Volume : X, Issue : VI, June - 2020

A COMPARATIVE STUDY OF LAPAROSCOPIC APPENDECTOMY VERSUS OPEN APPENDECTOMY

Dr. L. Parvathi, Dr. P. Venkata Sai Mahesh

Abstract :

Background : Laparoscopic appendectomy has rapidly become established as the popular alternative to open appendectomy, it has a safety profile better than open procedure. Objectives: Laparoscopic procedure for appendectomy is compared with open surgical Technique with respect to: • Duration of procedure. • Post operative pain. • Cosmetic benefit • Complication encountered Methods: Prospective study from JULY 2018 to AUGUST 2019, involved 60 patients with Diagnosis of acute appendicitis. Choice of operation to either the open or the laparoscopic technique. Statistical Comparisons were performed using the chi–square test and students ‘t’ test. Results: 1.In the study, the mean post op pain for laparoscopic appendectomy is 1.37±0.49 and for open appendectomy is 3.27±0.828. The parameter difference is significant p<0.0001. 2.In the study, 8 (26.7%) patients in open group and 1(3.3%) patients in laparoscopic group had post op wound infection. The difference was significant (p<0.01) 3.In the laparoscopic group, 26 (86.7%) patients were satisfied with cosmetic benefit, 4 (13.3%) patients were equivocally satisfied, 0 patients were unsatisfied. In the open group, 15(50%) patients were satisfied, 8 (26.7%) were equivocally satisfied, 7 (23.3%) patients were unsatisfied with cosmetic benefit. The study show that laparoscopic group had better cosmetic results 4.In the study, the mean score for duration of time of surgery was 36.17±12.25 minutes in laparoscopic group and 17.5 ±5.211 minutes in open group. CONCLUSION:Laparoscopic appendectomy was better than open appendectomy in a properly prepared and selected patient in terms of Post operative pain, Post operative complications like wound infection, fever,Cosmetic benefit.

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Article: Download PDF    DOI : 10.36106/ijar  

Cite This Article:

A COMPARATIVE STUDY OF LAPAROSCOPIC APPENDECTOMY VERSUS OPEN APPENDECTOMY, Dr. L.Parvathi, Dr. P.Venkata Sai Mahesh INDIAN JOURNAL OF APPLIED RESEARCH : Volume-10 | Issue-6 | June-2020

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