Our Summary

This research paper discusses whether removing a healthy appendix during unrelated abdominal surgery could potentially save costs and prevent future risk of appendicitis. The researchers used a hypothetical model of patient groups ranging in age from 18 to 80, who were undergoing elective (chosen, not emergency) laparoscopic (minimally invasive) abdominal and pelvic procedures. The study compared the cost and risk of preventative appendix removal to the potential future risk and cost of developing appendicitis.

The researchers concluded that for young adults (males aged 18-27 and females aged 18-28), removing a healthy appendix during elective surgery could save money in the long run. For example, a 20-year-old female could save $130 over her lifetime by having her appendix removed preventatively, while a 40-year-old female would lose $130 over her lifetime. However, if the risk or cost of the preventative procedure is higher than the risk or cost of an emergency appendix removal due to appendicitis, it would be more cost-effective to skip the preventative removal.

FAQs

  1. What age group could potentially benefit from a preventative appendix removal during elective surgery according to the study?
  2. How does the cost-effectiveness of preventative appendix removal compare to the cost of an emergency appendix removal due to appendicitis?
  3. Does the study suggest that removing a healthy appendix during unrelated surgery could save costs and prevent future risk of appendicitis for all age groups?

Doctor’s Tip

A doctor might tell a patient that while having an appendectomy is a common and safe procedure, it is important to follow post-operative care instructions carefully to ensure a smooth recovery. This may include taking prescribed pain medications, avoiding strenuous activities, and watching for signs of infection such as fever or increasing pain. It is also important to follow up with the surgeon for any necessary follow-up appointments to monitor healing progress.

Suitable For

Therefore, patients who are young adults and undergoing elective abdominal or pelvic surgery may be recommended for appendectomy as a preventative measure. However, for older patients or those with a higher risk of complications from surgery, the decision to remove a healthy appendix may not be recommended. Ultimately, the decision to undergo appendectomy should be made on a case-by-case basis, taking into consideration the patient’s age, overall health, and individual risk factors for developing appendicitis.

Timeline

Before appendectomy:

  • Patient experiences symptoms such as abdominal pain, nausea, vomiting, and fever
  • Patient visits a doctor for evaluation and diagnosis
  • The doctor may order imaging tests such as ultrasound or CT scan to confirm appendicitis
  • Patient undergoes surgery to remove the inflamed appendix (appendectomy)

After appendectomy:

  • Patient is monitored in the hospital for a few days post-surgery
  • Patient may experience pain and discomfort at the incision site
  • Patient is advised to rest and avoid strenuous activities for a few weeks
  • Patient is prescribed pain medication and antibiotics to prevent infection
  • Patient follows up with the surgeon for a post-operative check-up
  • Patient gradually resumes normal activities as they recover from the surgery.

What to Ask Your Doctor

  1. What are the risks and benefits of removing a healthy appendix during my elective abdominal surgery?
  2. How likely am I to develop appendicitis in the future if I choose not to have my appendix removed preventatively?
  3. What are the potential long-term cost savings or additional costs associated with having my appendix removed preventatively?
  4. How does my age and gender affect the potential benefits of preventative appendix removal?
  5. Are there any alternative methods or treatments available to prevent appendicitis in the future?
  6. How would the decision to remove my appendix preventatively impact my recovery time and overall surgical experience?
  7. What factors should I consider when deciding whether to have my appendix removed preventatively during my elective surgery?
  8. How does my overall health and medical history play a role in determining whether preventative appendix removal is the right choice for me?
  9. What are the potential complications or risks associated with having my healthy appendix removed as a preventative measure?
  10. Are there any follow-up care or monitoring requirements if I choose to have my appendix removed preventatively?

Reference

Authors: Newhall K, Albright B, Tosteson A, Ozanne E, Trus T, Goodney PP. Journal: Surg Endosc. 2017 Sep;31(9):3596-3604. doi: 10.1007/s00464-016-5391-y. Epub 2017 Jan 11. PMID: 28078461