A Comparative Analysis between Laparoscopic and Open Appendicectomy in A Rural Medical College Hospital
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 11
Abstract
Background: Appendicectomy is the most commonly performed procedure in emergency & elective surgery these days. It is done by both open and laparoscopic methods. Previously laparoscopic appendicectomy was performed only in corporate hospitals & cities. Nowadays it is practised even in rural areas. In this cross-sectional prospective study, we aim to compare both methods of appendicectomy which was performed in a rural Medical College Hospital – IRT Perundurai Medical College & Hospital. Methods: A cross-sectional prospective study of 88 consecutive patients with the diagnosis of acute appendicitis who underwent laparoscopic (LA) (n=77) and open (n=11) appendectomy (OA) in a period of ten months from OCT 2016 to JULY 2017 was done. A comparative analysis was done between the two groups on the basis of clinical examination, ultrasound findings, operative time, intra-operative findings, pain score, , resumption of normal diet, duration of hospital stay and post-operative complications. Results: Mean age of patients was 39.5 years in the laparoscopic and 40 years in the open group. Laparoscopic appendicectomy was associated with a lesser incidence of wound infection, shorter hospital stay and earlier return to regular diet & normal activities. However the operative time depends on the surgeon’s experience which is longer compared to open appendicectomy. Conclusion: The laparoscopic technique is a safe and clinically beneficial operative procedure. It provides certain advantages over open appendectomy, including short hospital stay, decreased requirement of postoperative analgesia, early food tolerance, and earlier return to normal activities. Where feasible, laparoscopy should be undertaken as the initial procedure of choice for most cases of suspected appendicitis.
Authors and Affiliations
Dr T. Henry Prabakaran
Keywords
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