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Aim: We investigated the predictive value of Alvarado scoring system, which is considered a reliable, practical and inexpensive tool, in the diagnosis of acute appendicitis, and whether it can be an alternative to ultrasonography and help reduce the negative laparotomy rates. Methods: A total of 327 patients, who were referred to İstanbul Haseki Research and Training Hospital General Surgery Clinic for abdominal pain and who received the diagnosis of acute appendicitis using both compression ultrasonography and Alvarado scoring system were retrospectively evaluated. Results: Two hundred and nine patients with abdominal pain and acute appendicitis were operated and 108 patients who did not require surgery were discharged after being placed in observation. The sensitivity and the specificity of the Alvarado score were found to be 92% and 28%, respectively The sensitivity and specificity of ultrasonography were 84% and 39%, respectively. Ultrasonographic findings were consistent with acute appendicitis in 180 (82.2%) of 219 operated patients, whereas appendix was normal in 39 (17.8%). Ultrasonography showed acute appendicitis in 92 (85.2%) and normal appendix in 16 (14.8%) of the 108 patients in the unoperated group. Conclusion: Alvarado score is not superior to ultrasonography in reducing negative laparatomy rates, but it can be used safely in the diagnosis of acute appendicitis andsurgical decision making. [ABSTRACT FROM AUTHOR]

Objective: In this study we aimed to evaluate the results of pathology that patients undergoing laparoscopic and open appendectomy with suspected appendicitis from August 2012 to August 2014. Material and Method: In this study data from 131 patients undergoing laparoscopic and open appendectomy between August 2012 and August 2014 in Van Training and Research Hospital were examined retrospectively for demographic characteristics. Results: In the laparoscopic appendectomy group handmade endoloop technique was used for closing the base of the appendix. Mc Burney's incision was used for open appendectomy. 47% of patients was female (n=61), 53% of patients were male (n=69). The average age of the patients was 27.7 years. According to surgical technique, open appendectomy was performed 15% (n=20), laparoscopic appendectomy was performed 85% (n=110). Postoperative drainage tube was put to 15% of patients (n=20). Wound infection was seen in 4 open appendectomy performed patients (20%). Laparoscopic appendectomy was associated with a shorter hospital stay (2.2 days vs 2.8 days). When the pathology results are analyzed, 2 malignancies are revealed (1,5%), 1 carcinoid tumor, 1 neuroendocrine tumor. After pathology results hemicolectomy was performed. Conclusion: Appendectomy is the most frequently performed surgery, even if macroscopic pathology is not present the risk of malignancy can not be underestimated. [ABSTRACT FROM AUTHOR]