Laparoscopic Versus Open Appendicectomy: A Comparative Prospective at a Tertiary Hospital of North India
- 1. Associate Professor, Department of General Surgery, Heritage Institute of Medical Sciences, Varanasi, Uttar Pradesh, India
- 2. Assistant Professor, Department of Surgery, Netaji Subhas Medical College & Hospital, Bihta, Patna, Bihar, India
Description
Background: Laparoscopic appendicectomy is becoming more common, especially in young, childbearing women whose right lower quadrant pain has a wide range of differential diagnoses, including gynaecologic pathology. Approaches to surgical disorders have undergone notable alterations as a result of the modern development of laparoscopic surgery. As there is paucity of the studies comparing the outcome of laparoscopic appendicectomy with open appendicectomy, so we conducted this study with an aim to compare the postoperative outcome of the laparoscopic appendicectomy procedure with open appendicectomy technique. Methods: The present study was conducted in the Department of General Surgery, at a tertiary care hospital among patients admitted with clinical diagnosis of acute or recurrent during 1 year of study period. For the enrolled patients, they underwent a though clinical examination and history taking. In our study, made two groups laparoscopic appendicectomy group and open appendicectomy group and, the enrolled the patients, were randomly allocated to the both groups using random number table. A pretested proforma was used to collect the patients details. The collected data was entered in the MS excel sheet. The association between independent and dependent variables was carried out using Chi-square test and independent T- test. Results: In our study, a total of 130 patients underwent appendicectomy (65 patients underwent laparoscopic approach and 65 patients underwent open approach).In our study, the abdominal pain and tenderness as the presenting symptoms and signs in all patients in laparoscopic appendicectomy group and open appendicectomy group.In our study among patients in laparoscopic appendicectomy group wound infection rate was in 7.7%, and intraabdominal abscess was seen in 4.6% patients, whereas, wound infection rate was in 10.8%, and intraabdominal abscess was seen in 12.3%patients.In our study, the return to the normal daily life activities by the patients was earlier among laparoscopic appendicectomy group (5.86±1.92 days) as compared to open appendicectomy group (9.62±1.73 days). Conclusion: Laparoscopic appendicectomy’s duration of operation was also lesser. In selected patients with acute or recurrent appendicitis, laparoscopic appendicectomy is generally superior to open appendicectomy. For performing an appendectomy, the laparoscopic approach is safe, effective, and has advantages over the open method that are clinically advantageous.
Abstract (English)
Background: Laparoscopic appendicectomy is becoming more common, especially in young, childbearing women whose right lower quadrant pain has a wide range of differential diagnoses, including gynaecologic pathology. Approaches to surgical disorders have undergone notable alterations as a result of the modern development of laparoscopic surgery. As there is paucity of the studies comparing the outcome of laparoscopic appendicectomy with open appendicectomy, so we conducted this study with an aim to compare the postoperative outcome of the laparoscopic appendicectomy procedure with open appendicectomy technique. Methods: The present study was conducted in the Department of General Surgery, at a tertiary care hospital among patients admitted with clinical diagnosis of acute or recurrent during 1 year of study period. For the enrolled patients, they underwent a though clinical examination and history taking. In our study, made two groups laparoscopic appendicectomy group and open appendicectomy group and, the enrolled the patients, were randomly allocated to the both groups using random number table. A pretested proforma was used to collect the patients details. The collected data was entered in the MS excel sheet. The association between independent and dependent variables was carried out using Chi-square test and independent T- test. Results: In our study, a total of 130 patients underwent appendicectomy (65 patients underwent laparoscopic approach and 65 patients underwent open approach).In our study, the abdominal pain and tenderness as the presenting symptoms and signs in all patients in laparoscopic appendicectomy group and open appendicectomy group.In our study among patients in laparoscopic appendicectomy group wound infection rate was in 7.7%, and intraabdominal abscess was seen in 4.6% patients, whereas, wound infection rate was in 10.8%, and intraabdominal abscess was seen in 12.3%patients.In our study, the return to the normal daily life activities by the patients was earlier among laparoscopic appendicectomy group (5.86±1.92 days) as compared to open appendicectomy group (9.62±1.73 days). Conclusion: Laparoscopic appendicectomy’s duration of operation was also lesser. In selected patients with acute or recurrent appendicitis, laparoscopic appendicectomy is generally superior to open appendicectomy. For performing an appendectomy, the laparoscopic approach is safe, effective, and has advantages over the open method that are clinically advantageous.
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IJPCR,Vol15,Issue10,Article242.pdf
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Additional details
Dates
- Accepted
-
2023-09-30
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue10,Article242.pdf
- Development Status
- Active
References
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