About Careers MedBlog Contact us
Medindia LOGIN REGISTER
Advertisement

Delayed Appendectomy Not Linked to Adverse Outcomes

by Rathi Manohar on September 21, 2010 at 10:11 PM
Font : A-A+

 Delayed Appendectomy Not Linked to Adverse Outcomes

Patients who have had acute appendicitis have not been affected by a delay of 12 hours or more in having an appendectomy,states a report.

"Appendectomy is the most common emergent surgical procedure performed worldwide, with appendicitis accounting for approximately 1 million hospital days annually," the authors write as background information in the article. "Increased time from onset of symptoms to operative intervention is associated with more advanced disease. Recent developments in imaging and antibiosis have afforded improved preoperative assessment and treatment, allowing for non-operative management of abscesses and phlegmons [diffuse inflammation of the soft or connective tissue due to infection] and potentially limiting the need for immediate operative intervention to halt disease progression."

Advertisement

Angela M. Ingraham, M.D., M.S., of the American College of Surgeons (ACS), Chicago, and colleagues studied data from 32,782 patients treated at hospitals participating in the ACS National Surgical Quality Improvement Program who underwent an appendectomy for acute appendicitis between 2005 and 2008. Of these, 24,647 (75.2 percent) had surgery within six hours of being admitted to the hospital, 4,934 (15.1 percent) after more than six through 12 hours and 3,201 (9.8 percent) after more than 12 hours.

After 30 days, there were no significant differences in complications or deaths between the three groups. Operations were longer for those who waited (51 minutes for those who had surgery within six hours vs. 50 minutes for those between six and 12 hours and 55 minutes for those who waited more than 12 hours) but these differences were not clinically meaningful. Length of hospital stay was also statistically significantly different but not clinically meaningful (2.2 days for the more than 12-hour group, compared with 1.8 days for the other two groups).
Advertisement

"Because of the growing issues surrounding access to emergency care and specialist coverage, care for emergency general surgery patients is increasingly the responsibility of acute care surgeons and specialized services, which cover the specialties of trauma, emergency general surgery and critical care," the authors write.

"As the elderly population continues to increase, the medical needs of patients presenting for emergency general surgical care will become increasingly complex and will demand additional resources and attention. Because of potentially limited physical and professional staffing resources, an acute care surgeon may need to delay the operation of less critically ill patients to appropriately care for those requiring immediate attention," they conclude.

Source: Eurekalert
Advertisement

Advertisement
News A-Z
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
What's New on Medindia
Get Involved and Stand Up for Human Rights on Human Rights Day 2022
Coronary Artery Bypass Grafting
Macronutrients Calculator for Weight Loss
View all
Recommended Reading
News Archive
Date
Category
Advertisement
News Category

Medindia Newsletters Subscribe to our Free Newsletters!
Terms & Conditions and Privacy Policy.

More News on:
Appendicitis Appendectomy Appendicitis in Children 

Most Popular on Medindia

Color Blindness Calculator Find a Doctor Calculate Ideal Weight for Infants Noscaphene (Noscapine) Drug - Food Interactions Loram (2 mg) (Lorazepam) Blood - Sugar Chart How to Reduce School Bag Weight - Simple Tips Pregnancy Confirmation Calculator Iron Intake Calculator
This site uses cookies to deliver our services.By using our site, you acknowledge that you have read and understand our Cookie Policy, Privacy Policy, and our Terms of Use  Ok, Got it. Close
×

Delayed Appendectomy Not Linked to Adverse Outcomes Personalised Printable Document (PDF)

Please complete this form and we'll send you a personalised information that is requested

You may use this for your own reference or forward it to your friends.

Please use the information prudently. If you are not a medical doctor please remember to consult your healthcare provider as this information is not a substitute for professional advice.

Name *

Email Address *

Country *

Areas of Interests