{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T22:31:12Z","timestamp":1740177072235,"version":"3.37.3"},"reference-count":23,"publisher":"Maad Rayan Publishing Company","issue":"1","content-domain":{"domain":["mejdd.org"],"crossmark-restriction":false},"short-container-title":["Middle East J Dig Dis"],"published-print":{"date-parts":[[2024,1,31]]},"abstract":"<jats:p>Background: In pediatrics, appendicitis is the leading cause of emergency surgery. It was previously believed that postponing the surgery could lead to the appendix rupture. Children with this condition can be difficult to diagnose. The evidence regarding the necessity of an immediate appendectomy is a topic of debate. In this study, we evaluated the medical records of patients who were diagnosed with acute appendicitis to determine whether postponing appendectomy for one night is safe or not. Methods: This study involved 534 individuals diagnosed with acute appendicitis, who were separated into two groups: those who underwent an appendectomy immediately (within 8 hours) and those who had a delayed procedure (between 8-18 hours). We recorded and compared demographic data, symptoms, laboratory results, time of symptoms, hospitalization duration, surgery duration, overall time, length of stay after surgery, and any other complications that occurred between the two groups. Results: The rate of surgical site infection (SSI) did not differ significantly between the groups (2.8% vs 4.2%, P=0.74). Additionally, there was no significant difference in the risk of perforation between the time of surgery in our study (21.9% vs 19.8%, P&gt;0.05). Conclusion: Our findings suggest that there is no increased risk of complications such as perforation when appendectomy is delayed for up to 18 hours.<\/jats:p>","DOI":"10.34172\/mejdd.2024.369","type":"journal-article","created":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T10:58:25Z","timestamp":1717671505000},"page":"52-55","update-policy":"https:\/\/doi.org\/10.34172\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Can Physicians Delay Appendectomy for One Night in Children With Acute Appendicitis?"],"prefix":"10.34172","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9443-5109","authenticated-orcid":true,"given":"Amrollah","family":"Salimi","sequence":"first","affiliation":[{"name":"Department of Surgery, School of Medicine, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seyed Mojtaba","family":"Alavi","sequence":"additional","affiliation":[{"name":"General Practitioner, Qom University of Medical Sciences, Qom, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2370-0478","authenticated-orcid":true,"given":"Mojdeh","family":"Bahadorzadeh","sequence":"additional","affiliation":[{"name":"Department of Surgery, School of Medicine, Shahid Beheshti Hospital, Qom University of Medical Sciences, Qom, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mostafa","family":"Vahedian","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, Research Center for Environmental Pollutants, Qom University of Medical Sciences, Qom, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enayatollah","family":"Noori","sequence":"additional","affiliation":[{"name":"General Practitioner, Qom University of Medical Sciences, Qom, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gulnaz","family":"Rezaie","sequence":"additional","affiliation":[{"name":"General Practitioner, Qom University of Medical Sciences, Qom, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"20123","published-online":{"date-parts":[[2024,1,31]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2013-1243"},{"key":"R2","unstructured":"Kachoie A, Hoseini S, Biderafsh A, Kamalian I, Madani S, Noori E. Comparison of the accuracy of acute appendicitis diagnosis in appendectomies patients at Shahid Beheshti hospital in Qom with global standards. J Sabzevar Univ Med Sci 2020;27(5):692-7. 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