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Laparoscopic Appendectomy Translates into Less Analgesics and Faster Return to Work in Asia

BACKGROUND: Laparoscopic appendectomy (LA) is claimed to require less analgesic and allow for a faster return to work. This study examines whether these benefits hold true in Asian patient populations. METHODS: A retrospective audit of emergency appendectomies over one year was conducted to study ou...

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Autores principales: Rao, Anil Dinkar, Tan, Chung Boon Daryl, Singaporewalla, MD, Reyaz Moiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9215694/
https://www.ncbi.nlm.nih.gov/pubmed/35815330
http://dx.doi.org/10.4293/JSLS.2022.00006
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author Rao, Anil Dinkar
Tan, Chung Boon Daryl
Singaporewalla, MD, Reyaz Moiz
author_facet Rao, Anil Dinkar
Tan, Chung Boon Daryl
Singaporewalla, MD, Reyaz Moiz
author_sort Rao, Anil Dinkar
collection PubMed
description BACKGROUND: Laparoscopic appendectomy (LA) is claimed to require less analgesic and allow for a faster return to work. This study examines whether these benefits hold true in Asian patient populations. METHODS: A retrospective audit of emergency appendectomies over one year was conducted to study outcomes of postoperative pain, length of stay (LOS), duration of analgesia, and hospitalization leave (HL). A telephone questionnaire evaluated post-discharge analgesic intake, residual symptoms at follow-up, adequacy of HL and opinion on teleconsult reviews. RESULTS: Of the 201 patients, 187 (93%) underwent LA. Presurgery symptoms were significantly longer in the open appendectomy (OA) group (mean: OA 3.79, LA 1.81 days; p = 0.026) which also had a higher frequency of perforation (71.4%). LA patients reported less pain compared to OA (LA 3.60 vs. OA 4.14; p = 0.068) but were prescribed the same 2 weeks of analgesics as OA. LOS was significantly less for LA (mean LA 3.09, OA 6.93 days; p = 0.006). Mean HL for LA and OA were 17.9 and 21.8 days respectively (p = 0.05). Nearly 83% patients did not complete the prescribed course of analgesics and 47% patients felt that HL was more than adequate. Seventy-five percent of patients were asymptomatic at hospital follow-up and nearly 41% agreed to teleconsult reviews. CONCLUSION: Majority of LA patients do not need 2 weeks of analgesics and their HL can be shortened for faster return to work thereby realizing the true benefits of minimally invasive surgery. Selected cases can be offered postoperative teleconsultation.
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spelling pubmed-92156942022-07-07 Laparoscopic Appendectomy Translates into Less Analgesics and Faster Return to Work in Asia Rao, Anil Dinkar Tan, Chung Boon Daryl Singaporewalla, MD, Reyaz Moiz JSLS Research Article BACKGROUND: Laparoscopic appendectomy (LA) is claimed to require less analgesic and allow for a faster return to work. This study examines whether these benefits hold true in Asian patient populations. METHODS: A retrospective audit of emergency appendectomies over one year was conducted to study outcomes of postoperative pain, length of stay (LOS), duration of analgesia, and hospitalization leave (HL). A telephone questionnaire evaluated post-discharge analgesic intake, residual symptoms at follow-up, adequacy of HL and opinion on teleconsult reviews. RESULTS: Of the 201 patients, 187 (93%) underwent LA. Presurgery symptoms were significantly longer in the open appendectomy (OA) group (mean: OA 3.79, LA 1.81 days; p = 0.026) which also had a higher frequency of perforation (71.4%). LA patients reported less pain compared to OA (LA 3.60 vs. OA 4.14; p = 0.068) but were prescribed the same 2 weeks of analgesics as OA. LOS was significantly less for LA (mean LA 3.09, OA 6.93 days; p = 0.006). Mean HL for LA and OA were 17.9 and 21.8 days respectively (p = 0.05). Nearly 83% patients did not complete the prescribed course of analgesics and 47% patients felt that HL was more than adequate. Seventy-five percent of patients were asymptomatic at hospital follow-up and nearly 41% agreed to teleconsult reviews. CONCLUSION: Majority of LA patients do not need 2 weeks of analgesics and their HL can be shortened for faster return to work thereby realizing the true benefits of minimally invasive surgery. Selected cases can be offered postoperative teleconsultation. Society of Laparoendoscopic Surgeons 2022 /pmc/articles/PMC9215694/ /pubmed/35815330 http://dx.doi.org/10.4293/JSLS.2022.00006 Text en © 2022 by SLS, Society of Laparoscopic & Robotic Surgeons. https://creativecommons.org/licenses/by-nc-nd/3.0/us/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/us/ (https://creativecommons.org/licenses/by-nc-nd/3.0/us/) ), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Research Article
Rao, Anil Dinkar
Tan, Chung Boon Daryl
Singaporewalla, MD, Reyaz Moiz
Laparoscopic Appendectomy Translates into Less Analgesics and Faster Return to Work in Asia
title Laparoscopic Appendectomy Translates into Less Analgesics and Faster Return to Work in Asia
title_full Laparoscopic Appendectomy Translates into Less Analgesics and Faster Return to Work in Asia
title_fullStr Laparoscopic Appendectomy Translates into Less Analgesics and Faster Return to Work in Asia
title_full_unstemmed Laparoscopic Appendectomy Translates into Less Analgesics and Faster Return to Work in Asia
title_short Laparoscopic Appendectomy Translates into Less Analgesics and Faster Return to Work in Asia
title_sort laparoscopic appendectomy translates into less analgesics and faster return to work in asia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9215694/
https://www.ncbi.nlm.nih.gov/pubmed/35815330
http://dx.doi.org/10.4293/JSLS.2022.00006
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