Why the study?
Does a short delay of less than 24 hours before appendicectomy increase the rate of complex pathology in selected patients with acute appendicitis?
Does a short delay of less than 24 hours before appendicectomy increase the rate of complex pathology in selected patients with acute appendicitis?
Short delays (<24 hours) before appendicectomy do not increase the risk of complex pathology, though prompt surgery remains optimal for the fastest resolution of pain.
Answers are grounded in this paper and cite their sources.
Short delays may be safe in selected appendicitis; hypothesis-generating and requires randomized confirmation before practice change.
Short delays of less than 24 hours before appendicectomy were not associated with increased rates of complex pathology in selected patients. These organizational delays may aid service provision, but planned delay beyond this should be avoided. However, where optimal surgical systems allow for expeditious surgery, prompt appendicectomy will still aid fastest resolution of pain for the individual patient.
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Aneel Bhangu (2014) studied this question.
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