COMPARATIVE STUDY BETWEEN OPEN AND LAPAROSCOPIC APPENDECTOMY IN SILCHAR MEDICAL COLLEGE AND HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 46
Abstract
BACKGROUND Appendectomy is the most common operation performed by general surgeons. Open appendectomy has been the gold standard since its advent, but it is being gradually replaced by laparoscopic appendectomy. However, none of the surgical methods has been established as superior. Aim-This study aims to compare the outcome of open and laparoscopic appendectomy carried in our institution. MATERIALS AND METHODS This non-randomised controlled trial comprising of 100 patients of acute and recurrent appendicitis was carried out in Silchar Medical College and Hospital from September 2014 to August 2015. They were randomly divided into two groups-A (Open) and B (Laparoscopic). Both the groups were compared on the basis of operation time, length of hospital stay, postoperative pain, return to normal activity, postoperative complications, cosmesis and cost of operation. RESULTS Age and sex of both groups were comparable. Mean operative time was 30.6±6.099 mins for open and 44.42±6.973 mins for laparoscopic group. The mean postoperative pain using VAS (0-10) at the end of 24 hours postoperatively was 2.560±0.850 in cases of LA. In cases of OA the mean VAS (0-10) value was 4.140±0.969, the mean postoperative length of stay in case of LA was 2.02±0.685 ranging from 1-3 days and in case of OA mean value was 3.7±1.015 ranging from 2-6 days. The mean duration of return to normal day-to-day activity was 9.52±1.34 days in case of LA ranging from 7-12 days. In case of OA, mean value was 19.22±1.718 days ranging from 15-23 days. Postoperative complication was more in open group. Cosmesis was better in laparoscopic group. Cost of surgery was higher in laparoscopic group. CONCLUSION Laparoscopic appendectomy is better in terms of shorter hospital stay; less postoperative pain, better cosmesis, early return to normal activity and less postoperative complications, but the greater operating time and expenditure is a disadvantage.
Authors and Affiliations
Siddhartha Sankar Bhattacharjee, Khorshid Alam Hussain
Keywords
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- EP ID EP548092
- DOI 10.14260/jemds/2018/1121
- Views 63
- Downloads 0
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