Emergency versus interval appendectomy in patients with plastron appendicitis: a comparative analysis of clinical outcomes

Cumhur Özcan; Simge Tuna; Zafer Can Kesikminare; Mustafa Yılmaz; Tahsin Çolak

Makale detayları

Emergency versus interval appendectomy in patients with plastron appendicitis: a comparative analysis of clinical outcomes

Yazarlar:

Cumhur Özcan | Simge Tuna | Zafer Can Kesikminare | Mustafa Yılmaz | Tahsin Çolak

Yayıncı:

Cukurova University

Ana Başlıklar:

Genel Cerrahi

Dergi:

Cukurova Medical Journal Vol.50 Issue 3, pp.849-855

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357855

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Purpose: This study aims to investigate the clinical results of emergency and interval appendectomy in adult patients diagnosed with plastron. Materials and Methods: Patients with plastron appendicitis who underwent either emergency appendectomy within 24 hours of admission or interval appendectomy 4-16 weeks after initial conservative treatment were included in this study. The primary outcome was length of hospital stay, with secondary outcomes including ICU admission, postoperative complications, and appendectomy completion rate in emergency appendectomy. Results: Among the 77 patients, 55 were planned to have an emergency appendectomy performed; however, only 36 of these patients actually underwent emergency appendectomy, and 19 34.5 were unable to have an appendectomy and were instead scheduled for interval appendectomy. Including these patients, a total of 41 patients underwent interval appendectomy. Total hospital stay was significantly longer in the interval group 6.3  5.7 vs. 9.1  5.1. In the interval group, the mean time from initial presentation to surgery was 70.027.5 days 25-134 days. Laparoscopy was more frequent in the interval group 8.3 vs. 73.2, and the complication rate was higher in emergency appendectomies. Conclusion: Emergency appendectomy was associated with higher rates of incomplete appendectomy. Although the hospital stay is longer in interval appendectomies, interval appendectomy may be preferred in patients with suspected plastron appendicitis to avoid a second operation.

 Purpose: This study aims to investigate the clinical results of emergency and interval appendectomy in adult patients diagnosed with plastron. Materials and Methods: Patients with plastron appendicitis who underwent either emergency appendectomy within 24 hours of admission or interval appendectomy 4-16 weeks after initial conservative treatment were included in this study. The primary outcome was length of hospital stay, with secondary outcomes including ICU admission, postoperative complications, and appendectomy completion rate in emergency appendectomy. Results: Among the 77 patients, 55 were planned to have an emergency appendectomy performed; however, only 36 of these patients actually underwent emergency appendectomy, and 19 34.5 were unable to have an appendectomy and were instead scheduled for interval appendectomy. Including these patients, a total of 41 patients underwent interval appendectomy. Total hospital stay was significantly longer in the interval group 6.3  5.7 vs. 9.1  5.1. In the interval group, the mean time from initial presentation to surgery was 70.027.5 days 25-134 days. Laparoscopy was more frequent in the interval group 8.3 vs. 73.2, and the complication rate was higher in emergency appendectomies. Conclusion: Emergency appendectomy was associated with higher rates of incomplete appendectomy. Although the hospital stay is longer in interval appendectomies, interval appendectomy may be preferred in patients with suspected plastron appendicitis to avoid a second operation.

 Purpose: This study aims to investigate the clinical results of emergency and interval appendectomy in adult patients diagnosed with plastron. Materials and Methods: Patients with plastron appendicitis who underwent either emergency appendectomy within 24 hours of admission or interval appendectomy 4-16 weeks after initial conservative treatment were included in this study. The primary outcome was length of hospital stay, with secondary outcomes including ICU admission, postoperative complications, and appendectomy completion rate in emergency appendectomy. Results: Among the 77 patients, 55 were planned to have an emergency appendectomy performed; however, only 36 of these patients actually underwent emergency appendectomy, and 19 34.5 were unable to have an appendectomy and were instead scheduled for interval appendectomy. Including these patients, a total of 41 patients underwent interval appendectomy. Total hospital stay was significantly longer in the interval group 6.3  5.7 vs. 9.1  5.1. In the interval group, the mean time from initial presentation to surgery was 70.027.5 days 25-134 days. Laparoscopy was more frequent in the interval group 8.3 vs. 73.2, and the complication rate was higher in emergency appendectomies. Conclusion: Emergency appendectomy was associated with higher rates of incomplete appendectomy. Although the hospital stay is longer in interval appendectomies, interval appendectomy may be preferred in patients with suspected plastron appendicitis to avoid a second operation.

