1. Outpatient management of acute uncomplicated appendicitis after laparoscopic appendectomy: a randomized controlled trial
- Author
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Jordi Elvira López, Ricard Sales Mallafré, Erlinda Padilla Zegarra, Luis Carrillo Luna, Joan Ferreres Serafini, Roisin Tully, Robert Memba Ikuga, and Rosa Jorba Martin
- Subjects
Appendicitis ,Acute appendicitis ,Uncomplicated acute appendicitis ,Outpatient management ,Laparoscopic appendectomy ,ERAS protocol ,Surgery ,RD1-811 ,Medical emergencies. Critical care. Intensive care. First aid ,RC86-88.9 - Abstract
Abstract Objective To confirm the safety and efficacy of outpatient management of laparoscopic appendectomy, with an enhanced recovery after surgery (ERAS) protocol, in adult patients with uncomplicated acute appendicitis. Summary background data Outpatient laparoscopic appendectomy is feasible and secure in selected patients in observational studies. The benefits include reduced length of stay (LOS) and postoperative complications. This is the first randomized controlled trial of outpatient management following ERAS protocol. Methods Patients admitted from the emergency department with acute appendicitis were randomized into one of two groups: standard care within the hospital (HG) or the outpatient group (OG). An ERAS protocol was followed for both groups. Patients in the HG were admitted to the surgical ward. Patients in the OG were referred to the day-surgery unit. The primary endpoint was the length of stay. Results Ninety-seven patients were included: 49 in the OG and 48 in the HG. LOS was significantly shorter in the OG (mean 8.82 h) than in the HG (mean 43.53 h), p
- Published
- 2022
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