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Updated: Mar 19, 2026
Cone Beam Intraoperative Computed Tomography-based Image Guidance for Minimally Invasive Transforaminal Interbody Fusion
Published on: August 6, 2019
Computed tomography to operating room in less than 3 hours minimizes complications from appendicitis
Laura A Harmon1, Matthew L Davis1, Daniel C Jupiter2
1Department of Surgery, Scott and White Memorial Hospital, 2401 S 31st Street, 7th Floor Brindley Circles, Temple, TX 76508, USA.
Background:
The aim of our study is to select patients with nonperforated appendicitis verified by computed tomography (CT) scan and to determine if there is a temporal component to perforation.
Methods:
A retrospective cohort study of patients with CT scan evidence of nonperforated appendicitis from 2007 to 2012.
Results:
411 patients, aged 39.7 ± 16.25 years (47.5% male) were included in the study. 330 patients (80.3%) were nonperforated at surgery. Analysis of 3-hour intervals from CT scan to operating room (OR) revealed an absolute reduction in the rate of perforation from 27% at the 6- to 9-hour interval, to 17% and 10% at the 3- to 6-hour and 0- to 3-hour intervals, respectively, (P < .04). All organ space infections occurred in patients who were delayed to the OR greater than 3 hours. Mean length of hospitalization was .93 days and 2.81 days, respectively, in nonperforated and perforated appendicitis patients (P < .001).
Conclusions:
Delays to the OR were associated with increased risk of perforation. Patients with uncomplicated appendicitis had shorter hospitalization and fewer postoperative wound infections.
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