Comparative study on laparoscopic appendicectomy versus open appendicectomy in a tertiary hospital at Chennai
Journal Title: International Archives of Integrated Medicine - Year 2019, Vol 6, Issue 3
Abstract
Background: Appendicitis is sufficiently common that appendicectomy is the most frequently performed urgent abdominal surgery. Despite extraordinary advances in modern radiographic imaging and diagnostic laboratory investigations, the diagnosis of appendicitis remains essentially a clinical diagnosis. Aim of the study: To determine the outcome of laparoscopic appendicectomy compared to open appendectomy and to rule out the clinical outcome between two major procedures. Materials and methods: This comparative study was done in Government Medical College, Omandurar Government Estate in 2016 to 2018. A total of 75 patients' files that underwent surgery within the study period were perused. Thirty-two patients (42.7%) underwent laparoscopic surgery (LA) and 43 patients (57.3%) underwent open appendicectomy (OA). The relevant data was then extracted from the case notes using a pre-designed proforma questionnaire. Results: There were a total of 44 male patients and 31 female patients in the study. All patients undergoing either LA or OA presented with right iliac fossa pain. Patients who presented with nausea undergoing LA were 53.13% while 31.11% undergoing OA presented with nausea. Vomiting was present in 18.75% of patients undergoing LA while 44.44% of the patients undergoing OA had vomiting. Fever was noted in patients undergoing OA (15.55%). Majority of patients had symptoms duration of between one day and one week. Those with symptoms durations of less than one day were 9.4% for LA group and 23.3% for the OA group. Urea and electrolytes were done in 93.8% of patients undergoing LA and 69.8% of those undergoing OA. Abdominal ultrasound was performed in 40.6% of patients undergoing LA and 18.6% of a patient undergoing OA. Urinalysis and microscopy were performed in 6.3% of patients undergoing LA and 9.5% of patients undergoing OA. Wound sepsis occurred in 6.7% of patients undergoing OA. Miscarriage occurred in 1 patient undergoing OA. Only one patient in LA developed complication due to ileus. Conclusion: Laparoscopic appendicectomy takes longer to perform our institution than open appendicectomy. Postoperative complications are lower with laparoscopic appendicectomy when compared with open appendicectomy.
Authors and Affiliations
A. Sagaya Inba Sekar, Anandi Andappan
Keywords
Related Articles
- EP ID EP675006
- DOI -
- Views 157
- Downloads 0
Diagnostic efficacy of fine needle aspiration cytology in breast lesions
Background: Carcinoma of the breast is a leading cause of death in women and needs to be evaluated at an early stage. FNAC helps in rapid diagnosis of breast lesions and their management. Objective: To study the diagnost...
Diagnosis of anaplastic thyroid carcinoma on fine needle aspiration cytology - A rare case report
Anaplastic thyroid carcinoma [ATC] is a rare highly malignant tumor that arises from the follicular cells of the thyroid gland. It accounts for 1% to 2% of all thyroid carcinomas and patients with ATC uniformly have a po...
Cholecystectomies – A 1.5 year histopathological study
Background: The gallbladder is a surgically important organ of the body which may be affected by a variety of pathological processes, which are often, under appreciated. It has a wide spectrum of diseases ranging from co...
Ankle Brachial Index as a Predictor of Coronary Artery Disease in Diabetic Patients
Background: Coronary artery disease (CAD) due to atherosclerosis is an epidemic in India. The incidence of coronary artery disease has doubled during past three to four decades. The role of diabetes mellitus (DM) in rela...
Clinico-epidemiological profile of meningitis patients diagnosed at a tertiary care hospital in Mumbai
Introduction: Meningitis is an inflammatory disease of the leptomeninges, the tissues surrounding the brain and spinal cord. Recently improved awareness, extensively available antibiotics and vaccines can change the epid...