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Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients
INTRODUCTION: Emergency appendicectomy (EA) is a commonly performed operation, with an increasing number of EAs being performed as day-case. The aim of this study is to establish if there is a need for post-operative follow-up and if this could prevent adverse outcomes. METHODS: A retrospective anal...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125798/ https://www.ncbi.nlm.nih.gov/pubmed/30191061 http://dx.doi.org/10.1016/j.amsu.2018.08.014 |
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author | Som, Robin Seymour, Nicky Thrumurthy, Sri G. Khattak, Sophia Joshi, Shivani Sorelli, Paolo G. |
author_facet | Som, Robin Seymour, Nicky Thrumurthy, Sri G. Khattak, Sophia Joshi, Shivani Sorelli, Paolo G. |
author_sort | Som, Robin |
collection | PubMed |
description | INTRODUCTION: Emergency appendicectomy (EA) is a commonly performed operation, with an increasing number of EAs being performed as day-case. The aim of this study is to establish if there is a need for post-operative follow-up and if this could prevent adverse outcomes. METHODS: A retrospective analysis of patients who underwent EA at multiple centres over a six-month period was undertaken. They were contacted by telephone and a standardised questionnaire was used to ascertain post-operative outcomes, including duration of analgesia use, duration before return to normal daily activity (ADLs), surgical site infection rates (SSI) and rates of re-presentation to medical services. Patients were stratified into those who underwent laparoscopic versus open appendicectomy, smokers versus non-smokers, and body mass index (BMI). RESULTS: A total of 145 patients were included in the study. Patients undergoing open surgery (vs. laparoscopic surgery) required analgesia for significantly longer periods, with a significantly longer return to ADLs. Smokers, when compared to non-smokers experienced a significantly longer return to work/school; and significantly higher risk of SSI and re-presenting to accident & emergency; as did patients with a BMI >30 when compared to those with a BMI <30. CONCLUSION: Most patients do not need formal outpatient assessment after EA. However, there is clearly a subset of higher risk patients who may benefit from this – patients who are smokers or obese. They have prolonged recovery times, and are at greater risk of SSI. Earlier surgical outpatient follow-up of these patients could prevent adverse outcomes. |
format | Online Article Text |
id | pubmed-6125798 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-61257982018-09-06 Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients Som, Robin Seymour, Nicky Thrumurthy, Sri G. Khattak, Sophia Joshi, Shivani Sorelli, Paolo G. Ann Med Surg (Lond) Original Research INTRODUCTION: Emergency appendicectomy (EA) is a commonly performed operation, with an increasing number of EAs being performed as day-case. The aim of this study is to establish if there is a need for post-operative follow-up and if this could prevent adverse outcomes. METHODS: A retrospective analysis of patients who underwent EA at multiple centres over a six-month period was undertaken. They were contacted by telephone and a standardised questionnaire was used to ascertain post-operative outcomes, including duration of analgesia use, duration before return to normal daily activity (ADLs), surgical site infection rates (SSI) and rates of re-presentation to medical services. Patients were stratified into those who underwent laparoscopic versus open appendicectomy, smokers versus non-smokers, and body mass index (BMI). RESULTS: A total of 145 patients were included in the study. Patients undergoing open surgery (vs. laparoscopic surgery) required analgesia for significantly longer periods, with a significantly longer return to ADLs. Smokers, when compared to non-smokers experienced a significantly longer return to work/school; and significantly higher risk of SSI and re-presenting to accident & emergency; as did patients with a BMI >30 when compared to those with a BMI <30. CONCLUSION: Most patients do not need formal outpatient assessment after EA. However, there is clearly a subset of higher risk patients who may benefit from this – patients who are smokers or obese. They have prolonged recovery times, and are at greater risk of SSI. Earlier surgical outpatient follow-up of these patients could prevent adverse outcomes. Elsevier 2018-08-20 /pmc/articles/PMC6125798/ /pubmed/30191061 http://dx.doi.org/10.1016/j.amsu.2018.08.014 Text en Crown Copyright © 2018 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Research Som, Robin Seymour, Nicky Thrumurthy, Sri G. Khattak, Sophia Joshi, Shivani Sorelli, Paolo G. Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients |
title | Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients |
title_full | Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients |
title_fullStr | Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients |
title_full_unstemmed | Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients |
title_short | Establishing the need for clinical follow-up after emergency appendicectomy in the modern era: Retrospective case series of 145 patients |
title_sort | establishing the need for clinical follow-up after emergency appendicectomy in the modern era: retrospective case series of 145 patients |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125798/ https://www.ncbi.nlm.nih.gov/pubmed/30191061 http://dx.doi.org/10.1016/j.amsu.2018.08.014 |
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