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[Some new aspects on appendicitis (author's transl)]
Zentralblatt Fur Chirurgie
|January 1, 1977
Insights
Appendectomy delays contribute to high mortality, especially in infants and the elderly. Early diagnosis and surgical intervention for appendicitis are crucial for improving patient outcomes and reducing death rates.
Area of Science:
- Medical Science
- Surgical Pathology
- Microbiology
Context:
- Appendicitis is a common surgical emergency.
- Delayed diagnosis and treatment lead to high morbidity and mortality rates.
- Specific patient populations, including infants and the elderly, face increased risks.
Purpose:
- To analyze pre-, intra-, and postoperative factors contributing to delayed appendectomy.
- To highlight the impact of delayed treatment on mortality rates.
- To explore new bacteriological insights into appendicitis, particularly anaerobic infections.
Summary:
- Approximately 50% of appendiceal perforations occur within 12 hours of symptom onset.
- Late appendectomy is a significant factor in the persistent high mortality associated with appendicitis.
- The study examines errors in surgical care and discusses emerging bacteriological findings, including anaerobic infections caused by Bacteroides and Yersinia enterocolitica.
Impact:
- Emphasizes the critical need for timely appendectomy to reduce mortality.
- Provides insights into potential areas for improving surgical care and patient outcomes.
- Contributes to understanding the role of specific bacteria in appendicitis pathogenesis and management.
Abstract:
50% of all perforations of the vermiform appendix happen 12 hours or less after onset of the disease. Due to the fact that appendectomy is often done too late that the total mortality rate is still to high. This refers especially to infants and elderly people. Prae-, intra- and postoperative mistakes are analysed. Bacteriologically there are some new aspects concerning anaerobic infections with Bacteroides and Yersinia enterocolitica.