Our Summary

This study compared two groups of patients who had laparoscopic appendectomy (a surgery to remove the appendix) for non-ruptured appendicitis: those who left the hospital the same day as their surgery, and those who stayed overnight for observation. The research found that patients who left the hospital on the same day did not have more emergency room visits or return to the hospital more often than those who stayed overnight. Furthermore, the costs for patients who left the hospital on the same day were lower. Therefore, it is safe and cost-effective for healthy children who have this type of surgery to leave the hospital on the same day.

FAQs

  1. Does leaving the hospital on the same day of a laparoscopic appendectomy increase the risk of emergency room visits or readmission?
  2. Is it safe for healthy children to be discharged on the same day of their laparoscopic appendectomy?
  3. Does staying overnight after a laparoscopic appendectomy increase the overall cost for patients?

Doctor’s Tip

One helpful tip a doctor might give a patient about appendectomy is to follow the post-operative care instructions provided by the medical team. This may include taking prescribed pain medication, avoiding strenuous activity, and keeping the incision site clean and dry. It is important to follow up with the surgeon for any concerns or complications that may arise during the recovery process. Additionally, maintaining a healthy diet and staying well-hydrated can aid in the healing process.

Suitable For

Patients who are typically recommended for appendectomy include those with acute appendicitis, which is inflammation of the appendix. Symptoms of acute appendicitis can include abdominal pain, nausea, vomiting, and fever. In some cases, a ruptured appendix may occur, which can lead to serious complications such as peritonitis.

Other patients who may be recommended for appendectomy include those with chronic or recurrent appendicitis, where the appendix becomes repeatedly inflamed. Additionally, patients with appendiceal tumors or abscesses may also require surgery to remove the appendix.

Overall, patients recommended for appendectomy are those who have symptoms of appendicitis or complications related to the appendix that cannot be managed with conservative treatment. It is important for patients to discuss their symptoms and treatment options with their healthcare provider to determine if appendectomy is the best course of action.

Timeline

Before the appendectomy:

  1. Patient experiences symptoms of appendicitis such as abdominal pain, nausea, vomiting, and fever.
  2. Patient visits a healthcare provider who performs a physical exam, blood tests, and imaging tests to diagnose appendicitis.
  3. Patient is scheduled for a laparoscopic appendectomy surgery.

After the appendectomy:

  1. Patient undergoes laparoscopic appendectomy surgery to remove the inflamed appendix.
  2. Patient is monitored in the recovery room for a few hours post-surgery.
  3. If the patient is deemed stable, they may be discharged on the same day as the surgery.
  4. Patient is given instructions for post-operative care, including pain management, wound care, and diet restrictions.
  5. Patient may experience some pain and discomfort in the days following surgery.
  6. Patient follows up with their healthcare provider for a post-operative check-up to ensure proper healing.
  7. Patient resumes normal activities gradually as they recover from the surgery.

What to Ask Your Doctor

  1. What is an appendectomy and why do I need one?
  2. What are the risks and benefits of having a laparoscopic appendectomy?
  3. What is the recovery process like after a laparoscopic appendectomy?
  4. Will I need to stay in the hospital overnight after the surgery?
  5. What are the potential complications of the surgery and how are they managed?
  6. How soon can I return to my normal activities after the surgery?
  7. Will I need any follow-up appointments after the surgery?
  8. What should I do if I experience any concerning symptoms after the surgery?
  9. Are there any dietary or lifestyle changes I should make after the surgery?
  10. Are there any alternatives to surgery for treating appendicitis?

Reference

Authors: Kashyap MV, Reisen B, Hornick MA, Nace GW, Laje P. Journal: Pediatr Surg Int. 2021 Jul;37(7):859-863. doi: 10.1007/s00383-021-04880-8. Epub 2021 Mar 10. PMID: 33689003