One Less: Single-Incision Laparoscopic Appendectomy Facilitates Postoperative Opioid Avoidance

• DOI: 10.1089/lap.2022.0489
• Publication Date: 2025-02-19T08:26:41Z
• Authors: Paul M. Jeziorczak; Casey J. Goodyear; Olivia A. Perham; Riley S. Frenette; Charles J. Apraha...

Background: Opioid use has become an epidemic problem. There been a recent push toward strategies that minimize postoperative opioid use. Appendectomy is one of the most common procedures performed in pediatric population. Single-incision appendectomy through umbilicus safe and well-tolerated procedure. The aim this project was to review utilization children who have undergone single incision for perforated nonperforated appendicitis. Methods: A retrospective review, approved by University Illinois College Medicine Institutional Review Board, 500 patients at institution under age 18 had between May 1, 2018, December 2021, performed. final population cohort 432 assembled after excluding non-single-incision cases (67) non-appendectomy (1). Outcomes interest were length stay, age, appendix perforation status, opioids discharge status. All sent home without opioids. Results: total underwent laparoscopic appendectomy, with overall average stay 2.1 days, 11.1 years, zero on (n = 169) yielded less than 4-day 10.33 61.5% male. Meanwhile, 264) revealed 0.8-day 11.59, years 54.2% differences appendectomies are significant (P < .001) .01). Conclusion: Being cognizant management pain control important address current crisis. approach can potentially decrease need narcotics. No narcotics our procedure well tolerated be traditional equipment.