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Related Experiment Video

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Appendectomy timing: Will delayed surgery increase the complications?

Chien-Cheng Chen1, Chin-Tsung Ting2, Meng-Jui Tsai2

  • 1Division of Gastrointestinal Surgery, Department of Surgery, Ren-Ai Branch, Taipei City Hospital, Taipei, Taiwan, ROC; Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC.

Journal of the Chinese Medical Association : JCMA
|May 19, 2015
PubMed
Summary
This summary is machine-generated.

The time from emergency room registration to appendectomy (ETA) did not significantly impact perforation or complication rates in acute appendicitis patients. Longer ETA was linked to extended hospital stays but not adverse surgical outcomes.

Keywords:
appendectomycomplicationdelayoutcome

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Area of Science:

  • Emergency Medicine
  • Surgical Outcomes
  • Gastrointestinal Surgery

Background:

  • Acute appendicitis is a common surgical emergency.
  • Understanding factors influencing perforation and complication rates is crucial for patient management.
  • The impact of time to surgery on appendicitis outcomes requires further investigation.

Purpose of the Study:

  • To investigate the relationship between time from emergency room registration to appendectomy (ETA) and the incidence of perforation and postoperative complications in acute appendicitis patients.
  • To identify predictors of perforation and postoperative complications in patients undergoing appendectomy.

Main Methods:

  • Retrospective review of 236 patients who underwent appendectomy between January 2010 and October 2012.
  • Data abstracted included demographics, laboratory values, imaging, surgical method, pathology, complications, and ETA.
  • Multivariate analysis was used to determine predictors of perforation and postoperative complications.

Main Results:

  • Perforation occurred in 12.7% and postoperative complications in 24.1% of patients.
  • Patients with ETA >24 hours had significantly longer hospital stays.
  • Age ≥55 years was the only predictor for perforation; age, perforated appendicitis, and open appendectomy predicted postoperative complications. ETA was not a significant predictor for either outcome.

Conclusions:

  • While longer time to appendectomy (ETA) correlates with increased hospitalization duration, it does not increase the risk of perforation or postoperative complications.
  • Appendectomy for acute appendicitis can be considered a semi-elective procedure based on these findings.
  • Age and appendicitis severity are key factors influencing surgical outcomes, rather than solely the time to intervention.