A Comparative Study of Open versus Laparoscopic Appendicectomy in Tertiary Care Hospital in South India
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 4
Abstract
Introduction: Appendicectomy is one of the commonest procedures in general surgery. Laparoscopic appendicectomy is likely to have less postoperative pain, decreased wound infection, better cosmesis and and early return to routine work. Objectives of the study: Laparoscopic procedure for appendicectomy is compared with open surgical technique with respect to: • Duration of surgery • Post operative pain and duration of analgesic • Post operative Complications • Post operative length of hospital stay • Return to routine work Materials & methods: This is a prospective comparative study from November 2012 to October 2014 involving 100 cases, 50 open and 50 laparoscopic appendicectomy,which were randomly selected and were operated in Department of surgery,Kannyakumari Medical College. Results: In present study pain score was 2.7 +/- 0.9 for open group as compared to 1.3+/- 0.5 in lap group (P<0.05) because of longer incision,stretch of muscles and woundvinfection. Post operative complications like vomiting was lower 8% in laparoscopic group in contrast to 36% in open group (P<0.05) and ileus was lower in laparoscopic group with 17.3 +/- 7.1 and for open group 30.8 +/- 8.9 with P<0.05.There is significant reduction in incidence of post operative wound infection in lap group 4% as compared to open group 26% (P<0.05).Duration of hospital stay was significantly lower for lap group 2.8 +/- 0.9 as than open group 4 +/- 2.9. The return to normal activity was earlier for lap group 8+/-3.15 days than open group 13.7 +/-3.15 days. Duration of surgery for open appendicectomy was 48.2+/-12.4 while that for lap appendicectomy was 68.5 +/- 20.3 Conclusions: Laparoscopic appendicectomy is better than open appendectomy in selected patients with acute or recurrent appendicitis.
Authors and Affiliations
S Carbin Joseph, C Danny Darlington
Keywords
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- EP ID EP595613
- DOI 10.9790/0853-1604098286.
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