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  Vol. 142 No. 1, January 2007 TABLE OF CONTENTS
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Delayed Appendectomy for Acute Appendicitis

M. Badruddoja, MD, FRCS, FRACS

Arch Surg. 2007;142(1):99.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

I read with great interest the article by Abou-Nukta et al1 and the comments of few discussants, which were published in the May issue of the ARCHIVES. The authors said that it can be helpful to delay in performing an appendectomy for acute appendicitis for 12 to 24 hours after the diagnosis, especially at night so that trainees, surgeons, and other personnel do not lose sleep—an important consideration since the complication rates and results of immediate and late appendectomy are the same.

The traditional paradigm of surgical education was established by William Halstead more than 100 years ago.2 This paradigm has changed because of a single incident of death, that of Libby Zion in the hospital after an injection of meperidine hydrochloride.3 I feel that this article was written as a result of Libby Zion's death. Such a death may be 1 in . . . [Full Text of this Article]


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