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Laparoscopic appendectomy in an outpatient setting
Michael J Zinaman1, Amber Russell, Radha Sukhani
1Department of Obstetrics and Gynecology and Anesthesiology, Loyola University Medical Center, Maywood, IL 60153, USA.
Study Objective:
To determine the ability to perform laparoscopic appendectomy on an outpatient basis.
Design:
Prospective study (Canadian Task Force classification II-2).
Setting:
University ambulatory surgery center.
Patients:
Forty-two consecutive patients.
Intervention:
Laparoscopic appendectomy.
Measurements And Main Results:
After performing five laparoscopic appendectomies, three women required hospitalization. Thus a new multimodal protocol was implemented and admission and recovery times were monitored. After the new protocol was implemented, only 1 of 37 patients required hospitalization. Discharge times were similar to those for women undergoing gynecologic laparoscopy without appendectomy.
Conclusion:
With attention to surgical and anesthetic protocols, appendectomy can be performed at the time of gynecologic laparoscopy in an ambulatory setting without a significant delay in discharge.
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