TO REVIEW THE OUTCOME OF LAPAROSCOPIC APPENDICECTOMY VERSUS OPEN APPENDICECTOMY

Dr. Surya Prakash; Dr. Saurabh Purohit; Dr. Abhishek Sahu

Volume : IX, Issue : I, January - 2020

TO REVIEW THE OUTCOME OF LAPAROSCOPIC APPENDICECTOMY VERSUS OPEN APPENDICECTOMY

Dr. Surya Prakash, Dr. Saurabh Purohit, Dr. Abhishek Sahu

Abstract :

Summary and Background: Acute appendicitis is one of the common emergency surgical problems and appendicectomy has been the treatment of choice. Yet laparoscopic appendicectomy has struggled to prove its superiority over the open appendicectomy. Aims: Our aim is to compare the outcome of laparoscopic appendicectomy versus open appendicectomy in a prospective randomized study. Material and Methods: In our study total 50 patients (25+25) were analyzed. After relevant preoperative checkup and investigations diagnosis would be confirmed by Alvarado score and high resolution sonography abdomen. The main outcome measures are duration of surgery, post operative complications and hospital stay. Results: The mean duration of surgery was slightly shorter in open appendicectomy group (46.40�13.57 min) as compared to laparoscopic group (49.12�12.70 min), but was statistically not significant, p value=0.46. In open appendicectomy 12% patients developed complications like surgical site infection and paralytic ileus, but in laparoscopic appendicectomy group no patient developed any complication in our study. The mean duration of hospital stay was shorter in laparoscopic appendicectomy (3.72�1.061 days) than open appendicectomy (5.72�1.1 days), which was statistically significant. Conclusion: Though laparoscopic appendicectomy takes slightly longer operative time as compared to open appendicectomy however laparoscopic appendicectomy have advantages of shorter hospital stay, less post operative pain and negligible post operative complications, so our study hereby concludes that laparoscopic appendicectomy is a better procedure than open appendicectomy in cases of acute appendicitis.