Delay to appendicectomy and associated morbidity: a retrospective review

ANZ Journal of Surgery
Mark Omundsen, Elisabeth Dennett

Abstract

This retrospective review was undertaken to determine if time between presentation and appendicectomy is a factor affecting morbidity and length of hospital stay for patients with proven appendicitis. The notes of patients who underwent an appendicectomy at Wellington Public Hospital, New Zealand between June 2002 and February 2004 were retrospectively reviewed. Delay from admission until surgery was noted. Other variables recorded were age, sex, operation type (laparoscopic or open), white cell count, pulse rate and temperature at admission, antibiotic usage, ancillary investigations (e.g. ultrasound), operative findings, length of admission and in-hospital complications. A total of 480 appendicectomies were carried out. Four hundred and fifty-seven (95%) records were retrieved, and 436 (91%) included the required information and were analysed. Ninety-one (21%) resected appendices were pathologically normal, 275 (63%) were nonperforated, 61 (14%) were perforated and 9 (2%) had appendicular abscesses. The mean waiting time from admission to operation was 14.5 h (range, 1.6-99 h). There were 36 complications in 31 (7%) patients. The mean hospital stay was 74.4 h (range, 9.2-372 h). Three hundred and forty-five admitted patients ...Continue Reading

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