Comparative Study of Laparoscopic-Assisted Appendectomy and Open Appendectomy
Background: Acute appendicitis is a common indication for abdominal surgery which is the most common surgical procedure. To evaluate the comparison of laparoscopy-assisted extra corporeal appendectomy (laparoscopic appendectomy [LA]) versus conventional open appendectomy (OA) in terms of post-operative complications were studied.
Method: Fifty patients aged between 19 and 45 years operated. Twenty-five patients with LA and 25 patients with OA techniques were used for acute appendectomy. Ultrasonography and routine blood examination were done. The operation was done under general anesthesia. The post-surgical manifestations of both groups were noted.
Results: Prevalence of Pain 5 (20%) in LA and 13 (52%) in OA, vomiting 7 (28%) in LA and 11 (44%) in OA, fever 5 (20%) in LA and 12 (48%) in OA, constipation 4 (16%) in LA and 8 (32%) in OA, paralytic ileus 5 (20%) in LA and 9 (36%) in OA. Infection of wound 8 (32%) observed only in OA, return of bowel sound 42–43 h in LA, and 50–52 in OA. Duration of hospital stay is 3–4 days in LA and 7–9 days in OA.
Conclusion: LA surgery is more preferable for acute appendicitis than OA because lesser post-operative complications, post-operative stay at hospital even though duration of LA is more than OA.
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