COMPARATIVE STUDY OF RIPASA SCORE VS RADIOLOGICAL INVESTIGATIONS ON DIAGNOSIS OF ACUTE APPENDICITIS

DR.SRI HARI; DR.D.SIVAKUMAR; DR.R.VEESAR VIGNESH; DR.B.THARINI

Volume : IX, Issue : I, January - 2020

COMPARATIVE STUDY OF RIPASA SCORE VS RADIOLOGICAL INVESTIGATIONS ON DIAGNOSIS OF ACUTE APPENDICITIS

Dr. Sri Hari, Dr. D. Sivakumar, Dr. R. Veesar Vignesh, Dr. B. Tharini

Abstract :

INTRODUCTION Acute appendicitis is defined as inflammation of vermiform appendix and is one of the commonest cause of abdominal pain seen in emergencies.The present study was planned to compare RIPASA scoring system, which is based on purely clinical and laboratory findings vs radiological investigations such us ultrasound (USG) abdomen and pelvis, and contrast enhanced computer tomography (CECT) keeping in mind to effectively reduce the negative appendicectomy rate. MATERIALS AND METHODS All patients admitted in General surgery department undergoing open appendicectomy, MGM Government hospital,trichy for a period of 2 year . RIPASA score, USG abdomen and pelvis and Contrast enhanced Computer topography are done to all patients undergoing Emergency open appendectomy under regional or general anaesthesia. RESULTS P value on comp� RIPASA vs USG abdomen shows a statistical significance RIPASA score. P value on comp� RIPASA vs CECT abdomen shows no statistical significance. CONCLUSION The current study suggests that CECT is the optimum diagnostic tool for Acute Appendicitis compared with RIPASA and USG abdomen.