A Comparative Evaluation of Two-Port, Three-Port and Open Appendicectomy at a Tertiary Care Teaching Hospital
Journal Title: International Journal of Medical Research Professionals - Year 2017, Vol 3, Issue 3
Abstract
Background: Appendicectomy is the most common surgical procedure performed in emergency surgery. Because of lack of consensus about the most appropriate technique, Appendicectomy is still being performed by both open (OA) and laparoscopic (LA) methods. In this comparative analysis, we aimed to compare the efficacy of Open Appendicectomy, Two-port Appendicectomy and Three port Appendicectomy in the treatment of acute appendicitis. Materials and Methods: Of the 135 patients included in the study, 36 patients were in the open Appendicectomy (OA) group, 59 in two-port and 40 patients were included in the three-port group. The three groups were compared for operative time, length of hospital stay, postoperative pain, complication rate and return to normal activity. Obtained data were compared with cases of open, two and three-port Appendicectomy. Results: The mean operative time was 39.7, 31.94, and 68.14 min for open, two-port, and three-port Appendicectomy groups respectively. Mean length of stay was 3.14, 2.01, and 2.63 days for open, two-port, and three-port Appendicectomy groups respectively. Eleven patients develops surgical site infection, 6 in the open and 2 in the two-port and 3 in three-port Appendicectomy group and one in open group developed post-operative ileus. No mortality was recorded. Conclusion: Patients who underwent two port Appendicectomy had a cosmetically better appearing scar with rapid recovery as compared to three port Appendicectomy and open cases. For uncomplicated appendicitis, the two-port Appendicectomy technique significantly reduces operative time as well as length of hospital stay. It also reduces surgical site infection as compared to open and three- port Appendicectomy group.
Authors and Affiliations
Anmol Tayal, Rohit Sood, Vinay Sharma
Keywords
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- EP ID EP547808
- DOI 10.21276/ijmrp.2017.3.3.024
- Views 94
- Downloads 0
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