Routine Group-and-Save (G+S) Testing Prior to Laparoscopic Appendectomy: A 10-Year Single-Centre Review

Routine preoperative G+S testing before laparoscopic appendectomy provides minimal clinical benefit in low-risk patients and represents unnecessary resource use. Our 10-year data show an extremely low transfusion rate, with most transfusions driven by patients' underlying conditions rather than operative bleeding. These findings support a selective, risk-based approach to G+S: reserve testing for patients with significant comorbidities or anticipated complex surgery while omitting routine G+S in low-risk cases. Such a strategy would maintain patient safety but reduce laboratory workload and costs.