Delayed Surgical Resection Reduces Complications and Ostomy Rate, but Increases Length of Stay and Costs in Geriatric Patients with Sigmoid Volvulus
Delaying sigmoid colectomy (>2 days) after decompression in geriatric patients with sigmoid volvulus is linked to reduced cardiac complications and a lower ostomy rate. However, it extends overall hospital length of stay and increases costs, showcasing the nuanced outcomes associated with the timing of surgical intervention.
Accounting for emergency colon surgery changed infection-risk rankings: safety-net hospitals were no longer more likely to land in the highest-risk group.
Among older adults having urgent abdominal surgery, robotic operations were linked to fewer severe complications and more discharges home, but not shorter stays after adjustment.