COMPARISON OF EXTRACORPOREAL LAPAROSCOPIC ASSISTED APPENDECTOMY WITH CONVENTIONAL LAPAROSCOPIC APPENDECTOMY IN UNCOMPLICATED CASES OF APPENDICITIS
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 48
Abstract
BACKGROUND Appendectomy is the most commonly performed intra-abdominal operation. The study was conducted to compare extracorporeal laparoscopic assisted appendectomy with conventional laparoscopic appendectomy in uncomplicated cases of appendicitis. MATERIALS AND METHODS This is a randomized controlled trial conducted in a tertiary care hospital from August 2014 to July 2016 in cases diagnosed of appendicitis. All cases which underwent laparoscopic appendectomy were divided in to two groups, Group A (Extracorporeal laparoscopic assisted appendectomy) and Group B (Conventional laparoscopic appendectomy). Intra-operative and post-operative findings were compared between two groups. The sample size estimation was also done at convenience. RESULTS In both the groups, time of reversal of anaesthesia was comparable (P 0.348). In group A, mean duration of surgery (28.78±16.155 minutes) was significantly (p <0.01) lesser than group B (42.63±17.23 minutes). Only one patient in group B had post-operative complication in the form of fever (more than 100º F) for first two days. In group A, mean duration of anaesthesia and mean duration of hospital stay were significantly lower than group B (p <0.01). In Group A, mean Visual Analog Score for post-operative pain was significantly lower than group B (p <0.01). CONCLUSION Extracorporeal laparoscopic assisted appendectomy is better in terms of operative time and post-operative hospital stay compared to conventional laparoscopic method.
Authors and Affiliations
Hamir Rajatiya, Hiren Vaidya, Pratik Patel
Keywords
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- EP ID EP548310
- DOI 10.14260/jemds/2018/1147
- Views 92
- Downloads 0
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