Outcome measures of laparoscopic versus open appendicectomy with uncomplicated acute appendicitis
Abstract
Background: Acute appendicitis is the sudden and severe inflammation of the appendix. It can cause pain in the abdomen, and this pain may occur quickly and worsen within hours.
Aim of the study: To find out the Outcome Measures of Laparoscopic Versus Open Appendicectomy with Uncomplicated Acute Appendicitis.
Methods: This is a prospective type of observational study conducted in the Department of Surgery, Bangladesh Medical College Hospital, Dhaka, Bangladesh. The study period was from 1st July 2018 to 30 June 2020. 100 cases irrespective of sex were selected through random sampling who fit the selected criteria
Result: Among 50 cases of open appendicectomy, 33 cases (66%) were male and 17 cases (34%) were female. Among 50 cases of laparoscopic appendicectomy, 34 cases (68%) were male and 16 cases (32%) were female (p-value: 0.83). Open cases needed 67.50±9.20 minutes' duration of anesthesia and laparoscopic cases 83.82±13.05 minutes (p-value: <0.001). Duration of surgery in group A (open cases) was (mean±SD) 44.54±11.75 minutes and in the group, B was (mean±SD) 68.28±15.24 minutes (p value<0.001). Per operative, hazards were observed in 2% of patients with laparoscopic appendicectomy (p-value: 0.31). Meantime required taking narcotic analgesic after surgery in Group A was 29.06±10.46 hours and in Group B 21.36±11.93 hours (p-value: 0.001)
Conclusion: After observing the outcome of both the procedure it can easily be concluded that laparoscopic appendicectomy is superior over the open procedure in terms of duration of anesthesia, duration of surgery, post-operative pain and discomfort, tolerance to a normal diet, hospital stay, return to post-operative indoor and outdoor activities, wound infection and cosmesis. So laparoscopic appendicectomy is the safer procedure by expert surgeons. Analyzing more recent studies, it can be suggested that laparoscopy is becoming the first-choice method for the management of acute appendicitis.
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References
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