Prospective study of laproscopic management of perforated appendicitis in tertiary medical care centre in India
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 2
Abstract
Background: A Perforated Appendix is one of the complications of acute appendicitis, if left untreated leads to high mortality and morbidity. Aim and Objective: To study the preoperative and postoperative outcomes and potential benefits of Laproscopic appendectomy (LA) in the management of perforated appendicitis. Material and Method: A prospective study of 50 cases of perforated appendicitis over a period of 2 years were carried out and reviewed in terms of age and sex prevalence, clinical presentation, perioperative and postoperative outcomes of perforated appendix and all these patients were treated laproscopically to find out the recent concern, safety and potential benefits of this minimally invasive procedure. All these patients were followed up for 2week to 1 month for LA cases and up to 6 months for further evaluation in converted open appendectomy (OA). Result: All 50 cases which were enrolled in this study were operated for perforated appendicitis. Out of 50 cases 39 cases were operated Laproscopically and 11 cases were converted to an open procedure. Laproscopic appendectomy (LA) was found to be safe and beneficial. Mortality was nil in LA while only 9.09% mortality was reported in converted open appendectomy. Conclusion: LA in perforated appendicitis increases the efficiency of the laproscopic surgeons, reduces hospital stay of the patients with quicker return of bowel movements, quicker return to normal activity with better cosmetic results. In spite of LA having superior quality results than OA it still needs continuous clinical and critical assessment with careful evaluation of perforated appendicitis management in Tertiary Medical care centre.
Authors and Affiliations
Pratap A Varute
Keywords
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- EP ID EP480514
- DOI 10.26611/1063121
- Views 171
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