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


INTRODUCTION: Acute appendicitis is dened as inammation 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 ndings 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 comparing RIPASA vs USG abdomen shows a statistical signicance RIPASA score. P value on comparing
RIPASA vs CECT abdomen shows no statistical signicance.
CONCLUSION: The current study suggests that CECT is the optimum diagnostic tool for Acute Appendicitis compared with
RIPASA and USG abdomen.


Appendicitis,RIPASA SCORE, Appendectomy.

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