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Related Concept Videos

Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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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:
Diagnosing Appendicitis
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...
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Appendicitis-I: Introduction01:22

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The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
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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.
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Related Experiment Video

Updated: Feb 19, 2026

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
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A prospective same day discharge protocol for pediatric appendicitis: Adding value to a common surgical condition.

Yangyang R Yu1, Carolyn M Smith2, Kimberly K Ceyanes1

  • 1Division of Pediatric Surgery, Texas Children's Hospital and Michael E. DeBakey Department of Surgery, Baylor College of Medicine.

Journal of Pediatric Surgery
|November 7, 2017
PubMed
Summary

Same day discharge (SDD) for pediatric simple appendicitis is safe and effective. This protocol reduces hospital length of stay and costs while maintaining patient satisfaction and low complication rates.

Keywords:
AppendicitisCost analysisPediatricQuality improvementSame day dischargeValue

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Area of Science:

  • Pediatric Surgery
  • Health Economics
  • Clinical Pathways

Background:

  • Standardized clinical pathways for simple appendicitis have demonstrated benefits in reducing length of stay and healthcare costs.
  • A same-day discharge (SDD) protocol offers potential for further optimization of care for pediatric appendicitis.

Purpose of the Study:

  • To prospectively evaluate the safety, efficacy, and economic impact of a same-day discharge (SDD) protocol for children with simple appendicitis.
  • To compare resource utilization, patient satisfaction, and costs between SDD and non-SDD patients.

Main Methods:

  • Prospective cohort study of children undergoing laparoscopic appendectomy for simple appendicitis.
  • Comparison of length of stay, 30-day resource utilization (ED visits, readmissions), patient satisfaction, and hospital costs between SDD and non-SDD groups.
  • Level II evidence based on prognosis study design.

Main Results:

  • 185 out of 602 (31%) children were successfully discharged on the same day.
  • SDD significantly reduced overall length of stay (17.1 vs. 31.2 hours) and hospital costs ($8073 vs $8424).
  • Complication rates, ED visits, and readmissions were not significantly different between groups. Patient satisfaction was high (9.4/10).

Conclusions:

  • Same-day discharge is a safe and satisfactory management option for select pediatric patients with simple appendicitis.
  • Implementing an SDD protocol generates significant value for the healthcare system through cost savings and efficient resource utilization.