Emergency versus interval appendectomy in patients with plastron appendicitis: a comparative analysis of clinical outcomes
Öz
Purpose: This study aims to investigate the clinical results of emergency and interval appendectomy in adult patients diagnosed with plastron.
Materials and Methods: Patients with plastron appendicitis who underwent either emergency appendectomy (within 24 hours of admission) or interval appendectomy (4-16 weeks after initial conservative treatment) were included in this study. The primary outcome was length of hospital stay, with secondary outcomes including ICU admission, postoperative complications, and appendectomy completion rate in emergency appendectomy.
Results: Among the 77 patients, 55 were planned to have an emergency appendectomy performed; however, only 36 of these patients actually underwent emergency appendectomy, and 19 (34.5%) were unable to have an appendectomy and were instead scheduled for interval appendectomy. Including these patients, a total of 41 patients underwent interval appendectomy. Total hospital stay was significantly longer in the interval group (6.3 ± 5.7 vs. 9.1 ± 5.1). In the interval group, the mean time from initial presentation to surgery was 70.0±27.5 days (25-134 days). Laparoscopy was more frequent in the interval group (8.3% vs. 73.2%), and the complication rate was higher in emergency appendectomies.
Conclusion: Emergency appendectomy was associated with higher rates of incomplete appendectomy. Although the hospital stay is longer in interval appendectomies, interval appendectomy may be preferred in patients with suspected plastron appendicitis to avoid a second operation.
Anahtar Kelimeler
plastron appendicitis, interval appendectomy, emergency surgery
Etik Beyan
The study protocol was approved by the Ethics Committee of Mersin University
Kaynakça
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