Title

Delayed versus immediate surgical intervention for perforated appendicitis

Authors

J Naveen Bose¹, Rhea Khamitkar², Emilda Ambrose³, Kaushik Nattamai Rameshbabu⁴, Priyanka Perumal⁵, Toufique Khan^6*, Keerthika Muniasamy⁷ & P Shoraf⁸

Affiliation

¹Department of Emergency Medicine, Madurai Medical College, Panagal Rd, Alwarpuram, Madurai, Tamil Nadu, India; ²Department of Internal Medicine, Sparsh Hospital Bengaluru, Karnataka, India; ³Department of Emergency Medicine, St. Joseph's Hospital, Dharmagiri, Kothamangalam, Ernakulam, Kerala, India; ⁴Department of Surgery, Madras Medical College, Chennai, Tamil Nadu, India; ⁵Department of General Surgery, SRM Medical College Hospital and Research Centre, Chengalpattu, Tamil Nadu, India; ⁶Department of Acute Medicine and Emergency, Labaid Specialized Hospital and Diagnostic Center, Dhaka 1205, Bangladesh; ⁷Department of General Surgery, Madras Medical College, Chennai, Tamil Nadu, India; ⁸Department of Community Medicine, Madha Medical College and Research Institute, Kovur, Chennai, Tamil Nadu, India; *Corresponding author

Email

J Naveen Bose - E-mail: naveenbose.j@gmail.com
Rhea Khamitkar - E-mail: dr.rheakhami@gmail.com
Emilda Ambrose - E-mail: emildacatherine50@gmail.com
Kaushik Nattamai Rameshbabu - E-mail: nrkaushik2000@gmail.com
Priyanka Perumal - E-mail: pranks03choco@gmail.com
Toufique Khan - E-mail: toufiquekhan777@gmail.com
Keerthika Muniasamy - E-mail: keerthimmc23@gmail.com
P Shoraf - E-mail: drshorafbaylon@gmail.com

Article Type

Research Article

Date

Received June 30, 2025; Revised June 30, 2025; Accepted June 30, 2025, Published June 30, 2025

Abstract

Perforating appendicitis is a critical condition that needs urgent surgery. However, there is controversy exists regarding early versus delayed surgery. Hence, we assessed 100 patients with immediate surgery in 50 cases and delayed intervention in the remaining 50 cases. The patients were followed up for one year to determine postoperative complications, hospital stay and recovery. Results indicated that early surgery decreased complications and hospital stay very significantly. These results underscore the significance of prompt surgical intervention in enhancing outcomes and lowering healthcare costs.

Keywords

Appendicitis, perforation, surgery, immediate intervention, delayed intervention, postoperative complications, emergency medicine

Citation

Bose et al. Bioinformation 21(6): 1612-1615 (2025)

Edited by

A Prashanth

ISSN

0973-2063

Publisher

Biomedical Informatics

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.