Our goal is to be able to reduce the negative appendectomy rate without

increasing the risk of perforation. This might be accomplished by sharpening

our diagnostic acumen, especially during the early stages of the disease,
because
most of the perforations occur outside the hospital.2,3 A careful evaluation
of each patient may reduce the number of "healthy" appendices removed.
4t 6, 8

Sacado del artculo de Alvarado

increasing the risk of perforation. This might be accomplished by sharpening

our diagnostic acumen, especially during the early stages of the disease,
because
most of the perforations occur outside the hospital.2,3 A careful evaluation
of each patient may reduce the number of "healthy" appendices removed.
4t 6, 8

increasing the risk of perforation. This might be accomplished by sharpening

our diagnostic acumen, especially during the early stages of the disease,
because
most of the perforations occur outside the hospital.2,3 A careful evaluation
of each patient may reduce the number of "healthy" appendices removed.
4t 6, 8