Delay in surgery for acute appendicitis

ANZ Journal of Surgery
Nanda K MarojuAjit Sahai

Abstract

The present study investigates the effect of delay in appendicectomy on the outcome of surgery and also examines the contribution of patient and physician related delay to the stage of appendicitis. During a 12-month period, 114 consecutive adult patients undergoing appendicectomy for acute appendicitis were monitored prospectively. Time of onset of symptoms, presentation to the hospital, surgery consultation, decision to operate and starting of surgery were all noted. The stage of the appendicitis was identified based on operative findings and pathology reports. Postoperative events were recorded. The stage of appendicitis and outcome were related to the prehospital and in-hospital delay of each patient. There were three (2.6%) normal, 62 (54.4%) early inflamed and 49 (43%) cases of advanced appendicitis. The total delay from onset of symptoms to performance of appendicectomy was 2.4 times longer in the advanced appendicitis group than in the early inflamed appendicitis group. There was no significant difference in the in-hospital delay between the two groups. Delay in the resumption of oral feed and total hospital stay were significantly higher in the advanced appendicitis group. The present prospective study concludes that m...Continue Reading

References

Nov 1, 1986·American Journal of Surgery·H J Thomson, P F Jones
Nov 1, 1984·Annals of Surgery·J Berry, R A Malt
Mar 1, 1995·Annals of Surgery·C L TempleW J Temple
Feb 1, 1997·Archives of Surgery·D A HaleJ C d'Avis
Mar 1, 1997·American Journal of Surgery·S EldarJ Abrahamson
Dec 31, 1997·American Journal of Surgery·M ColsonG Dunnington
Jun 1, 1955·Annals of Surgery·J R CANTRELL, E S STAFFORD

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Citations

Nov 19, 2009·Pediatric Surgery International·Han-Ping Wu, Yun-Ching Fu
May 25, 2013·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Eran SadotSiegal Sadetzki
Oct 25, 2006·Annals of Surgery·Michael F DitilloReuven Rabinovici
Nov 6, 2008·International Journal of Health Geographics·Robert B PenfoldKelly J Kelleher
Mar 13, 2014·Annals of Surgery·Damian McCartanPierce A Grace
Jul 11, 2008·Current Opinion in Critical Care·John M Green
May 13, 2011·World Journal of Surgery·Mirjam BuschUrs Zingg
Nov 16, 2011·Journal of Computer Assisted Tomography·Takao MotekiHiroyuki Horikoshi
Dec 25, 2015·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·Heinrich VinzJohann Neu
Apr 18, 2012·ANZ Journal of Surgery·Raja DevanathanStephen Rodgers-Wilson
Aug 21, 2007·Journal of Pediatric Surgery·Musa AbeşSelçuk Kazil
Aug 2, 2016·Annals of Surgical Treatment and Research·Maru KimHang Joo Cho
Oct 23, 2016·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·J E SlottaO Kollmar
Dec 19, 2013·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·S T HornbyD A Stell
Mar 7, 2018·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Dwayne T S ChangSrisongham Khamhing
Jul 8, 2018·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Jian LiXue-Lian Wu
Jan 18, 2019·World Journal of Emergency Surgery : WJES·Salma Abu FoulAhmad Mahajna
Sep 8, 2010·The Medical Journal of Australia·Robert C GandyAndrew D Parasyn

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