Comparative Study of Laparoscopic-Assisted Appendectomy and Open Appendectomy

  • Rajesh Jasti CH B L Prasad Malla Reddy Medical College for Women, Hyderabad, Telangana, India
Keywords: Appendectomy, Laparoscopic-assisted appendectomy, Open appendectomy, McBurney point

Abstract

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.

Author Biography

Rajesh Jasti CH B L Prasad, Malla Reddy Medical College for Women, Hyderabad, Telangana, India

Associate Professor, Department of Surgery.

References

1. McBurney CH. Experiences with early operative interference
in cases of disease of the vermiform appendix. N Y Med J
1889;21:676-84.
2. Reiertsen O, Larsen S, Trondsen F. Randomized controlled
trial with sequential design of laparoscopic verses
conventional appendectomy. Br J Surg 1997;84:842-7.
3. Mecall JL, Sharpes K. Systemic review of randomized
controlled trials comparing laparoscopic with open
appendectomy. Br J Surg 1997;84:1045-503.
4. Golub R, Siddiqui F. Laparoscopic versus open appendectomy
time to decide. Word J Surg 1999;28:835-45.
5. Buschard K, Kjaeldaard A. Investigation and analysis of the
position fixation, length and embryology of the vermiform
appendex. Acta Chir Scand 1973;139:293.
6. Aimani ML, Ajmani K. The position of vermiform appendix.
Anan A Z 1983;153:39-43.
7. Lewix F. Appendix. In: Davis JH, editor. Clinical Surgery.
1st ed., Vol. 1. Louis: Mosby; 1987. p. 1581-83.
8. Hellberg A, Rudburg C. Prospective randomised multicentre
study of laparoscopic versus open appendectomy a
randomized clinical trial. Surg Endosc 1997;11:336-40.
9. Vallo J, Ordorica-Flores RM. Umbilical one puncture
laparoscopic assisted appendectomy in children. Surg Endosc 1999;13:83-5.
Published
2021-08-10
Section
Articles