Comparative Study between Same-Day Discharge vs Overnight Stay in Laparoscopic Acute Non-Perforated Appendectomy in a Single Institution
Creators
- 1. Associate Professor, Department of General Surgery, SCB Medical College, Cuttack
- 2. Assistant Professor, Department of General Surgery, SCB Medical College, Cuttack
- 3. Assistant Professor, Department of General Medicine, SCB Medical College, Cuttack
- 4. Assistant Professor, Department of Orthopaedics, Bhima Bhoi Medical College, Balangir
Description
Laparoscopic appendectomy has become one of the most frequent laparoscopic surgeries done by surgeons on a daily basis. When compared to open appendectomy, the advantages are significantly greater, and so the change from open to limited access surgery has gained relevance, primarily in terms of perioperative duration. Small trials conducted over the last decade have shown that same-day discharge following appendectomy may be used for non-perforated appendicitis. We looked at a research group to see whether same-day release in acute non-perforated appendicitis is a safe alternative. All patients over the age of 18 who had acute, non-perforated appendicitis and had a laparoscopic appendectomy were included in the study. individuals released on the day of surgery were compared to individuals hospitalised for one night and followed up on sequentially. The research included 100 patients, 70 of whom were discharged on the same day and 30 of whom were hospitalised. When compared to the hospitalised group, patients in the same-day discharge group had a reduced risk of readmission within 30 days (2.2% vs 3.1%; p 0.005). The hospitalised group had somewhat more postoperative general surgery department visits (85% vs 81%; p 0.001).
Abstract (English)
Laparoscopic appendectomy has become one of the most frequent laparoscopic surgeries done by surgeons on a daily basis. When compared to open appendectomy, the advantages are significantly greater, and so the change from open to limited access surgery has gained relevance, primarily in terms of perioperative duration. Small trials conducted over the last decade have shown that same-day discharge following appendectomy may be used for non-perforated appendicitis. We looked at a research group to see whether same-day release in acute non-perforated appendicitis is a safe alternative. All patients over the age of 18 who had acute, non-perforated appendicitis and had a laparoscopic appendectomy were included in the study. individuals released on the day of surgery were compared to individuals hospitalised for one night and followed up on sequentially. The research included 100 patients, 70 of whom were discharged on the same day and 30 of whom were hospitalised. When compared to the hospitalised group, patients in the same-day discharge group had a reduced risk of readmission within 30 days (2.2% vs 3.1%; p 0.005). The hospitalised group had somewhat more postoperative general surgery department visits (85% vs 81%; p 0.001).
Files
IJPCR,Vol15,Issue12,Article20.pdf
Files
(274.5 kB)
| Name | Size | Download all |
|---|---|---|
|
md5:980e7da785335ac9681dc9f871bba1fb
|
274.5 kB | Preview Download |
Additional details
Dates
- Accepted
-
2023-11-18
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue12,Article20.pdf
- Development Status
- Active
References
- 1. Cross W, Chandru Kowdley G. Laparoscopic appendectomy for acute appendicitis: a safe same-day surgery procedure? Amsurg Surgery Center, 2013;79:802e805. 2. Frazee RC, Abernathy SW, Davis M, et al. Outpatient laparoscopic appendectomy should be the standard of care for uncomplicated appendicitis. Journal of Trauma and Acute Care Surg, 2014; 76:79e82; discussion 83. 3. Page AJ, Pollock JD, Perez S, et al. Laparoscopic versus open appendectomy: an analysis of outcomes in 17,199 patients using ACS/NSQIP. Journal of Gastrointestinal Surgery, 2010;14:1955e1962. 4. Jain A, Mercado PD, Grafton KP, Dorazio RA. Outpatient laparoscopic appendectomy. Surgical Endosc opy, 1995;9:424e425. 5. Piskun G, Kozik D, Rajpal S, et al. Comparison of laparoscopic, open, and converted appendectomy for perforated appendicitis. Surgical endoscopy, Endosc 2001;15: 660e662.6. Cash CL, Frazee RC, Abernathy SW, et al. A prospective treatment protocol for outpatient laparoscopic appendectomy for acute appendicitis. Journal of American College of Surgeons, 2012;215:101e105; discussion 105e106. 7. Cash CL, Frazee RC, Smith RW, et al. Outpatient laparoscopic appendectomy for acute appendicitis. Amsurg Surgery Center, 2012; 78:213e215. 8. Sallinen V, Akl EA, You JJ, et al. Metaanalysis of antibiotics versus appendicectomy for non-perforated acute appendicitis. British Journal of Surgery, 2016;17:10147. 9. Varadhan KK, Neal KR, Lobo DN. Safety and efficacy of antibiotics compared with appendicectomy for treatment of uncomplicated acute appendicitis: metaanalysis of randomised controlled trials. British Medical Journal, 2012;3 44: e2156.