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Mon Nov 3 15:21:55 GMT 2008

I am curious if there are many out there who would just go for immediate appy (and accept a potentially increased risk of complications) or wait and do an interval appy?? Welcome to acute care surgery........................??

Dell................?? 

-----Original Message-----
From: nappio at aol.com
To: Trauma &amp; Critical Care mailing list <trauma-list at trauma.org>
Sent: Mon, 3 Nov 2008 7:06 am
Subject: Re: PERFORATED APPENDICITIS

What's the question?  Of course you can do it,,and if your good with scopes it 
shouldn't be an issue.  The question I see is whether they would benefit from 
perc drainage and abx first..   Back to trauma,, dn
------Original Message------
From: moore677 at aol.com
Sender: trauma-list-bounces at trauma.org
To: trauma-list at trauma.org
ReplyTo: Trauma & Critical Care mailing list
Sent: Nov 3, 2008 01:06
Subject: PERFORATED APPENDICITIS

Would any of you on the listserver attempt an appendectomy (lap or open) on a 
patient with a perforated appendicitis with phlegmon and abscess?? If so, what 
would be your indications?? I have had 2 partners within the last month take 2 
separate patients to the OR for the same type of presentation -- both able to 
succesfully remove the appendix laparoscopically.

Forrest "Dell" Moore, MD
Trauma Critical Care Surgery
St. Joseph's Hospital and Medical Center
Phoenix, AZ
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PERFORATED APPENDICITIS