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Original Article
Is a One Night Delay of Surgery Safe in Patients With Acute Appendicitis?
Jae Min Lee, Beom Seok Kwak, Young Jin Park
Ann Coloproctol. 2018;34(1):11-15.   Published online February 28, 2018
DOI: https://doi.org/10.3393/ac.2018.34.1.11
  • 6,052 View
  • 132 Download
  • 21 Web of Science
  • 17 Citations
AbstractAbstract PDF
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 surgery and the pathologic findings were analyzed according to elapsed time. The overall elapsed time from onset of symptoms to surgery was positively associated with advanced pathology, increased number of complications, and prolonged hospital stay. In-hospital elapsed time was not associated with any advanced pathology (P = 0.52), increased number of postoperative complications (P = 0.14), or prolonged hospital stay (P = 0.24). However, the complication rate was increased when the in-hospital elapsed time exceeded 18 hours.

Conclusion

Advanced pathology and postoperative complication rate were associated with overall elapsed time from symptom onset to surgery rather than in-hospital elapse time. Therefore, a short-term delay of an appendectomy should be acceptable.

Citations

Citations to this article as recorded by  
  • Is the performance of acute appendectomy at different times of day equal, in terms of postoperative complications, readmission, death, and length of hospital stay? A Swedish retrospective cohort study of 4950 patients
    Petter Nyström, Martin Nordberg, Lennart Boström
    European Journal of Trauma and Emergency Surgery.2024; 50(3): 791.     CrossRef
  • Does the timing of appendectomy affect outcomes and postoperative complications?
    María San Basilio, Carlos Delgado-Miguel, Carla Ramírez-Amorós, María Sarmiento, Lucas Moratilla-Lapeña, Arturo Almeyda, Ricardo Mejía, Leopoldo Martínez
    Pediatric Surgery International.2023;[Epub]     CrossRef
  • Timing of surgical operation for patients with intra-abdominal infection: A systematic review and meta-analysis
    Shu-Rui Song, Yang-Yang Liu, Yu-Ting Guan, Ruo-Jing Li, Lei Song, Jing Dong, Pei-Ge Wang
    World Journal of Gastrointestinal Surgery.2023; 15(10): 2320.     CrossRef
  • Patient Outcomes Related to In-Hospital Delays in Appendicectomy for Appendicitis: A Retrospective Study
    Oliver Claydon, Billy Down, Sidharth Kumar
    Cureus.2022;[Epub]     CrossRef
  • Possibility for avoidance of urgent nighttime operations for acute appendicitis in a regional core university hospital
    Tomoya Tago, Mitsugi Shimoda, Ryosuke Imazato, Ryutaro Udou, Kenji Katsumata, Akihiko Tsuchida, Shuji Suzuki
    Asian Journal of Endoscopic Surgery.2022; 15(1): 22.     CrossRef
  • Daytime versus nighttime laparoscopic appendectomy in term of complications and clinical outcomes: A retrospective study of 1001 appendectomies
    Amjad A. Shah, Raed M. Al-Zoubi, Ahmad R. Al-Qudimat, Mohamed Amine Rejeb, Laxmi Kumari Ojha, Sharif Abdulzem, Khadija Qadir, Sara Sameer, Ahmad Zarour, Mohamed Said Ghali
    Heliyon.2022; 8(12): e11911.     CrossRef
  • Nighttime Appendectomy is Safe and has Similar Outcomes as Daytime Appendectomy: A Study of 1198 Appendectomies
    T. Mönttinen, H. Kangaspunta, J. Laukkarinen, M. Ukkonen
    Scandinavian Journal of Surgery.2021; 110(2): 227.     CrossRef
  • Revisiting delayed appendectomy in patients with acute appendicitis
