Risk of perforation increases with delay in recognition and surgery for acute appendicitis

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Acute appendicitis in the elderly: risk factors for perforation

BACKGROUND Acute appendicitis is the most common surgical emergency and becomes serious when it perforates. Perforation is more frequent in the elderly patients. The aim of this study was to identify the risk factors of perforation in elderly patients who presented with acute appendicitis. METHODOLOGY The medical records of 214 patients over the age of 60 years who had a pathologically confir...

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Time to appendectomy and risk of perforation in acute appendicitis.

IMPORTANCE In the traditional model of acute appendicitis, time is the major driver of disease progression; luminal obstruction leads inexorably to perforation without timely intervention. This perceived association has long guided clinical behavior related to the timing of appendectomy. OBJECTIVE To evaluate whether there is an association between time and perforation after patients present ...

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15 صفحه اول

The Study Of Diagnostic Value of Elevation of Serum Amylase as a Predictive Factor for Appendiceal Perforation in Children with Acute Appendicitis

  Background Recent studies indicate increased serum amylase in children with acute appendicitis. The objective of the current study was to determine the diagnostic accuracy of raised serum amylase level in prediction of perforated appendicitis in children with acute appendicitis. Materials and Methods In this cross-sectional study, 61 children (aged 3 to 15 years) who underwent appendectomy su...

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Is a One Night Delay of Surgery Safe in Patients With Acute Appendicitis?

Purpose With varied reports on the impact of time to appendectomy on clinical outcomes, the purpose of this study was to determine the effect of preoperative in-hospital delay on the outcome for patients with acute appendicitis. Methods A retrospective review of 1,076 patients who had undergone an appendectomy between January 2010 and December 2013 was conducted. Results The outcomes of sur...

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ژورنال

عنوان ژورنال: Journal of Surgical Research

سال: 2013

ISSN: 0022-4804

DOI: 10.1016/j.jss.2012.12.008