Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?

Background: A very short hospital length of stay following an open appendectomy in children with acute simple appendicitis has never been mentioned yet in the literature. The authors reviewed the outcome of these paediatric patients who were treated with the open technique. Materials and Methods: In...

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Main Authors: Paiboon Sookpotarom, Vichack Chakrapan Na Ayudhya, Vorapatu Tangsirapat
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:African Journal of Paediatric Surgery
Subjects:
Online Access:http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2023;volume=20;issue=1;spage=28;epage=33;aulast=Sookpotarom
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author Paiboon Sookpotarom
Vichack Chakrapan Na Ayudhya
Vorapatu Tangsirapat
author_facet Paiboon Sookpotarom
Vichack Chakrapan Na Ayudhya
Vorapatu Tangsirapat
author_sort Paiboon Sookpotarom
collection DOAJ
description Background: A very short hospital length of stay following an open appendectomy in children with acute simple appendicitis has never been mentioned yet in the literature. The authors reviewed the outcome of these paediatric patients who were treated with the open technique. Materials and Methods: In this analytical cohort observational study, we retrospectively reviewed the medical records of the 115 consecutive patients who underwent open appendectomy from June 2017 to July 2021. Results: There were 84 patients whose appendices were inflammatory or suppurative and appendectomies were done only through McBurney's point. Of these, the average age was 9.11 ± 2.67 years. The mean length of the incision was 1.95 ± 0.48 cm. Nearly one-third (25/85) were discharged within 3 h following surgery. Of the remaining cases, nine patients were discharged within the same day. There were increased percentages of patients who were eligible for early discharge in each consecutive year. Conclusion: The idea of immediate discharge within 3 h seems to be feasible for children with acute simple appendicitis who were treated with open appendectomy. We believe that the practice will be widely acknowledged and proceed to reduce the resources and the expenses in the hospital.
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spelling doaj.art-060aee451d214b5fa1550706bdf08fd12023-02-16T12:00:05ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67252023-01-01201283310.4103/ajps.ajps_174_21Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?Paiboon SookpotaromVichack Chakrapan Na AyudhyaVorapatu TangsirapatBackground: A very short hospital length of stay following an open appendectomy in children with acute simple appendicitis has never been mentioned yet in the literature. The authors reviewed the outcome of these paediatric patients who were treated with the open technique. Materials and Methods: In this analytical cohort observational study, we retrospectively reviewed the medical records of the 115 consecutive patients who underwent open appendectomy from June 2017 to July 2021. Results: There were 84 patients whose appendices were inflammatory or suppurative and appendectomies were done only through McBurney's point. Of these, the average age was 9.11 ± 2.67 years. The mean length of the incision was 1.95 ± 0.48 cm. Nearly one-third (25/85) were discharged within 3 h following surgery. Of the remaining cases, nine patients were discharged within the same day. There were increased percentages of patients who were eligible for early discharge in each consecutive year. Conclusion: The idea of immediate discharge within 3 h seems to be feasible for children with acute simple appendicitis who were treated with open appendectomy. We believe that the practice will be widely acknowledged and proceed to reduce the resources and the expenses in the hospital.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2023;volume=20;issue=1;spage=28;epage=33;aulast=Sookpotaromambulatoryappendectomyappendicitismini-incisionshort stay
spellingShingle Paiboon Sookpotarom
Vichack Chakrapan Na Ayudhya
Vorapatu Tangsirapat
Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?
African Journal of Paediatric Surgery
ambulatory
appendectomy
appendicitis
mini-incision
short stay
title Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?
title_full Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?
title_fullStr Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?
title_full_unstemmed Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?
title_short Are only a few hours adequate for hospitalisation following mini-incision open appendectomy in paediatric patients?
title_sort are only a few hours adequate for hospitalisation following mini incision open appendectomy in paediatric patients
topic ambulatory
appendectomy
appendicitis
mini-incision
short stay
url http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2023;volume=20;issue=1;spage=28;epage=33;aulast=Sookpotarom
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AT vichackchakrapannaayudhya areonlyafewhoursadequateforhospitalisationfollowingminiincisionopenappendectomyinpaediatricpatients
AT vorapatutangsirapat areonlyafewhoursadequateforhospitalisationfollowingminiincisionopenappendectomyinpaediatricpatients