A study of open versus laparoscopic removal of appendix at tertiary health care center
Journal Title: Medpulse International Journal of Dentistry - Year 2018, Vol 5, Issue 1
Abstract
Background: laparoscopic appendectomy (LA) has struggled to prove its superiority over the open technique. This is in contrast to laparoscopic cholecystectomy, which has promptly become the gold standard for gallstone disease despite little scientific challenge. Aims and Objectives: To Study Open versus Laparoscopic removal of appendix at tertiary health care Center. Methodology: This was a hospital based cross-sectional study carried out in the department surgery during the one year period i.e. January 2016 to January 2016. during one year there were 70 cases selected for study in that 35 each randomly allotted to Laparoscopy and 35 to open operation group. The statistical analyses was done by Chi – square test, unpaired t-test calculated by SPSS 19 version software. Result: In our study we have found that the majority of the patients were in the age group of 20-30 i.e. 40.00% followed by 10-20 were 24.29%, 30-40 were 18.57%, 50-60 were 12.86%, >60 were 4.29% respectively. The majority of the patients were Male i.e. 67.14% and female were 32.86%. The duration of surgery was significantly higher for Laparoscopy as compared to Open (X2=11.43, df=4, p<0.05). The post operative parameters like Post-operative pain (VAS- Score ) (mean ±SD)- 5.43 ± 5.62, 7.34 ± 3.4 (t=2.07,df=68,p<0.04 ) ; Post operative hospital stay (mean ±SD)- 2.21 ± 1.42, 5.78 ±2.41 (t=2.07,df=68,p<0.04 ) ; Postoperative duration to return work - 5.67 ± 2.12, 15.62 ± 3.4. ( t=5.12,df=68, p<0.001). The most of the complications like Vomiting i.e. 11.43% as compared to 20%, Abdominal abscess -2.86%, 14.29; Wound infection -2.86, 8.57; Ileus -0.00, 5.71 in Laparoscopy as compared to Open surgery respectively. (p<0.05). Conclusion: Except the duration of surgery in all other perspective like Post-operative pain. Post operative hospital stay, Post-operative duration to return work and less complications like Vomiting, Abdominal abscess, Wound infection, Ileus ; laparoscopy was superior to open laprotomy for the removal or appendix.
Authors and Affiliations
Bhaskar Jadhav
Keywords
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