Abstract
Background
Laparoscopic appendectomy for uncomplicated acute appendicitis traditionally requires postoperative hospitalization. Rapid recovery and same-day discharge protocols have been increasingly adopted, yet evidence regarding patient-reported outcomes is limited. This study aimed to compare a rapid recovery program with standard postoperative care, focusing on patient satisfaction, pain experience, and postoperative functional interference with daily activities.Methods
In this prospective, non-randomized observational study with sequential group allocation, 96 consecutive adults undergoing laparoscopic appendectomy for uncomplicated acute appendicitis at a single tertiary hospital were enrolled. Patients were allocated sequentially into standard care (n = 62, enrolled first) or a rapid recovery program (n = 34, enrolled in a subsequent phase). Outcomes included length of hospital stay, postoperative pain intensity (NRS 0-10), pain interference with daily activities, sleep quality, and overall satisfaction, assessed via structured telephone interviews conducted 3-5 days post-discharge.Results
Baseline demographics and comorbidities were comparable between groups. Median hospital stay was significantly shorter in the rapid recovery group compared with standard care (12 vs. 18 h, p Conclusion
Rapid recovery following laparoscopic appendectomy is feasible, well accepted, with high patient satisfaction and a modest reduction in hospital stay.Trial registration
ISRCTN registered.