Abstract: Laparoscopic appendectomy in an outpatient setting.

Authors:

Zinaman MJ, Russell A, Sukhani R, Uhler ML

Institution:

Department of Obstetrics and Gynecology and Anesthesiology, Loyola University Medical Center, Maywood, IL 60153, USA.

Source:

J Am Assoc Gynecol Laparosc. 2003 Nov;10(4):478-80.

Abstract:

STUDY OBJECTIVE: To determine the ability to perform laparoscopic appendectomy on an outpatient basis. DESIGN: Prospective study (Canadian Task Force classification II-2). SETTING: University ambulatory surgery center. PATIENTS: Forty-two consecutive patients. INTERVENTION: Laparoscopic appendectomy. MEASUREMENTS AND MAIN RESULTS: After performing five laparoscopic appendectomies, three women required hospitalization. Thus a new multimodal protocol was implemented and admission and recovery times were monitored. After the new protocol was implemented, only 1 of 37 patients required hospitalization. Discharge times were similar to those for women undergoing gynecologic laparoscopy without appendectomy. CONCLUSION: With attention to surgical and anesthetic protocols, appendectomy can be performed at the time of gynecologic laparoscopy in an ambulatory setting without a significant delay in discharge.

Keywords:

General Surgery Appendicectomy Laparoscopic