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  • Title: Consequences of removal of a "normal" appendix.
    Author: Gough IR, Morris MI, Pertnikovs EI, Murray MR, Smith MB, Bestmann MS.
    Journal: Med J Aust; 1983 Apr 16; 1(8):370-2. PubMed ID: 6835144.
    Abstract:
    Five hundred consecutive cases of appendicectomy were reviewed. The incidence of non-inflamed appendices removed at operation was 29.6% and was nearly twice as high in females than in males (P less than 0.001). The incidence of perforated appendices in patients with acute appendicitis was low (6.5%), and there were no deaths. Postoperative complications, mostly infections occurred in 6.7% of patients with a non-inflamed appendix and in 19.3% of patients with appendicitis (P less than 0.001). No features of the history or examination were sufficiently discriminatory to enable a definite diagnosis to be reliably established before operation. Appendicectomy remains the safest management option in patients with suspected appendicitis in whom diagnostic doubt remains after thorough clinical evaluation and observation.
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