Systematic Review Comparing Laparoscopic and Open Appendectomy
Journal Title: Journal of the Bahrain Medical Society - Year 2018, Vol 30, Issue 3
Abstract
Various prospective randomized controlled trials were conducted to compare open and laparoscopic appendectomies. The aim of this systematic review is to compare both the surgical appendectomy interventions and to evaluate the most favored, safe, and effective choice of treatment for appendicitis. In this review, 2462 studies have been retrieved from three major databases: Medline, Scopus, and Cochrane. The inclusion criteria were clinical diagnosis of appendicitis, publication date, and patient’s age. Of these, six studies that met both inclusion and exclusion criteria were chosen. The studies selected were assessed for quality using the CONSORT PRO tool. The data extracted was later analyzed using NCCS 2007 software and Microsoft excel. The means and P values were calculated using the student t test and chi square test provided by the studies. The six studies chosen met the inclusion criteria and achieved an average quality of 15.5 over 25, which is in line with the CONSORT PRO tool. The results indicated that further elaboration on the randomization method should’ve been provided; however, the methodology was the same across the six studies showing a strong correlation and homogeneity in the outcomes. The primary outcomes were all favored in laparoscopic appendectomy (LA) except for intra-abdominal abscesses. The secondary outcomes were all favored by LA except for cost and mortality, which weren’t favored by both the interventions. In conclusion, LA is a safer and more effective surgical procedure than open appendectomy.
Authors and Affiliations
Heba Al Saad, Ashish Mhatter
Keywords
Related Articles
- EP ID EP450367
- DOI 10.26715/jbms.3_30102018
- Views 125
- Downloads 0
Psychometric Assessment of Daily Life Properties in Relation to Severity of Depression at Outpatient Clinic in Bahrain Defense Force Hospital
Background and objectives: According to the WHO Global Burden of Disease, the lifetime prevalence of major depressive disorder (MDD) is about 15%. Most of the MDD patients ranging between 18–45 years cause economic and s...
Overweight As a Risk Factor for Prostatic Enlargement in Bahraini Population: A Retrospective Study
Background and objectives: Benign prostatic hyperplasia (BPH) and overweight (BMI: > 25– 30 kg/m2) are both highly prevalent amongst Bahraini males. The aim of this study is to evaluate the association between BPH and ov...
Retroperitoneal Perforation of the Appendix Complicated by Pneumoretroperitoneum and Abdominal Wall Emphysema: A Case Report
A 67-year-old Bahraini male patient, diabetic and hypertensive, presented to the Emergency department with complaints of a 3-day history of shortness of breath, abdominal distension, and constipation without abdominal pa...
Systematic Review Comparing Laparoscopic and Open Appendectomy
Various prospective randomized controlled trials were conducted to compare open and laparoscopic appendectomies. The aim of this systematic review is to compare both the surgical appendectomy interventions and to evaluat...
A Conservative Surgical Approach Towards Central Giant Cell Granuloma: A Case Report
Central giant cell granuloma (CGCG) is an infrequent benign bony lesion of unpredictably aggressive behavior. The precise lesion character is debatable and remains inconclusive. However, three main theories were proposed...