    Jian Li
    World Journal of Clinical Cases.2021; 9(20): 5372.     CrossRef
  • Laparoscopic Appendectomy in the Days of COVID-19
    Roi Abramov, Mariya Neymark, Asaf Harbi, Hayim Gilshtein
    Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2021; 31(5): 599.     CrossRef
  • Did the COVID-19 Pandemic Prolong the Time Till Diagnosis and Worsen Outcomes for Children with Acute Appendicitis?
    Idilė Vansevičienė, Danielė Bučinskaitė, Dalius Malcius, Aušra Lukošiūtė-Urbonienė, Mindaugas Beržanskis, Emilis Čekanauskas, Vidmantas Barauskas
    Medicina.2021; 57(11): 1234.     CrossRef
  • Factors influencing surgical management of acute appendicitis in a large university hospital without a dedicated emergency theatre
    Megan Power Foley, Michael MacLean, Ciaran Doyle, Timothy Nugent, Michael E. Kelly, Fady Narouz, Brian Mehigan, Paul McCormick, John Larkin
    Irish Journal of Medical Science (1971 -).2020; 189(2): 649.     CrossRef
  • Invited commentary on “Short-term outcome after appendectomy is related to preoperative delay but not to the time of day of the procedure: A nationwide retrospective cohort study of 9224 patients”
    Xuan Liang, Yanxia Sun
    International Journal of Surgery.2020; 79: 140.     CrossRef
  • Quality Outcomes in Appendicitis Care: Identifying Opportunities to Improve Care
    Syed Mohammad Umar Kabir, Magda Bucholc, Carol-Ann Walker, Opeyemi O. Sogaolu, Saqib Zeeshan, Michael Sugrue
    Life.2020; 10(12): 358.     CrossRef
  • Effect of Delay to Operation on Outcomes in Patients with Acute Appendicitis: a Systematic Review and Meta-analysis
    Jian Li, Run Xu, Deng-Min Hu, Yao Zhang, Tu-Ping Gong, Xue-Lian Wu
    Journal of Gastrointestinal Surgery.2019; 23(1): 210.     CrossRef
  • Is postponed laparoscopic appendectomy justified for patients with acute appendicitis?
    Atsushi Kohga, Kiyoshige Yajima, Takuya Okumura, Kimihiro Yamashita, Jun Isogaki, Kenji Suzuki, Katsuaki Muramatsu, Akira Komiyama, Akihiro Kawabe
    Asian Journal of Endoscopic Surgery.2019; 12(4): 423.     CrossRef
  • Is early appendectomy in adults diagnosed with acute appendicitis mandatory? A prospective study
    Salma Abu Foul, Ella Egozi, Ahmad Assalia, Yoram Kluger, Ahmad Mahajna
    World Journal of Emergency Surgery.2019;[Epub]     CrossRef
  • Preoperative Clinical Factors Associated with Short‐Stay Laparoscopic Appendectomy
    Aurélie Vuagniaux, Olivier Gié, Fabio Butti, Pedro Manuel Marques‐Vidal, Nicolas Demartines, Styliani Mantziari
    World Journal of Surgery.2019; 43(11): 2771.     CrossRef
Case Reports
Pneumoretroperitoneum After Procedure for Prolapsed Hemorrhoid
Young Jin Park
Ann Coloproctol. 2013;29(6):256-258.   Published online December 31, 2013
DOI: https://doi.org/10.3393/ac.2013.29.6.256
  • 6,114 View
  • 40 Download
  • 3 Citations
AbstractAbstract PDF

Procedure for prolapsed hemorrhoid (PPH) is well recognized alternative to the traditional hemorrhoidectomy, and is associated with reduced pain and earlier return to normal activity. Over the past decade, there have been reports of severe life-threatening complications after a PPH, although the incidence is very low. Rectal perforation due to staple-line dehiscence is one of the serious complications that can cause severe pelvic sepsis or a pneumoretroperitoneum. Here, the first Korean case of a pneumoretroperitoneum due to staple-line dehiscence is described.

