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Risks Associated with Surgical Treatment for Appendicitis in Hematologic Patients
Seung Hyun Lee1, Sung-Soo Park2, Ho Seok Seo1,3
1Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul 06591, Republic of Korea.
For appendicitis in patients with hematologic disorders, minimally invasive appendectomy is a safe surgical option. Preoperative lab evaluations are crucial, and surgery does not increase severe complications compared to non-surgical management.
Area of Science:
- Surgery
- Hematology
- Gastroenterology
Background:
- Appendicitis is a common surgical emergency.
- Appendectomy is the standard treatment, but antibiotics are an alternative for uncomplicated cases.
- Limited data exists on appendicitis treatment risks in patients with hematologic disorders.
Purpose of the Study:
- To investigate the surgical risks of appendicitis in patients with hematologic conditions.
- To compare surgical versus non-surgical management outcomes in this patient group.
Main Methods:
- Retrospective analysis of patients with appendicitis and hematologic disorders (January 2000 - June 2021).
- Patient identification via ICD-10 codes; procedures via surgical fee codes.
- Hematologic conditions categorized by risk; treatments scrutinized.
Main Results:
- 89 patients included; 75 underwent surgery, 14 received non-surgical treatment.
- Surgical group showed better preoperative lab results.
- No correlation found between clinical factors, hematologic risk, or appendicitis severity and surgical complications.
- Improved absolute neutrophil count (ANC) and platelet counts in patients without complications.
- Lower preoperative ANC and platelet counts correlated with longer hospital stays.
Conclusions:
- Minimally invasive appendectomy, following thorough preoperative evaluation, is a safe approach for appendicitis in patients with hematologic disorders.
- Surgical management does not appear to increase severe complication risks compared to non-surgical options.
- Preoperative laboratory assessment is vital for optimizing outcomes.
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