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06.10.2022 | original article

Postoperative driving ability after appendectomy

verfasst von: Patrick Schreiter, Caecilia Ng, Markus Süss, Lukas Moroder, Dietmar Dammerer, Thomas Schmid, Michael Liebensteiner

Erschienen in: European Surgery

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Summary

Purpose

To investigate driving ability (brake reaction time, BRT) after appendectomy. It was assumed that 1 day after appendectomy, BRT would differ significantly from that of a healthy control group (hypothesis 1). It was also hypothesized that BRT would return to normal 2 weeks after surgery (hypothesis 2). The study also intended to compare the patient data and the recommended BRT threshold values as previously published by road authorities.

Methods

BRT was prospectively collected from 20 patients who underwent laparoscopic appendectomy and from 67 healthy controls. BRT was measured preoperatively with a custom-made driving simulator and on postoperative days 1 and 14.

Results

In the control group, median BRT was 544 msec (±183 msec standard deviation, SD). In the patient cohort, median BRT was 640 msec (±343 msec SD) on the first postoperative day. This difference was statistically significant (p = 0.001). Two weeks postoperatively, BRT was 562 msec (±119 msec SD) in the appendectomy patients and no longer differed from that of controls (p = 0.683). BRT values of appendectomy patients were always well below BRT thresholds published by several road authorities.

Conclusion

On the first postoperative day, patients who underwent endoscopic appendectomy showed significantly impaired BRT as compared to healthy controls, but no longer after 2 weeks. However, appendectomy patients were always better than BRT thresholds recommended by several driving authorities. Therefore, it seems justified to allow patients to resume driving on the first postoperative day after endoscopically performed appendectomy.
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Metadaten
Titel
Postoperative driving ability after appendectomy
verfasst von
Patrick Schreiter
Caecilia Ng
Markus Süss
Lukas Moroder
Dietmar Dammerer
Thomas Schmid
Michael Liebensteiner
Publikationsdatum
06.10.2022
Verlag
Springer Vienna
Erschienen in
European Surgery
Print ISSN: 1682-8631
Elektronische ISSN: 1682-4016
DOI
https://doi.org/10.1007/s10353-022-00778-4