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
A randomized controlled trial comparing low cost vacuum assisted dressings and conventional dressing methods in the management of diabetic foot ulcers
Background: Diabetic neuropathy directly contributes in genesis of non healing diabetic ulcers, ischemic necrosis leads to tissue breakdown. VAC therapy influences positive mechanical forces on the growth of tissues, esp...
A prospective study of operative versus conservative management in patients with an appendicular lump
Background: The cases of acute appendicitis with mass in right iliac fossa is increasing now a days due to liberal use of antibiotics. The aim of study is to analyze early appendicectomy verses conservative management fo...
Clinical profile of patients with thyroid goiter
Background: Complications of any surgical procedure are sensitive measures of the quality. Reported complications following thyroid surgery are rare, but their consequences can often be life-threatening, as compared to s...
A comparative study of primary closure versus delayed primary wound closure in the patients with complicated appendicitis
Background: Appendicitis is a medical emergency that almost always requires prompt surgery to remove the appendix. Delayed primary wound closure (DPC) is a procedure which aims at reducing the rate of SSI by suturing a w...
Clinico-epidemiological profile of diabetic foot at tertiary care hospital
Background: Worldwide, diabetic foot lesions are a major medical, social, cause of hospitalization for patients with diabetes. Infectious agents are associated with amputation of the infected foot if not treated promptly...