 Amaç: Bu çalışma, plastron tanısı konulan yetişkin hastalarda acil ve aralıklı apendektominin klinik sonuçlarını araştırmayı amaçlamaktadır. Gereç ve Yöntem: Acil apendektomi kabulden itibaren 24 saat içinde veya interval apendektomi konservatif tedaviden 4-16 hafta sonra geçiren plastron apandisitli hastalar çalışmaya dahil edildi. Birincil sonuç hastanede kalış süresiydi, ikincil sonuçlar arasında yoğun bakım ünitesine yatış, ameliyat sonrası komplikasyonlar ve acil apendektomide apendektomi tamamlanma oranı yer aldı. Bulgular: 77 hastadan 55ine acil apendektomi yapılması planlandı; ancak bu hastalardan sadece 36sına acil apendektomi yapıldı. 19una 34,5 apendektomi yapılamadı ve interval apendektomi planlandı. Bu hastalar dahil olmak üzere toplam 41 hastaya interval apendektomi yapıldı. Toplam hastanede kalış süresi interval apendektomilerde önemli ölçüde daha uzundu 6,3  5,7ye karşı 9,1  5,1. İnterval apendektomilerde, ilk başvurudan ameliyata kadar geçen ortalama süre 70,0  27,5 gündü 25-134 gün. Laparoskopik operasyon interval appendektomilerde daha sıktı 8,3e karşı 73,2 ve acil apendektomilerde komplikasyon oranı daha yüksekti. Sonuç: Acil apendektomi daha yüksek oranda tamamlanmamış apendektomi ile ilişkilendirilmiştir. Hastanede kalış süresi interval apendektomilerde daha uzun olsa da, plastrone apandisit şüphesi olan hastalarda ikinci bir operasyondan kaçınmak için interval apendektomi tercih edilebilir.

Makale detayları

Emergency versus interval appendectomy in patients with plastron appendicitis: a comparative analysis of clinical outcomes

Yazarlar:

Cumhur Özcan | Simge Tuna | Zafer Can Kesikminare | Mustafa Yılmaz | Tahsin Çolak

Yayıncı:

Cukurova University

Ana Başlıklar:

Genel Cerrahi

Dergi:

Cukurova Medical Journal Vol.50 Issue 3, pp.849-855

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357855

pISSN:

2602-3032

plastron appendicitis

interval appendectomy

emergency surgeryplastron apandisit

interval appendektomi

acil cerrahi

Sayı

Makale detayları

Emergency versus interval appendectomy in patients with plastron appendicitis: a comparative analysis of clinical outcomes

Yazarlar: Cumhur Özcan | Simge Tuna | Zafer Can Kesikminare | Mustafa Yılmaz | Tahsin Çolak

Yayıncı: Cukurova University

Ana Başlıklar: Genel Cerrahi

Dergi: Cukurova Medical Journal Vol.50 Issue 3, pp.849-855

Belge Tipi: Makale

Yayın Tarihi: 9/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001357855

pISSN: 2602-3032

plastron appendicitis

interval appendectomy

emergency surgeryplastron apandisit

interval appendektomi

acil cerrahi

Sayı

Yazarlar:

Cumhur Özcan | Simge Tuna | Zafer Can Kesikminare | Mustafa Yılmaz | Tahsin Çolak

Yayıncı:

Cukurova University

Ana Başlıklar:

Genel Cerrahi

Dergi:

Cukurova Medical Journal Vol.50 Issue 3, pp.849-855

Belge Tipi:

Makale

Yayın Tarihi:

9/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001357855

pISSN:

2602-3032