Delaying surgery for appendicitis is not associated with worse its results, as scientists have found. Yes, the surgery and the duration of stay in hospital grows, but clinical outcomes were not significant.
If operation appendectomy postponed for 12 hours or more after hospital admission, it does not lead to serious consequences for the health of the patient, as it turned out during the study. Traditionally, the appendix must be removed as soon as possible after the start acute appendicitis a.
A team of US researchers analyzed information on 32,782 patients acute appendicitis Who have gone through appendectomy ( appendectomy ) From 2005 to 2008. Of these patients, 75% were 2 to the operating table for six hours after admission, 15, 1% in 6-12 hours, and another 9, 8% over 12 hours.
Patients in the latter group by the time the surgeons operated on a little longer (55 minutes vs. 50), but this difference can not be called significant. In addition, patients from the third group were at the hospital a little longer - 2, 2 to 1 day, 8 days for patients in the other two groups. Again, scientists have recognized these differences are clinically insignificant.
At 30 days after surgery appendectomy any health condition or mortality among representatives of the three groups did not difference between them. This information is published in the September issue of the journal Archives of Surgery.
These data may help surgeons operating in the largest and busiest medical centers. They need to prioritize issues of urgent operations - who need to operate immediately, but who can wait, and what time.
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