Minerva

In and out surgery for appendicitis . . . and other stories

BMJ 2016; 355 doi: https://doi.org/10.1136/bmj.i6485 (Published 08 December 2016) Cite this as: BMJ 2016;355:i6485

Go home, your appendix is out

Southern Californians who are covered by care consortium Kaiser Permanente and who have laparoscopic surgery for simple appendicitis are likely to be home within 24 hours. And if that happens, they are less likely to be readmitted within 30 days than similar patients who are kept in longer. These are the findings of a retrospective review that compared the records of 6710 patients who were discharged on the same day as their procedure with 5993 patients who were admitted overnight (J Am Coll Surg doi: http://dx.doi.org/10.1016/j.jamcollsurg.2016.10.026). Within the Kaiser system, 60% of patients who have laparoscopic surgery for non-perforated appendicitis are now discharged straight from the recovery room.

Inhaled steroids and adrenal function

The Canadian Paediatric Surveillance Program surveyed over 2500 paediatricians …

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