A Comparative Study of Laparoscopic versus open Appendicectomy in a District Hospital Setup
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 11
Abstract
Introduction: Laparoscopic appendectomy and open appendectomy are the two methods of choice for appendectomy, the acceptance of laparoscopy over laparotomy still remaining a dogma. The specific aim was to compare the outcomes of both the methods in a district hospital setup. Methods: A non-randomized interventional study was performed in a district hospital for a period of 1 year and follow up period of 3 months in the post op period at regular intervals after 1week, 4 weeks and 12 weeks post-op. Statistical Analysis Used: The data was entered into a Microsoft Excel spreadsheet and then analyzed using the SPSS 20.0.1 and Graph Pad Prism version 5. Results: Lesser hospital stay, intra and post-op analgesia, post-op pain, smaller scars and earlier ambulation, post-op feed and recovery in case of laparoscopic appendectomy as compared to open appendectomy. Conclusion: Superiority of laparoscopic appendectomy over open appendectomy and can undoubtedly be the surgery of choice for both acute and recurrent acute appendicitis in a district level setup in India with better training, manpower and cost effectiveness.
Authors and Affiliations
Dr Ramanuj Mukherjee
Keywords
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