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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
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It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...

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Related Experiment Video

Updated: May 9, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
03:33

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Published on: September 27, 2024

Laparoscopic appendectomy for acute appendicitis: a safe same-day surgery procedure?

Wirt Cross1, Gopal Chandru Kowdley

  • 1Saint Agnes Hospital, Baltimore, Maryland 21229, USA.

The American Surgeon
|July 31, 2013
PubMed
Summary

Short hospital stays for appendicitis are safe and effective. Laparoscopic appendectomy patients discharged within 24 hours, even under 7 hours, showed no increase in readmissions or complications, suggesting potential for earlier discharge.

Related Experiment Videos

Last Updated: May 9, 2026

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
03:33

Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein

Published on: September 27, 2024

Area of Science:

  • General Surgery
  • Gastroenterology

Background:

  • Appendicitis is a common surgical emergency in the US, typically requiring inpatient admission.
  • Recent trends include antibiotic therapy and incentivized short-stay procedures (e.g., 23-hour stays).

Purpose of the Study:

  • To evaluate the safety and efficacy of early discharge after laparoscopic appendectomy.
  • To compare outcomes for patients with length of stay (LOS) less than 24 hours versus longer stays.

Main Methods:

  • Retrospective review of 84 laparoscopic appendectomies (June 2010 - October 2012).
  • Exclusion of open conversions, concurrent diseases, and incidental appendectomies.
  • Analysis of pathology, comorbidities, readmission rates, and LOS.

Main Results:

  • 55 patients (65%) had LOS < 24 hours; 19 patients (22%) discharged < 7 hours.
  • Patients discharged < 24 hours had one readmission (95% simple appendicitis).
  • No significant difference in complications or readmissions between early (<24h) and longer LOS groups.

Conclusions:

  • Early discharge (<24 hours) after uncomplicated laparoscopic appendectomy appears safe.
  • Subgroup analysis suggests discharge from the postanesthesia care unit should be further evaluated.
  • This supports exploring shorter hospital stays for select appendicitis patients.