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Day Care Appendectomy Is Safe in Young Patients with Uncomplicated Early Presentation

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Abstract

We analyzed the surgical outcomes of uncomplicated appendicitis in patients treated with conventional or laparoscopic appendectomy on an ambulatory basis compared with those who stayed overnight. Demographics, clinical course, surgery type, length of stay, and surgical outcomes of patients who underwent conventional or laparoscopic appendectomy for uncomplicated appendicitis were measured. Comparisons were performed using Student t test and chi square analysis. A total of 197 patients were enroll in the study, 69 (35%) patients were discharged within 12 h after their surgery with a mean age of 26.1 years ± 10.23, and the rest of the patients (n = 128,65%) were hospitalized, with a mean age of 27.0 years ± 12.2 (p < 0.608). Open treatment was practice on 124 (62.9%) patients, laparoscopic approach was achieved on 73 (37%) patients, and three (1.5%) patients underwent conversion due to difficult dissection. There was a 14-h mean difference between groups, from the initial time of abdominal pain until arrival to the emergency room, with a mean time in the ambulatory group of 27.7 h ± 19.7 and hospitalized group of 42.4 h ± 39.7 (p < 0.001). Five (7.2%) patients on the ambulatory group presented post-surgical complications, with no significant difference from the patients of the inpatient group (n = 6, 4.7%) (p < 0.456). Overall, mortality rate was 0%, and all patients are well and alive with a mean follow-up of 8 months (range, 6–18 months). This study confirms suitability of conventional appendectomy as an outpatient procedure for uncomplicated appendicitis’ management.

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References

  1. Humes DJ, Simpson J (2006) Acute appendicitis. BMJ. 333:530–534

    Article  CAS  Google Scholar 

  2. Marudanayagam R, Williams GT, Rees BI (2006) Review of the pathological results of 2660 appendicectomy specimens. J Gastroenterol 8:745–749

    Article  Google Scholar 

  3. Cosse C, Sabbagh C, Grelpois G, Brehant O, Regimbeau JM (2014) Day case appendectomy in adults: a review. Int J Surg 12(7):640–644. https://doi.org/10.1016/j.ijsu.2014.05.072

  4. Semm K (1983) Endoscopic appendectomy. Endoscopy 15:59–64

    Article  CAS  Google Scholar 

  5. Cash CL, Frazee RC, Abernathy SW et al (2012) A prospective treatment protocol for outpatient laparoscopic appendectomy for acute appendicitis. J Am Coll Surg 215(1):101–106. https://doi.org/10.1016/j.jamcollsurg.2012.02.024

  6. Gorter RR, Eker HH, Gorter-Stam MAW, Abis GSA, Acharya A, Ankersmit M (2016) Diagnosis and management of acute appendicitis. EAES consensus development conference 2015. Surg Endosc 11:4668–4690

    Article  Google Scholar 

  7. Brill A, Ghosh K, Gunnarsson C et al (2008) The effects of laparoscopic cholecystectomy, hysterectomy, and appendectomy on nosocomial infection risks. Surg Endosc 22(4):1112–1118. https://doi.org/10.1007/s00464-008-9815-1

  8. Diario Oficial de la Federación (2012) Norma Oficial Mexicana NOM-026-SSA3–2012, Para la práctica de la cirugía mayor ambulatoria

  9. Jain A, Mercado PD, Grafton KP, Dorazio RA (1995) Outpatient laparoscopic appendectomy. Surg Endosc 4:424–425

    Google Scholar 

  10. Scott A, Shekherdimian S, Rouch JD, Sacks GD, Dawes AJ, Lui WY et al (2017) Same-day discharge in laparoscopic acute non-perforated appendectomy. J Am Coll Surg 1:43–48

    Article  Google Scholar 

  11. Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Steve Eubanks RP (2004) Laparoscopic versus open appendectomy outcomes comparison based on a large administrative database. Ann Surg 1:47–50

    Google Scholar 

  12. Brosseuk DT, Bathe OF (1999) Day-care laparoscopic appendectomies. Can J Surg 42:138–142

    CAS  PubMed  PubMed Central  Google Scholar 

  13. Wilmore DW, Kehlet H (2001) Management of patients in fast track surgery. BMJ. 322:473–476

    Article  CAS  Google Scholar 

  14. Cash CL, Frazee RC, Smith RW, Davis ML, Hendricks JC, Childs EW (2012) Outpatient laparoscopic appendectomy for acute appendicitis. Am Surg 2:213–215

    Article  Google Scholar 

  15. Aguayo P, Alemayehu H, Desai AA, Fraser JD, St. Peter SD (2014) Initial experience with same day discharge after laparoscopic appendectomy for nonperforated appendicitis. J Surg Res 1:93–97

