Our Summary

This research study looked at the best surgical method for removing the appendix in extremely overweight patients. The two methods compared were laparoscopic appendectomy (a minimally invasive surgery using small incisions) and open appendectomy (a traditional surgery with a larger incision). The researchers reviewed the medical records of 2179 patients who had their appendix removed due to acute appendicitis between 2010 and 2019. The study didn’t include people who were of a certain age.

FAQs

  1. What was the aim of the study on laparoscopic appendectomy and open appendectomy operations?
  2. How many patients’ records were evaluated in the study between 2010 and 2019?
  3. What were the exclusion criteria for the patients in this study?

Doctor’s Tip

One helpful tip a doctor might tell a patient about laparoscopic appendectomy is to follow their post-operative care instructions carefully, including taking prescribed medications, watching for signs of infection, and gradually returning to normal activities as advised. It is also important to keep the incision sites clean and dry to prevent infection. If any unusual symptoms or complications arise, the patient should contact their doctor immediately.

Suitable For

Patients who are typically recommended for laparoscopic appendectomy include those with acute appendicitis, regardless of age, who are otherwise healthy and do not have any contraindications to laparoscopic surgery. Additionally, patients with morbid obesity may benefit from laparoscopic appendectomy as it is associated with decreased postoperative pain, shorter hospital stays, and quicker recovery times compared to open appendectomy. However, the decision to perform a laparoscopic appendectomy should be made on a case-by-case basis by a surgeon based on the individual patient’s medical history and condition.

Timeline

  1. Initial symptoms: Before the surgery, the patient typically experiences symptoms of acute appendicitis, such as abdominal pain, nausea, vomiting, and fever.

  2. Diagnosis: The patient is evaluated by a healthcare provider who may order imaging tests, such as an ultrasound or CT scan, to confirm the diagnosis of appendicitis.

  3. Pre-operative preparation: The patient undergoes pre-operative tests and assessments to ensure they are fit for surgery. This may include blood tests, ECG, and a pre-operative consultation with the surgeon.

  4. Surgery: The patient undergoes laparoscopic appendectomy, during which small incisions are made in the abdomen and a laparoscope is used to remove the appendix. The surgery typically lasts around 30-60 minutes.

  5. Recovery: After the surgery, the patient is monitored in the recovery room before being transferred to a hospital room. Pain medication and antibiotics are often prescribed to manage pain and prevent infection.

  6. Post-operative care: The patient is advised to follow post-operative instructions, such as avoiding heavy lifting, eating a light diet, and gradually increasing activity levels. Follow-up appointments may be scheduled to monitor recovery progress.

  7. Return to normal activities: Most patients are able to return to normal activities within a few weeks following laparoscopic appendectomy. The incision sites typically heal within a few weeks, leaving minimal scarring.

What to Ask Your Doctor

  1. What are the potential risks and benefits of a laparoscopic appendectomy compared to an open appendectomy for me as a patient with morbid obesity?
  2. How experienced are you in performing laparoscopic appendectomies on patients with morbid obesity?
  3. Will my recovery time be shorter with a laparoscopic appendectomy compared to an open appendectomy?
  4. What is the likelihood of complications or infections following a laparoscopic appendectomy in patients with morbid obesity?
  5. Are there any specific guidelines or recommendations I should follow before and after a laparoscopic appendectomy due to my morbid obesity?
  6. How will my weight and obesity impact the surgical procedure and recovery process for a laparoscopic appendectomy?
  7. What is the success rate of laparoscopic appendectomies in patients with morbid obesity compared to open appendectomies?
  8. Are there any alternative treatment options or considerations I should be aware of for my appendicitis given my morbid obesity?
  9. Will I require any special accommodations or post-operative care due to my obesity following a laparoscopic appendectomy?
  10. Can you provide me with any additional information or resources about laparoscopic appendectomies in patients with morbid obesity?

Reference

Authors: Katar MK, Başer M, Ersoy PE. Journal: Med Sci Monit. 2020 Dec 8;26:e928067. doi: 10.12659/MSM.928067. PMID: 33335087