The most significant change to general surgical techniques over the last few years was the introduction of laparoscopy in various kinds of surgeries.
The laparoscopy best hospital have an experienced surgeon with well-trained clinical judgment who can evaluate more rapidly and efficiently an uncertain case. The inflammation of the appendix is an emergency always, but despite this, organ perforation cannot occur in such a short period of time.
Image Source: Google
A clinical study was made using several groups of young female patients suspected of appendicitis through the Alvarado score. The groups were differently investigated and diagnosed.
The ones explored by laparoscopy showed about 10% false appendicitis diagnosis and escaped operation. In the group examined by other medical methods a share of 18% were wrong diagnosed and normal appendicectomy was performed.
Systems used for scoring like Alvarado's score can be helpful to ensure attention to all apparent non-significant detail.
Although ultrasonography cannot work as a scoring instrument, it can sometimes provide vital evidence and data, when the diagnosis is uncertain. For old or physically unfit patients with suspicion of a different assembling pathology, computerized tomography is recommended for differential diagnosis.
Even if laparoscopy is the best manner to avoid appendicectomy in case of genital problems in young women, it should also be avoided if suspicions about perforation of the appendix exist.
Surgeons must be prepared to deal with uncertain diagnoses inside the operation room in spite of the initial, pre-operator diagnosis.