Александр Петрушин » 05 ноя 2012, 08:33
Вопрос о сроках операции при установленном диагнозе о.аппендицита спорный и до сих пор дискутируется. Эмоциональные призывы уважаемого коллеги Виталика разделяют далеко не все. Вот несколько примеров.
«Delayed versus immediate surgery in acute appendicitis: do we need to operate during the night?»
Journal of Pediatric Surgery
Volume 39, Issue 3, March 2004, Pages 464–469
Conclusions
In children with acuteappendicitis, delaying surgery until the daytime hours did not significantly affect operating time, perforation rate, or complications. Delayed management allows greater efficiency and effective use of physician and hospital resources, including decreased resident involvement in operations during the night.
«Effects of Delaying Appendectomy for Acute Appendicitis for 12 to 24 Hours»
Fadi Abou-Nukta, MD; Charles Bakhos, MD; Kervin Arroyo, MD; Young Koo, DDS; Jeremiah Martin, MD; Randolph Reinhold, MD; Kenneth Ciardiello, MD
Arch Surg. 2006;141(5):504-507.
Conclusions In selected patients, delaying appendectomies for acute appendicitis for 12 to 24 hours after presentation does not significantly increase the rate of perforations, operative time, or length of stay. It decreases the use of the nursing staff, anesthesia team, and surgical house staff during the night shifts, and it decreases the interruption of the regular operating room schedule.
«Effect of delay to operation on outcomes in adults with acute appendicitis.»
Ingraham AM, Cohen ME, Bilimoria KY, Ko CY, Hall BL, Russell TR, Nathens AB.
Arch Surg. 2010 Sep;145(9):886-92.
CONCLUSIONS:
In this retrospective study, delay of appendectomy for acute appendicitis in adults does not appear to adversely affect 30-day outcomes. This information can guide the use of potentially limited operative and professional resources allocated for emergency care.