Use of expedited post-operative protocol for children undergoing appendicostomy reduces length of hospitalization
Topic overview
Retrospective study of 30 pediatric appendicostomy patients shows an expedited post-operative protocol reduced hospital stay from 3 days to 1 day without increasing surgical site infections or unplanned visits. The protocol was applied to children with severe constipation and fecal incontinence who failed medical management.
Key takeaways
- Expedited post-op protocol reduced hospital stay from 3 days to 1 day after appendicostomy without increasing complications
- 30-day surgical site infection rates remained low (7% vs 19%) with expedited discharge protocol
- MiniACE button placement may facilitate earlier discharge compared to traditional Malone appendicostomy
- Early discharge after ACE is safe for children with constipation/fecal incontinence who failed medical management
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