Comparison of Appendectomy for Perforated Appendicitis With and Without Abscess: A National Surgical Quality Improvement Program Analysis

Hester, Caitlin A.; Pickett, Maryanne L.; AbdelFattah, Kareem R.; Cripps, Michael W.; Dultz, Linda A.; Dumas, Ryan P.; Grant, Jennifer; Luk, Stephen S.; Minei, Joseph P.; Park, Caroline; Shoultz, Thomas

doi:10.1016/j.jss.2019.12.054

Cited by 6 publications

(11 citation statements)

References 16 publications

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“…According to these studies, male sex increases the perforation risk. [12,13,19] In this study, similar to most studies, it was found that sex did not contribute to the formation of perforation.…”

Section: Discussionsupporting

confidence: 89%

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Does the length matter in acute appendicitis for the perforation risk?: A retrospective cohort study

Dibekoglu¹

2022

Medicine

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It has been hypothesized that short appendices increase intraluminal pressure more rapidly and perforate more frequently than long appendices. Two hundred seventy-seven adult patients were retrospectively analyzed and underwent an appendectomy between January 2015 and August 2021. Data extracted from patient records included sex, age, time from admission to operation (hospital interval), weekday or weekend operation time, and operative and pathological findings. Operation was performed on 273 patients, of whom 178 (65.2%) were male and 95 (34.8%) female. The mean age of the male patients was 31.7 ± 08 (range 18-67), and that of the female patients was 38.9 ± 1.4 (range 18-78). Perforation was observed in 57 (20.9%) patients. Sex was not a factor in the development of perforation (P = .95). The mean age of the patients with and without perforation was 40.1 ± 2.2 and 32.7 ± 0.7, respectively. The perforation rate increased with age (P = .003). Appendix lengths were similar in both groups, and length was not a factor in the development of perforation (P = .83). This study found that the development of perforated appendicitis is not related to the length of the appendix. The risk of perforation increased with age.

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Section: Discussionsupporting

confidence: 89%

“…Many studies in the literature show that age increases the risk of perforation. [10][11][12][13][14][15] In one study, it was shown that the perforation rate was 72% in geriatric patients. [16] According to another study, delayed appendectomy over 24 hours is dangerous in older patients.…”

Section: Discussionmentioning

confidence: 99%

Does the length matter in acute appendicitis for the perforation risk?: A retrospective cohort study

Dibekoglu¹

2022

Medicine

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“…The multivariate analysis showed that smoking is an independent risk factor for CA, and the smoking rate of CA patients was ~4% higher than that of UA patients in the present study, as in previous reports. 6 , 7 , 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 , 16 , 17 A study of twins found that smoking is a risk factor for appendicitis, especially in women. 18 …”

Section: Discussionmentioning

confidence: 99%

“…Various large studies have reported that CA patients have higher rates of postoperative abscesses requiring intervention 8 and longer LOS. 8 , 19 Emergency surgery for CA is associated with higher morbidity compared with nonoperative management. 20 CA emergency surgery had a 10% risk of bowel resection 21 and a higher risk of bowel obstruction.…”

Section: Discussionmentioning

confidence: 99%

Patient backgrounds and short‐term outcomes of complicated appendicitis differ from those of uncomplicated appendicitis

Oba

Yamada

Matsuda

et al. 2021

Annals of Gastroent Surgery

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“…Depending on the patient's general condition, degree of appendicitis, timing until surgery, and surgical technique, the extent of surgery and incidence of complications may vary. The treatment guidelines for AA were published several years ago [13]. However, there are no definite criteria for the selection of treatment method and timing until surgery according to the patient condition and disease severity.…”

mentioning

confidence: 99%

To Reduce the Incidence of Postoperative Intraabdominal Abscess, the Application of Nonoperative Management Should be Circumspect Considering Patient Factors and the Nature of Acute Appendicitis

Lee

Yoon

2022

J Acute Care Surg

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Purpose: Surgery and nonoperative management (NOM) are the treatment modalities for acute appendicitis (AA). There is little evidence to indicate which treatment method should be performed according to the patient's condition or disease severity, surgical extension, and timing after an appendectomy. This study aimed to evaluate postoperative intra-abdominal abscess (PIAA) associated with these factors.Methods: The medical records of 839 patients who underwent appendectomy after a diagnosis of AA between 2019 and 2020 at Gangneung Asan Medical Centre were reviewed retrospectively. The factors associated with PIAA were evaluated.Results: Postoperative complications occurred in 92 patients. Following appendectomy, 16 (1.9%), 83 (9.9%), and three (0.4%) patients developed PIAA, surgical site infection, and incisional hernia, respectively. The American Society of Anesthesiologists class, complicated appendicitis on preoperative abdominal computed tomography, failure of NOM, and extensive surgery above appendectomy were associated with the development of PIAA. However, a laparoscopic approach, irrigation, indwelling drain, ultrasonic dissection, and use of sterile bags were not associated with the development of PIAA.Conclusion: NOM for some patients with complicated AA is an attractive treatment modality. However, to reduce the incidence of PIAA, the application of NOM should be circumspect considering patient factors and the nature of acute appendicitis. Furthermore, appendectomy should be performed as early as possible for patients not indicated for NOM.

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Comparison of Appendectomy for Perforated Appendicitis With and Without Abscess: A National Surgical Quality Improvement Program Analysis

Cited by 6 publications

References 16 publications

Does the length matter in acute appendicitis for the perforation risk?: A retrospective cohort study

Does the length matter in acute appendicitis for the perforation risk?: A retrospective cohort study

Patient backgrounds and short‐term outcomes of complicated appendicitis differ from those of uncomplicated appendicitis

To Reduce the Incidence of Postoperative Intraabdominal Abscess, the Application of Nonoperative Management Should be Circumspect Considering Patient Factors and the Nature of Acute Appendicitis

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