Acute appendicitis in children: can surgery be postponed? Short-term results in a cohort of 225 children

Acute appendicitis in children: can surgery be postponed? Short-term results in a cohort of 225... Purpose To our knowledge, there is no German study, admittance (p = 0.922). Seven patients developed compli- which has examined the relationship between a postpone- cations (n = 7/225, 3.1%). Six complications were seen in ment of surgery (from emergency service to standard group C (n = 6/113, 5.3%) compared to 1 in group D working time) and the corresponding risk of postoperative (n = 1/112, 0.9%), the difference was not significant complications in children and adolescents with acute (p = 0.119). None of the patients of group B developed appendicitis. The aim of this study is to examine if complications after delayed surgery. Median follow-up surgery of acute appendicitis in childhood can be post- was10days(IQR7–15). Conclusions In view of the development of complications, poned from night shift to the next working day without negative effects for the patient. there was no evidence that the time between inpatient Methods In a retrospective analysis (September 2001 to admission and surgery had any impact on the postopera- June 2007), the files of 225 paediatric surgical patients tive result. Thus, there is usually no need to perform with acute appendicitis have been analysed concerning surgery in common appendicitis during night shift. history, http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Langenbeck's Archives of Surgery Springer Journals

Acute appendicitis in children: can surgery be postponed? Short-term results in a cohort of 225 children

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Publisher
Springer Berlin Heidelberg
Copyright
Copyright © 2017 by Springer-Verlag GmbH Germany
Subject
Medicine & Public Health; General Surgery; Abdominal Surgery; Cardiac Surgery; Thoracic Surgery; Traumatic Surgery; Vascular Surgery
ISSN
1435-2443
eISSN
1435-2451
D.O.I.
10.1007/s00423-017-1607-4
Publisher site
See Article on Publisher Site

Abstract

Purpose To our knowledge, there is no German study, admittance (p = 0.922). Seven patients developed compli- which has examined the relationship between a postpone- cations (n = 7/225, 3.1%). Six complications were seen in ment of surgery (from emergency service to standard group C (n = 6/113, 5.3%) compared to 1 in group D working time) and the corresponding risk of postoperative (n = 1/112, 0.9%), the difference was not significant complications in children and adolescents with acute (p = 0.119). None of the patients of group B developed appendicitis. The aim of this study is to examine if complications after delayed surgery. Median follow-up surgery of acute appendicitis in childhood can be post- was10days(IQR7–15). Conclusions In view of the development of complications, poned from night shift to the next working day without negative effects for the patient. there was no evidence that the time between inpatient Methods In a retrospective analysis (September 2001 to admission and surgery had any impact on the postopera- June 2007), the files of 225 paediatric surgical patients tive result. Thus, there is usually no need to perform with acute appendicitis have been analysed concerning surgery in common appendicitis during night shift. history,

Journal

Langenbeck's Archives of SurgerySpringer Journals

Published: Jul 27, 2017

References

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