Citations

Citations to this article as recorded by  
  • The Effort to Reduce Vasovagal Reaction and Abdominal Pain During Stapled Hemorrhoidopexy
    Hyeonseok Jeong
    Annals of Coloproctology.2020; 36(5): 291.     CrossRef
  • Partial Stapled Hemorrhoidopexy Versus Circular Stapled Hemorrhoidopexy
    Jin Sub Kim
    Annals of Coloproctology.2017; 33(1): 7.     CrossRef
  • Early Experience With a Partial Stapled Hemorrhoidopexy for Treating Patients With Grades III–IV Prolapsing Hemorrhoids
    Hyeonseok Jeong, Sunghwan Hwang, Kil O Ryu, Jiyong Lim, Hyun Tae Kim, Hye Mi Yu, Jihoon Yoon, Ju-Young Lee, Hyoung Rae Kim, Young Gil Choi
    Annals of Coloproctology.2017; 33(1): 28.     CrossRef
Multiple Presacral Teratomas in an 18-year-old Girl: A Case Report
Young Jin Park
J Korean Soc Coloproctol. 2011;27(2):90-93.   Published online April 30, 2011
DOI: https://doi.org/10.3393/jksc.2011.27.2.90
  • 3,755 View
  • 17 Download
  • 7 Citations
AbstractAbstract PDF

Although the sacrococcygeal area is the most common site for a teratoma in infants, it is a rare site for a teratoma in older patients. Most of the teratomas found in this area in adults are single mass, but in a few cases, multiple masses have been reported. The author reports on the case of an 18-year-old female patient with 3 presacral teratomas. The tumors were surgically removed via a transabdominal approach and were pathologically diagnosed as mature cystic teratomas. This case report indicates that an adult presacral teratoma can appear as multiple tumors, although it is very unusual.

Citations

Citations to this article as recorded by  
  • Differential diagnostics of pilonidal cysts
    Denis A. Zvonkov, Natalya M. Stepanova, Vladimir A. Novozhilov, Ivan S. Sharapov, Marina I. Stupina, Julia A. Naryshkina, Margarita N. Ludwig
    Russian Journal of Pediatric Surgery.2024; 28(6): 594.     CrossRef
  • Perirectal epidermoid cyst in a patient with sacrococcygeal scoliosis and anal sinus: A case report
    Zhou-Xin Ji, Song Yan, Xu-Can Gao, Li-Fen Lin, Qiang Li, Qi Yao, Dong Wang
    World Journal of Clinical Cases.2022; 10(30): 11139.     CrossRef
  • Adult sacrococcygeal teratoma: A review
    Jia-Xing Guo, Jian-Guo Zhao, Ying-Na Bao
    Medicine.2022; 101(52): e32410.     CrossRef
  • A Rare Case of Sacrococcygeal Teratoma in Adult
    Abhilasha Goyal, Praveen S Rathod, Pallavi V Reddihalli, Shobha Krishnappa, S. K. Rajshekar, Yamini Kansal, Sravanthi Nuthalapati, Amarinder Singh, Tejas Vanakudri, S. D. S. Karthik
    Indian Journal of Surgical Oncology.2020; 11(S1): 102.     CrossRef
  • Currarino syndrome with two synchronous presacral teratomas
    Timothy A. Little, Kathryn E. Compson, Katherine Hall, M. Jean Murdoch, Katherine R. Neas, Diane Kenwright, Mark D. Stringer
    Journal of Pediatric Surgery Case Reports.2018; 36: 16.     CrossRef
  • Giant Type II Sacroccocygial Teratoma: A Senegalese Case
    Balla Diop, Dia Aliou Amadou, Sow Oumar, Ba Abdoulaye Pape, Dial Chérif, A. Phiri, Youhanidou Wane, Sarre Mamadou Serigne
    Journal of Gynecologic Surgery.2017; 33(6): 264.     CrossRef
  • Sacrococcygeal teratoma – case report and review of the literature
    Krzysztof Szyllo, Natalia Lesnik
    American Journal of Case Reports.2013; 14: 1.     CrossRef
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