Outpatient Laparoscopic Appendectomy: Is It Time to End the Discussion?

Frazee, Richard C.; Abernathy, Stephen; Isbell, Claire L.; Isbell, Travis; Regner, Justin L.; Smith, R. E.

doi:10.1016/j.jamcollsurg.2015.12.053

Cited by 32 publications

(19 citation statements)

References 25 publications

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“…There were no mortalities or reoperations. Including the readmissions, overall success with outpatient management was 85% [151]. The recent RCT by Trejo-Avila et al stated that ERAS implementation for appendectomy is associated with a significantly shorter LOS, allowing for the ambulatory management of patients with uncomplicated AA.…”

Section: Q44: Does Laparoscopic Single-incision Surgery Confer Any mentioning

confidence: 99%

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

et al. 2020

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Background and aims: Acute appendicitis (AA) is among the most common causes of acute abdominal pain. Diagnosis of AA is still challenging and some controversies on its management are still present among different settings and practice patterns worldwide. In July 2015, the World Society of Emergency Surgery (WSES) organized in Jerusalem the first consensus conference on the diagnosis and treatment of AA in adult patients with the intention of producing evidence-based guidelines. An updated consensus conference took place in Nijemegen in June 2019 and the guidelines have now been updated in order to provide evidence-based statements and recommendations in keeping with varying clinical practice: use of clinical scores and imaging in diagnosing AA, indications and timing for surgery, use of nonoperative management and antibiotics, laparoscopy and surgical techniques, intra-operative scoring, and perioperative antibiotic therapy.

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Section: Q44: Does Laparoscopic Single-incision Surgery Confer Any mentioning

confidence: 99%

Diagnosis and treatment of acute appendicitis: 2020 update of the WSES Jerusalem guidelines

et al. 2020

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“…A recent study treated a total of 563 patients with an acute appendicectomy: 86% (484) were treated as outpatients in a day case setting with a 1.3% (7) readmission rate. 34 What if the appendix is normal at laparoscopy?…”

Section: Which Approach?mentioning

confidence: 99%

Acute appendicitis

Baird

Simillis

Kontovounisios

et al. 2017

BMJ

147

107

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“…5,6 Outpatient laparoscopic appendectomy for uncomplicated appendicitis has been examined as a treatment strategy and its use is increasing. [7][8][9] Success of an outpatient appendectomy approach hinges on patient education, clear communication of expectations, and reliable follow-up. In a large public safety-net hospital that provides care to an underserved population, these factors are not always easily attainable.…”

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confidence: 99%