Day Care Laparoscopic Appendectomy: A Prospective Study

Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 2

Abstract

Background: Laparoscopic appendectomy is now a commonly performed minimal invasive surgery. However, practice of its use as an ambulatory surgery in our hospital settings is uncommon. Objectives: The objective of this study is to evaluate safety and cost effectiveness of Laparoscopic Appendectomy as a day care surgery. Methods: Study design is case series. 30 patients with uncomplicated symptomatic appendicitis were selected for day care Laparoscopic Appendectomy. They were operated in the morning hours and discharged after a check by the surgeon within 24 hours. Results and Conclusions: Day care laparoscopic appendectomy is eminently feasible with anesthesia requirements included premedication with anxiolytics, sedatives to prevent postoperative nausea and vomiting; and general anesthesia with rapidly acting drugs having high clearance rate, minimal side effects and rapid recovery. Most of the patients can be discharged by the evening of the same day, thus avoiding overnight hospital stay. Proper patient selection prevents unplanned readmission and follow up, thereby increasing success rate. For surgeries of duration less than one and a half hours, the duration of surgery does not significantly affect the timing of discharge. There are many other factors, which affect the day care surgeries.

Authors and Affiliations

Sahil Satish Arora, Balwinder Kaur Rekhi, Harnam Singh Rekhi, Sushil Mittal, Chetan Singla, Armaan Khosa

Keywords

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  • EP ID EP543504
  • DOI 10.21276/ijmrp.2017.3.2.005
  • Views 79
  • Downloads 0

How To Cite

Sahil Satish Arora, Balwinder Kaur Rekhi, Harnam Singh Rekhi, Sushil Mittal, Chetan Singla, Armaan Khosa (2017). Day Care Laparoscopic Appendectomy: A Prospective Study. International Journal of Medical Research Professionals, 3(2), 25-29. https://europub.co.uk/articles/-A-543504