Our Summary

This study aimed to compare two types of surgery used to treat appendicitis: needlescopic appendectomy (NA) and conventional laparoscopic appendectomy (CLA). The researchers were particularly interested in the effectiveness of these procedures in younger patients under 40, for whom appearance after surgery may be a concern. They looked at data from patients who had either of these surgeries between 2013 and 2017.

The results showed that there were no significant differences between the two groups in terms of age, gender, body mass index, or type of appendicitis. However, the NA procedure was found to be quicker and resulted in shorter hospital stays. The number of complications after surgery was similar for both groups.

In conclusion, the study suggests that NA may be an effective technique for appendicitis surgery in younger patients.

FAQs

  1. What were the two types of surgery compared in the study for treating appendicitis?
  2. Was there any significant difference between the needlescopic appendectomy and conventional laparoscopic appendectomy in terms of recovery time and complications?
  3. Does the study suggest that needlescopic appendectomy is an effective technique for appendicitis surgery in younger patients?

Doctor’s Tip

A doctor may advise a patient undergoing a laparoscopic appendectomy to follow post-operative care instructions carefully, such as avoiding heavy lifting or strenuous activity for a certain period of time. They may also recommend taking pain medication as prescribed and keeping the incision site clean and dry to prevent infection. Additionally, the doctor may suggest following a healthy diet and staying hydrated to aid in the healing process.

Suitable For

Patients who are typically recommended for laparoscopic appendectomy include those who have been diagnosed with appendicitis and are in generally good health. Younger patients under the age of 40, like those studied in the research mentioned above, may be particularly suitable candidates for laparoscopic appendectomy. It is important for patients to discuss their specific medical history and individual circumstances with their healthcare provider to determine the most appropriate treatment option.

Timeline

Before Laparoscopic Appendectomy:

  • Patient presents with symptoms of appendicitis such as abdominal pain, nausea, vomiting, and fever.
  • Patient undergoes physical examination, blood tests, and imaging studies (such as ultrasound or CT scan) to confirm the diagnosis of appendicitis.
  • Surgery is recommended as the treatment for appendicitis.
  • Patient may undergo preoperative preparations, such as fasting and receiving anesthesia.

During Laparoscopic Appendectomy:

  • Small incisions are made in the abdomen.
  • A laparoscope (a thin tube with a camera) is inserted through one of the incisions to view the appendix.
  • Surgical instruments are inserted through the other incisions to remove the appendix.
  • The appendix is removed and the incisions are closed with sutures or surgical tape.
  • The procedure typically takes about 30 minutes to 1 hour.

After Laparoscopic Appendectomy:

  • Patient is monitored in the recovery room before being transferred to a hospital room.
  • Patient may experience mild pain and discomfort in the abdomen.
  • Patient is encouraged to walk and resume normal activities as soon as possible to aid in recovery.
  • Patient may be discharged from the hospital within 1 to 2 days after surgery.
  • Patient may be prescribed pain medication and antibiotics to prevent infection.
  • Patient will have follow-up appointments with the surgeon to monitor healing and recovery.

What to Ask Your Doctor

  1. What is the difference between needlescopic appendectomy (NA) and conventional laparoscopic appendectomy (CLA)?
  2. Which type of surgery do you recommend for my specific case of appendicitis?
  3. How long will the surgery take and what is the expected recovery time?
  4. What are the potential risks and complications associated with each type of surgery?
  5. Will there be any visible scarring after the surgery, and if so, how can it be minimized?
  6. How experienced are you in performing both NA and CLA procedures?
  7. Are there any specific post-operative instructions or restrictions I should follow?
  8. What is the success rate of each type of surgery in treating appendicitis?
  9. Will I need any follow-up appointments or tests after the surgery?
  10. Are there any alternative treatment options for appendicitis that I should consider?

Reference

Authors: Okamoto N, Sujishi K, Tsugawa S, Jin L, Suzuki T, Waseda M. Journal: Asian J Endosc Surg. 2023 Apr;16(2):241-247. doi: 10.1111/ases.13146. Epub 2022 Nov 24. PMID: 36426403