Laparoscopic or Open Appendectomy: A Surgical Dilemma
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 6
Abstract
Appendectomy is one of the most common surgical problems encountered in emergency with peak incidence between ages of 10 and 30 years. It is dealt nowadays with both laparoscopic and open approach. Because of lack of consensus about the best suitable technique, we aimed to compare the laparoscopic appendectomy with conventional open appendectomy in treatment of appendicitis. This prospective study was carried out in our department from May 2010 to April 2013. Total 184 patients of age group ranging from 14-60 years with features of acute appendicitis were divided into laparoscopic appendectomy and open appendectomy group. Laparoscopic surgery was done with 3 ports technique by creating pneumoperitoneum with CO2 and open appendectomy was done by Mc'Burney's incision. Data was analysed by student t-test and chi-square tests. Laparoscopic appendectomy though was little lengthy in intraoperative duration but resulted in shorter hospital stay, reduced analgesic usage, minimal general wound and related complications with early return to normal activity. In future, with wider availability of laparoscopic equipments and experienced surgeons, laparoscopy will get more space amongst budding young surgeons for treatemnt of acute appendicitis.
Authors and Affiliations
Chauhan A
Keywords
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