    Article  Google Scholar 

  16. Hussain A, Singh S, Singh Ahi K, Singh M (2014) Status of Day Care Laparoscopic Appendectomy in Developing Countries. Int Sch Res Notices 2014:502786. Published 2014 Jul 10. https://doi.org/10.1155/2014/502786

  17. Alkhoury F, Burnweit C, Malvezzi L, Knight C, Diana J, Pasaron R et al (2012) A prospective study of safety and satisfaction with same-day discharge after laparoscopic appendectomy for acute appendicitis. J Pediatr Surg 2:313–316

    Article  Google Scholar 

  18. Frazee RC, Abernathy SW, Davis M, Hendricks JC, Isbell TV, Regner JL, Smith RW (2014) Outpatient laparoscopic appendectomy should be the standard of care for uncomplicated appendicitis. J Trauma Acute Care Surg 76(1):79–82

    Article  Google Scholar 

  19. Cash CL, Frazee RC, Smith R, Davis ML, Hendricks JC, Childs EW, Abernathy SW (2012) Outpatient laparoscopic appendectomy for acute appendicitis. Am Surg 78:213–215

    Article  Google Scholar 

  20. Pfeil M, Mathur A, Singh S, Morris C, Green G, Kulkarni M (2007 Sep) Home next day: early discharge of children following appendicectomy. J Child Health Care 3:208–220

    Article  Google Scholar 

  21. Velhote CE, de Oliveira Velhote TF, Velhote MC, Moura DC (1999) Early discharge after appendicectomy in children. Eur J Surg 5:465–467

    Google Scholar 

  22. Page AJ, Pollock JD, Perez S, Davis SS, Lin E, Sweeney JF (2010) Laparoscopic versus open appendectomy: an analysis of outcomes in 17,199 patients using ACS/NSQIP. J Gastrointest Surg 1:1955–1962

    Article  Google Scholar 

  23. Dubois L, Vogt KN, Davies W, Schlachta CM (2010) Impact of an outpatient appendectomy protocol on clinical outcomes and cost : a case-control study. J Am Coll Surg 211(6):731–737

    Article  Google Scholar 

  24. Ramesh S, Galland RB (1993) Early discharge from hospital after appendicectomy. Br J Surg 80(9):1192–1193

    Article  CAS  Google Scholar 

  25. Shasin SK, Dhar S (2005) Original article mini-appendectomy (an experience of 100 cases). JK-Practitioner 1:11–13

    Google Scholar 

  26. Bhasin SK, Kumar V, Mahajan M, Kumar R (2012) A comparitive study of mini-appendectomy & conventional-appendectomy in acute appendicitis. JK Sci 14(4):190–193

    Google Scholar 

  27. javadi SMR, Zarghami SY, Ghaderzadeh P, Ghorbanpoor M, Makarchian HR et al (2017) Comparison of Small Access and Classic McBurney’s Incisions for Open Appendectomy: A Randomized Controlled Trial, Shiraz E-Med J 18(10):e14565. https://doi.org/10.5812/semj.14565

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Acknowledgments

The authors would like to thank ENAGO ® substantial edition service and the research group of Bioengineering and Regenerative Medicine from Tecnologico de Monterrey.

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Authors and Affiliations

  1. Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Dr. Ignacio Morones Prieto O 3000, 64710, Monterrey, Mexico

    Mauricio Gonzalez-Urquijo, David Eugenio Hinojosa-Gonzalez & Mario Rodarte-Shade

  2. Hospital Metropolitano “Dr. Bernando Sepúlveda”, Adolfo López Mateos No. 4600, 66400, San Nicolás de los Garza, Nuevo León, Mexico

    Mauricio Gonzalez-Urquijo, Diego A. Guajardo-Nieto, Jose de Jesus Muñiz-Eguia, Mario Rodarte-Shade & Gerardo Gil-Galindo

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  1. Mauricio Gonzalez-Urquijo
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  2. Diego A. Guajardo-Nieto
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  3. Jose de Jesus Muñiz-Eguia
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  4. David Eugenio Hinojosa-Gonzalez
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  6. Gerardo Gil-Galindo
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Contributions

MGU, GGG, and DGN performed the research and wrote the first draft. JJM collected and analyzed the data on the result section. DHG and MRS edited the final version of the manuscript. All authors contributed to the design and interpretation of the study and to further drafts. MGU is the guarantor.

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Correspondence to Mauricio Gonzalez-Urquijo.

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The authors declare that they have no conflict of interest.

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This manuscript has been approved by Tecnologico De Monterrey Ethics Committee and Institutional Review Board (IRB) number 254 and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.

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Gonzalez-Urquijo, M., Guajardo-Nieto, D.A., Muñiz-Eguia, J.d. et al. Day Care Appendectomy Is Safe in Young Patients with Uncomplicated Early Presentation. Indian J Surg 83, 121–125 (2021). https://doi.org/10.1007/s12262-020-02309-5

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  • DOI: https://doi.org/10.1007/s12262-020-02309-5

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