PDF(Pubmed)
Abstract：
UNASSIGNED: In pediatrics, appendicitis is the leading cause of emergency surgery. It was previously believed that postponing the surgery could lead to the appendix rupture. Children with this condition can be difficult to diagnose. The evidence regarding the necessity of an immediate appendectomy is a topic of debate. In this study, we evaluated the medical records of patients who were diagnosed with acute appendicitis to determine whether postponing appendectomy for one night is safe or not.
UNASSIGNED: This study involved 534 individuals diagnosed with acute appendicitis, who were separated into two groups: those who underwent an appendectomy immediately (within 8 hours) and those who had a delayed procedure (between 8-18 hours). We recorded and compared demographic data, symptoms, laboratory results, time of symptoms, hospitalization duration, surgery duration, overall time, length of stay after surgery, and any other complications that occurred between the two groups.
UNASSIGNED: The rate of surgical site infection (SSI) did not differ significantly between the groups (2.8% vs 4.2%, P=0.74). Additionally, there was no significant difference in the risk of perforation between the time of surgery in our study (21.9% vs 19.8%, P>0.05).
UNASSIGNED: Our findings suggest that there is no increased risk of complications such as perforation when appendectomy is delayed for up to 18 hours.
UNASSIGNED: This study involved 534 individuals diagnosed with acute appendicitis, who were separated into two groups: those who underwent an appendectomy immediately (within 8 hours) and those who had a delayed procedure (between 8-18 hours). We recorded and compared demographic data, symptoms, laboratory results, time of symptoms, hospitalization duration, surgery duration, overall time, length of stay after surgery, and any other complications that occurred between the two groups.
UNASSIGNED: The rate of surgical site infection (SSI) did not differ significantly between the groups (2.8% vs 4.2%, P=0.74). Additionally, there was no significant difference in the risk of perforation between the time of surgery in our study (21.9% vs 19.8%, P>0.05).
UNASSIGNED: Our findings suggest that there is no increased risk of complications such as perforation when appendectomy is delayed for up to 18 hours.
摘要：
■在儿科，阑尾炎是急诊手术的主要原因。以前认为推迟手术可能导致阑尾破裂。患有这种疾病的儿童可能很难诊断。关于立即进行阑尾切除术的必要性的证据是一个辩论的话题。在这项研究中,我们评估了被诊断为急性阑尾炎的患者的医疗记录，以确定将阑尾切除术推迟一晚是否安全。
■这项研究涉及534名被诊断为急性阑尾炎的个体，将患者分为两组:立即接受阑尾切除术的患者(在8小时内)和延迟手术的患者(在8-18小时之间)。我们记录并比较了人口统计数据，症状,实验室结果,症状的时间，住院时间，手术持续时间,整体时间,手术后的住院时间,以及两组之间发生的任何其他并发症。
■两组之间的手术部位感染率（SSI）没有显着差异（2.8％vs4.2％，P=0.74）。此外,在我们的研究中，手术时间之间的穿孔风险没有显着差异（21.9％vs19.8％，P>0.05)。
■我们的研究结果表明，当阑尾切除术延迟长达18小时时，不会增加穿孔等并发症的风险。
■这项研究涉及534名被诊断为急性阑尾炎的个体，将患者分为两组:立即接受阑尾切除术的患者(在8小时内)和延迟手术的患者(在8-18小时之间)。我们记录并比较了人口统计数据，症状,实验室结果,症状的时间，住院时间，手术持续时间,整体时间,手术后的住院时间,以及两组之间发生的任何其他并发症。
■两组之间的手术部位感染率（SSI）没有显着差异（2.8％vs4.2％，P=0.74）。此外,在我们的研究中，手术时间之间的穿孔风险没有显着差异（21.9％vs19.8％，P>0.05)。
■我们的研究结果表明，当阑尾切除术延迟长达18小时时，不会增加穿孔等并发症的风险。
