How Safe is Laparoscopic Surgery in the Treatment of Acute Appendicitis with Complications Compared to Open Abdominal Surgery?
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 5, Issue 10
Abstract
Background: Open abdominal surgery (OAS) is the gold standard in the surgical treatment of acute appendicitis (AA). Appendicectomy with laparoscopy is a safe procedure in uncomplicated cases. It is viewed as a risk in complicated AA by many surgeons. A study was conducted to compare open with laparoscopic procedure in complicated AA. Aim of the Study: This study aims to study the results and problems encountered in treating AA with complications with laparoscopy and comparing them with OAS. Materials and Methods: A retrospective study on 68 patients attending the hospital with signs and symptoms of AA with complications was divided randomly into two groups. One group was treated with appendicectomy using laparoscopy and the other group with open abdominal appendicectomy. All the patients were selected such a way that the age, gender, and complications match. Problems encountered while doing the two methods of surgery and results were compared and analyzed. Observations and Results: A total of 68 patients were divided into two groups with 34 patients each. In Group A (34), males were 22 and females were 12. In Group B, males were 23 and females were 11. The mean age of patients in Group A was 23.16 ± 4.10 and in Group B was 22.80 ± 3.60. The mean time of surgery in Group A was 73.45 ± 1.10 min and in Group B it was 52.95 ± 2.15 min. The hospital stay in Group A was 5.46 ± 2.50 days and in Group B it was 9.30 ± 3.40 days. There was no increase in complication rate in Group A compared to Group B. Conclusions: Laparoscopic surgery in AA with complications is safe and devoid of post-operative complications when the cases are selected properly. The study observes that there is statistical significance in the duration taken for the surgery and the hospital stay. This study demonstrated no increase in surgical complications between the groups of laparoscopy and OAS after laparoscopy in patients.
Authors and Affiliations
N K Noorudheen, P K Ramesh
Keywords
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