Outcomes of operative management of appendicitis

Surgical Infections
Rajeev DhuparSteven J Hughes

Abstract

There has not been an appraisal of outcomes of appendectomy for more than 10 years. More reliable diagnostic techniques and minimally invasive surgery are now in widespread use, yet the impact of these advances remains unknown. A retrospective review was performed of 453 patients who underwent appendectomy for appendicitis at a single hospital from 2004 to 2009. Patient demographics, operative characteristics, procedure cost, and pathologic diagnoses were analyzed. The overall rate of complicated appendicitis was 13%, with a negative appendectomy rate of 4.9%. The average age was significantly greater for patients with complicated versus uncomplicated appendicitis (47 vs. 33 years, respectively; p<0.001), and by logistic regression, age (as a continuous variable) was a significant factor for complicated appendicitis (p<0.001). The hospital length of stay was 2.3 times longer for patients with complicated appendicitis (4.4 vs. 1.9 days; p<0.001), and the average cost was 86% higher ($14,125 vs. $7,595; p<0.001), the difference in cost being attributable mostly to pharmacy and nursing costs. Advances in diagnostic and surgical technique may be altering traditionally accepted rates of complicated appendicitis and negative appendec...Continue Reading

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Citations

Jul 16, 2014·International Journal of Surgery·Konstantinos KoumarelasGeorge Zografos
Mar 20, 2014·ANZ Journal of Surgery·Andrew Teck Kwee TeoNeil Donald Merrett
Sep 4, 2014·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Agláia Moreira Garcia XimenesAdalberto Vieira Dias-Filho
Jul 15, 2017·Annals of Surgical Treatment and Research·Jinbeom ChoJunhyun Lee

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