Evaluating the Safety and Efficacy of a Outpatient Appendectomy

A Randomized Double-blind Clinical Trial to Evaluate the Safety and Efficacy of a Outpatient Appendectomy (PENDI_CSI)

This study evaluates the Safety and Efficacy of a outpatient appendectomy. Half of participants will be perform the hospitalization, while the other half will undergo the outpatient appendectomy

Acute appendicitis (AA) is one of the most common causes of acute abdomen and one of the most frequent diagnoses that require urgent surgery worldwide.

Many laparoscopic procedures are currently performed on an outpatient basis.Laparoscopic appendectomy, however, continues to require postoperative hospitalization averaging between 1 and 2 days, at most institutions.

At present ambulatory laparoscopic appendectomy (LA) are gained popularity due to the improved understanding of patient selection criteria, the application of enhanced recovery pathways, and the potential for improving healthcare resource utilization.

There are few studies about to compare the morbidity and readmission rates between ambulatory and conventional LA.

There is a lack of high-quality comparative studies making conclusive recommendations not possible at this time. Based on current data, ambulatory LA may be safe and feasible as compared with conventional LA.

Inclusion Criteria:

• Patients over 14 years of age and who provide informed consent to participate in the study.
• Patients with non complicated acute appendicitis requiring and urgent appendectomy (laparoscopic or minimum incision)
• Negative appendicectomy.

Exclusion Criteria:

• Complicated acute appendicitis (abscess, perforated, necrosis and peritonitis)
• Need to place intraoperative drainage.
• Patients with American Society of Anesthesiologists (ASA) >IV.
• Immunosuppressed patients.
• Pregnant.
• Possibility of inflammatory bowel disease.
• No family support.
• No informed consent signature.
• Impossibility to comply with the established follow-up