Laparoscopic appendicectomy versus open appendicectomy in a tertiary care hospital– a prospective study

Dr. Ilangovan muthukaruppiah; Dr. Dilipkumar kumaresan

Volume : IX, Issue : IV, April - 2019

Laparoscopic appendicectomy versus open appendicectomy in a tertiary care hospital– a prospective study

Dr. Ilangovan Muthukaruppiah, Dr. Dilipkumar Kumaresan

Abstract :

INTRODUCTION: In case of acute appendicitis, Laparoscopic appendicectomy is the one of the commonest indication. But in rural places it is more challenging and remains controversial. Several studies show the advantages and disadvantages of Laparoscopic appendicectomy and open appendicectomy.1,2,3 The aim of this study is what are the benefits of the Laparoscopic appendicectomy versus open appendicectomy and to compare the variables studied in this study with other studies conducted in various hospitals MATERIALS AND METHODS: This prospective study is carried out over a period of 15 months from January 2016 to April 2017 in department of surgery at Govt Theni medical college, Theni. In this study we had taken 50 patients, clinically diagnosed as acute appendicitis. Among them 25 patients were selected for open appendicectomy and 25 patients were for Laparoscopic appendicectomy by random selection. Inclusion criteria were documented in a predetermined case record form and in post –operative ward history of return to normal duty or work was asked. RESULTS: In this study,25 patients underwent open appendicectomy and 25 patients underwent laparoscopic appendicectomy by random selection. More number of male (48%) patients were seen in open appendicectomy and more number of female patients (56%) were seen in Laparoscopic appendicectomy.Age group of the patients were between 15 to 50 yrs open appendicectomy was less time consuming, Patients had less post–operative pain and analgesic were reduced in Laparoscopic appendicectomy than open appendicectomy. In follow up, wound infection was more after open appendicectomy when compared to Laparoscopic appendicectomy and in Laparoscopic appendicectomy the hospital stay ,the mean time to return to daily activity or work was significantly reduced CONCLUSION: In this present study Laparoscopic appendicectomy is associated with less post –operative pain and reduced analgesic requirements as compared to open appendicectomy. Hospital stay is less and full recovery on the basis of return to normal activity was earlier in Laparoscopic appendicectomy. but the operative time was more and it was time consuming surgery in laparoscopic group, even though, operative time depends on the surgeon’s ability to handle and the time can be reduced somewhat by experience of the surgeon . Hence as compared to open appendicectomy , Laparoscopic appendicectomy is the best method of surgery opted for acute appendicitis if doing with better ability