Results of Immediate Discharge From Postanesthesia Care Unit to Home After Laparoscopic Appendectomy for Acute Nonperforated Appendicitis.
BACKGROUND: This study examines the efficacy and safety of immediate discharge from the postanesthesia care unit after laparoscopic appendectomy for patients with acute nonperforated appendicitis.
METHODS: A retrospective study of 114 laparoscopic appendectomy cases was performed. Seventy-four patients met inclusion criteria of having uncomplicated acute appendicitis. Patient demographics, operative times, length of postoperative stay, and complication rates were analyzed.
RESULTS: Only 3 of the 74 patients failed to be discharged immediately. Mean postoperative discharge time was 130.5 minutes with 86% of patients leaving within 3 hours. Delay in voiding was the most common cause of stays longer than 4 hours. Six of the 74 patients (8%) returned to the emergency room without need for readmission. There were no complications associated with the early discharge.
CONCLUSIONS: Immediate discharge from the postanesthesia care unit for patients with acute nonperforated appendicitis appears safe and effective in the community hospital setting.
Published In/Presented At
Hrad, V., & Waisbren, S. J. (2015). Results of Immediate Discharge From Postanesthesia Care Unit to Home After Laparoscopic Appendectomy for Acute Nonperforated Appendicitis. Surgical laparoscopy, endoscopy & percutaneous techniques, 25(4), 343–346. https://doi.org/10.1097/SLE.0000000000000170
Medicine and Health Sciences
Department of Medicine, Department of Medicine Fellows and Residents