PERFORATED APPENDICITIS

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Dr. Moore,
 
Great question. I have partners that do both so I have seen both and the results are similar if not identical. It is not my perception that the results were any different short of a conversion to an open procedure if they could not do it with a scope. Pt's still went home within about the same time period except the open may stay a day or two longer but the physical outcomes were no different in terms of wound breakdown, formation of post-op abscess. No that is all anecdotal.
 
This is a great and timely question and I am going to pull and review our data.
 
Acute Care Surgery, sure! Some still call it General Surgery but our fellowship in Trauma and Acute Care Surgery does both.
 
:)

________________________________

From: trauma-list-bounces at trauma.org on behalf of moore677 at aol.com
Sent: Mon 11/3/2008 8:21 AM
To: trauma-list at trauma.org
Subject: Re: PERFORATED APPENDICITIS



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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