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Short hospital stay after appendicectomy
A R K Adesunkanmi1, T A Badmus, U Onakpoya
1Dept of Surgery, College of Health Sciences, Obafemi Awolowo Universitty, Ile-Ife. Nigeria. adesunkanmi@yahoo.com
The Nigerian Postgraduate Medical Journal
|September 13, 2011
Summary
Short hospital stays after appendicectomy are feasible for uncomplicated acute appendicitis cases in Nigerian communities. This approach minimizes postoperative fluid therapy and antibiotic use in carefully selected patients.
Area of Science:
- Surgical outcomes
- Public health
- Appendicitis management
Background:
- Appendicectomy is a common surgical procedure.
- Assessing the feasibility of short hospital stays is crucial for resource optimization.
Purpose of the Study:
- To evaluate the applicability of short hospital stays following appendicectomy.
- To assess outcomes in rural and semi-urban Nigerian communities.
Main Methods:
- A 30-month prospective study.
- Included patients aged 5-70 years with uncomplicated acute appendicitis.
- Clinical diagnosis was the primary selection criterion.
Main Results:
- Operative findings: 80% inflamed/edematous appendix, 25% minimal exudates.
- Postoperative complications: 1.3-5%, managed outpatient.
- Discharge rates: 71.8% on day 2, 20.5% on day 3, 5% on day 4, 1.3% on days 5-7.
Conclusions:
- Short hospital stay is achievable for most uncomplicated appendicectomy patients.
- Minimal postoperative fluid and antibiotic therapy is effective in selected cases.
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