Appendicitis (RIPASA) and Alvarado scoring to accurately identify acute appendicitis.Material and methods: A cross-sectional prospective study was carried out in the department of surgery. Patients were enrolled and scored using RIPASA and Alvarado scoring systems. Appendectomy was done, and the specimen was sent for histopathology examination, which was used as the gold standard for diagnosis. Among 400 recruits, 11 patients were lost to follow-up, giving us a sample size of 389 patients. The cut-off value for RIPASA and Alvarado scores was 7.5 and 7.0, respectively. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy in diagnosing acute appendicitis of both scores were analyzed using SPSS.Results: Among 389 patients, 256 (66%) were males, and 277 (71%) were under the age of 40 years. RIPASA was more than 7.5 in 345 cases, while Alvarado was more than 7.0 in 261 patients. RIPASA score had a sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) of 95.8%, 87.9%, 98.9%, and 65.9%, respectively. In contrast, the ALVARADO score was 71.1% sensitive and 75.8% specific. RIPASA had a diagnostic accuracy of 95.12%, while Alvarado was only 71.46% accurate in diagnosing acute appendicitis.Conclusion: Compared to the Alvarado scoring system, RIPASA is a better tool in terms of accuracy, sensitivity, and specificity for diagnosing acute appendicitis.","PeriodicalId":23374,"journal":{"name":"Turkish Journal of Surgery","volume":"39 3","pages":"231-236"},"PeriodicalIF":0.6,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138499542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0