Author Affiliation: Department of Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland.
Emergency operations performed on weekends are associated with more complications than those performed on weekdays. The article by Worni et al1 highlights the problem of the influence of available surgical expertise on the postoperative outcomes of a very common disease. They analyzed data on more than 31 000 patients with left-sided diverticulitis, categorized into 2 groups admitted on weekends vs weekdays. The authors showed that admission during the weekend significantly increased the risk of postoperative complications and the frequency of performance of a Hartmann procedure.
Metzger J. Postpone Your Operation to a Weekday, or Look for an Experienced SurgeonComment on “Worse Outcomes in Patients Undergoing Urgent Surgery for Left-Sided Diverticulitis Admitted on Weekends vs Weekdays”. Arch Surg. 2012;147(7):655-656. doi:10.1001/archsurg.2012.845