Appendix, Gallbladder and Surgical Emergencies ·
Pelvic ultrasound in women with right iliac fossa pain led to 42% pathology detection, with appendicitis diagnosis in 4.8%. Ultrasound had 78% specificity for appendicitis. Preoperative imaging reduced negative appendicectomy rates to 21.3%. Results advocate for ultrasound as a useful tool alongside clinical assessment in managing these patients.
Journal Article by Standing HR, Boag KF (…) Peckham-Cooper A et 3 al. in Ann R Coll Surg Engl
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Patients who needed emergency general surgery within 60 days of a pulmonary embolism had more major complications than those operated on later, in a national database study.
Among 3,785 patients who had emergency general surgery after acute pulmonary embolism, those operated on at least 60 days later had markedly fewer major adverse events (adjusted OR 0.45, 95% CI 0.37–0.55).
After major emergency abdominal surgery, patients who develop lung complications face much higher death risk, most sharply in the first days.
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