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Volume 12 Issue 4 ( October-December ) 2023

Original Articles

Histo frozen correlation-A periodic performance analysis at a tertiary care hospital
Gundimeda V.R.N.K.Kanth, Madhuri Shreesh Kate, Sharathchandra.Keshapaga, Tejomayi Regulavalasa

Introduction: Frozen section otherwise called as intra operative consultation helps the operating surgeon in making on table decision for patient management.These results are further supplemented by findings on permanent sections.The present study is a periodic performance analysis taken up at a tertiary care centre. Objective/Aim: The primary objective of the study is to compare the degree of concordance between frozen section and permanent sections.The secondary objective is to study the cause for discrepancies. Materials and methods: The present study was a prospective study of 75 cases received for frozen section and the diagnosis delivered on frozen is compared with that found on permanent sections.Accuracy,sensitivity,specificity,positive predictive value and negative predictive value are calculated. Results: 73 cases out of 75 had concordance with permanent sections.Sampling errors and inherent deficiencies in frozen section are responsible for the discordance. Accuracy(97%), sensitivity(95%), Specificity(100%), Positive predictive value(100%), Negative predictive value(94.5%) are comparable to other studies in the literature. Conclusion: Our study has reiterated the role of frozen section and also studied its usefulness in special situations like diagnosis of Mucor in Post covid scenario.The discordances gave an opportunity to learn the sources of error and paved the way for corrective future action.

 
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