Table of Contents
International Scholarly Research Notices
Volume 2014, Article ID 502786, 5 pages
http://dx.doi.org/10.1155/2014/502786
Clinical Study

Status of Day Care Laparoscopic Appendectomy in Developing Countries

1Akhlak Hussain: Safdarjang Hospital, New Delhi 110029, India
2Sarabjit Singh, Kuldip Singh Ahi and Mohinder Singh: Rajindra Hospital, Patiala, Punjab 147001, India

Received 18 April 2014; Revised 15 May 2014; Accepted 18 May 2014; Published 10 July 2014

Academic Editor: Roberto Cirocchi

Copyright © 2014 Akhlak Hussain et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The practice of laparoscopic appendectomy as an ambulatory surgery is uncommon even in apex institutes, more so in developing countries, despite proven feasibility. To promote this practice in the developing countries like ours, we attempted to find the safety and cost effectiveness in such institutions which have limited resources. Thirty cases of symptomatic appendicitis were tried for same day discharge after laparoscopic appendectomies. The results were encouraging with 87% patients discharged on the same day and 13% on the next day in the early morning. Among the next day discharged cases, only 03% stayed for medical reasons (nausea, vomiting, and pain) while 10% stayed as their attendants declined to leave (social reasons), even though they were medically eligible for discharge from the hospital. There were no significant postoperative complications except tolerable pain in all patients and mild to moderate nausea/vomiting in 80%. There was no readmission. The mean length of hospital stay was 11.20 hrs. At the time of discharge all patients were highly satisfied. We concluded that routine same day discharge is safe and feasible after appendectomies in developing countries, with social decline as the main hurdle which can be improved by proper communication.