COMPARISON OF OUTCOME OF LAPROSCOPIC APPENDECTOMY IN COMPLICATED AND UNCOMPLICATED APPENDICITIS- A CLINICAL STUDY
Journal Title: Journal of Advanced Medical and Dental Sciences Research - Year 2017, Vol 5, Issue 4
Abstract
Background: Acute appendicitis is the most common emer¬gent abdominal condition requiring surgical intervention. Appendicitis is inflammation of the appendix. The present study was conducted to assess the results of laproscopic appendectomy for treatment of complicated appendicitis. Materials & Methods: This study was conducted in department of general surgery in between January 2014 to December 2015 on patients who had undergone laparoscopic appendectomy for complicated appendicitis. Patients were diagnosed on the basis of physical examination, laboratory tests and ultrasound examination (USG). Patients were divided into 2 groups. Group I (Uncomplicated appendicitis) included 278 patients and group II (Complicated appendicitis) included 102 patients. Results: Group I consisted of 278 and group II consisted of 102 patients. The difference was significant (P – 0.01). Group I consisted of 166 males and 112 females and group II consisted of 64 males and 38 females. The difference was significant (P – 0.01). The number of patients with operation time (45-60 mins) in group I was 146 and in group II was 46. The number of patients with operation time (60-90 mins) in group I was 98 and in group II was 24. The number of patients with operation time (90-120 mins) in group I was 34 and in group II was 20. The number of patients with operation time <120 mins in group II was 12. The difference was significant (P < 0.05). Mean± S.D of complications were wound infections (12.37) in group I and (21.23) in group II, incisional hernia (1.18) in group I and (5.8) in group II, intra- abdominal abscess (13.64) in group I and (20.5) in group II and lleus (7) in group I and (2) in group II. The difference was significant (P < 0.05). Appendiceal specimen was catarrhal (190), phlegmonous (95), perforated (55), gangrenous (22) and normal (20). The difference was significant (P < 0.05). Conclusion: Acute appendicitis is quite common nowadays. The management is also very challenging as complications such as wound infections, incisional hernia, intra- abdominal abscess and lleus are common.
Authors and Affiliations
Sanjeev Gupta, Ashwani Kumar Pandey
Keywords
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