Abstract
Introduction: Acute appendicitis is a prevalent emergency surgical pathology and without prompt intervention may lead to gangrene, perforation and death. Increased mortality and morbidity will increase the hospital stay and the costs. We aimed to see the association between surgical treatment and perforation. Patient and Method: 130 patients who were undergone emergency appendectomy were included in the study. Patients were divided into three groups based on the time from symptom onset to the operation (Group 1, 36 hours). Perforation rates, surgical site infections, operation time and hospital stay was compared. Result: Hospital stay was shorter in Group 1 compared to Group 2 and 3 and were respectively 1.9 days, 3.4 days, 4.8 days. Surgical site infection was 5.4% for Group 1, 7.2% for Group 2, 10% for Group 3 (p<0.02). When the perforation rate was compared it was found 3% for group 1, 13% for Group 2, 31% for Group 3 and it was statistically significant (p<0.001). Conclusion: Surgical site infections, hospital stay, perforation and complications associated with perforation were less in patients with acute appendicitis who were diagnosed and treated within 24 hours of symptom onset than patients who were diagnosed after 24 hours.
Highlights
Acute appendicitis is a prevalent emergency surgical pathology and without prompt intervention may lead to gangrene, perforation and death
Patient and Method: 130 patients who were undergone emergency appendectomy were included in the study
Surgical site infections, hospital stay, perforation and complications associated with perforation were less in patients with acute appendicitis who were diagnosed and treated within 24 hours of symptom onset than patients who were diagnosed after 24 hours
Summary
Acute appendicitis is a prevalent emergency surgical pathology and without prompt intervention may lead to gangrene, perforation and death. Patients were divided into three groups based on the time from symptom onset to the operation (Group 1, 36 hours). Perforation rates, surgical site infections, operation time and hospital stay was compared. It has generally been accepted that an appendectomy should be performed within a few hours of diagnosis and that a delay in the operation may lead to an increase in the morbidity [2,3,4]. Most studies assessing the effect of time between symptom onset and treatment on risk of appendiceal rupture compare ruptured and nonruptured groups [3,4,5]. This study aimed to determine the changes in risk of rupture in patients with appendicitis with increasing time from symptom onset to treatment to help guide the swiftness of surgical intervention
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