A Comparative Study of Laparoscopic Appendicectomy and Open Appendicectomy
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 3
Abstract
Aims and Objectives: Comparative study between laparoscopic appendicectomy and open appendicectomy in terms of safety and benefits with respect to duration of operation, post-operative pain, resumption of oral diet, duration of hospital stay, incidence of complications and cost. Methods: Prospectively collected data from 120 consecutive patients between October 2014 and September 2016 with acute and recurrent appendicitis were studied. These comprised of 60 patients who underwent conventional appendicectomy and 60 patients treated laparoscopically. The two groups were compared with respect to duration of operation, post-operative pain, resumption of oral diet, duration of hospital stay, incidence of complications and cost. Results: Most patients presented in second-third decade of life. Laparoscopic appendectomy was associated with a shorter hospital stay (3.22 Vs5.87 days, P=0.001),longer operating time (70.83±18.28 vs 52.00min, P<0.001),less Post operative pain scores (0.47 vs. 0.73; P < 0.001)at discharge, early resumption of normal diet. Post operative complications were equal in both groups. The total cost of hospital stay was not significantly higher in laparoscopic appendicectomy than open appendicectomy group (11944.78 ±12170.85 Vs 11149.90±1988.76 INR, p<0.619) respectively. There was no mortality in either group. Conclusion: Overall, laparoscopic appendicectomy is better than open appendicectomy in selected patients with acute or recurrent appendicitis.
Authors and Affiliations
Dr B. S Ramesh
Keywords
Related Articles
- EP ID EP278994
- DOI -
- Views 91
- Downloads 0
A Study of Benign and Malignant Lesions of Prostate in a Tertiary Care Hospital
Background: Prostatic disease is responsible for significant morbidity and mortality in men throughout the world. The current study is undertaken to assess the spectrum of tumors affecting the prostate and the utility of...
Anti Mullerian Hormone Levels and Antral Follicle Count as Predictors of In Vitro Fertilisation Outcomes
Objective: To study the role of Anti Mullerian hormone levels and antral follicle count in predicting the outcomes in IVF cycles. Methods: A prospective study was done in fifty women with infertility undergoing IVF treat...
To Compare the Efficacy & Safety of Nerve Stimulation Method with Ultrasound Guidance along With Nerve Stimulation alone for Supraclavicular Brachial Plexus Block
There are several well-established techniques for performing peripheral nerve blocks including paresthesia, nerve stimulation and by using ultrasound. Those advocating the use of nerve stimulators claim that apart from a...
Predictors of Cognitive Impairment in Stroke Servivors
The aim of this study is to determine the various risk factors and stroke characteristics that play a role in development of poststrokecongnitive impairment. A total of 119 chronic stroke patients were included in the st...
Effects of Nasal Suction on Outcome of Bronchiolitis
Objective: To study the effects of nasal suction on infants with bronchiolitis Design: Prospective randomized control study Setting: Department of paediatrics Shyam Shah Medical College and Gandhi Memorial Hospital, Rewa...