Laparoscopic appendectomy in an outpatient setting.
OBJECTIVE
To determine the ability to perform laparoscopic appendectomy on an outpatient basis.


METHODS
Prospective study (Canadian Task Force classification II-2).


METHODS
University ambulatory surgery center.


METHODS
Forty-two consecutive patients.


METHODS
Laparoscopic appendectomy.


RESULTS
After performing five laparoscopic appendectomies, three women required hospitalization. Thus a new multimodal protocol was implemented and admission and recovery times were monitored. After the new protocol was implemented, only 1 of 37 patients required hospitalization. Discharge times were similar to those for women undergoing gynecologic laparoscopy without appendectomy.


CONCLUSIONS
With attention to surgical and anesthetic protocols, appendectomy can be performed at the time of gynecologic laparoscopy in an ambulatory setting without a significant delay in discharge.
Zinaman
Michael J
MJ
Department of Obstetrics and Gynecology and Anesthesiology, Loyola University Medical Center, Maywood, IL 60153, USA.
Russell
Amber
A
Sukhani
Radha
R
Uhler
Meike L
ML
D000293:Adolescent; D000328:Adult; D000554:Ambulatory Care Facilities; D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data; D001062:Appendectomy / Q000379:methods*; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D011446:Prospective Studies