Volume : VII, Issue : XI, November - 2018

SINGLE INCISION LAPAROSCOPIC APPENDICECTOMY COMPARED WITH CONVENTIONAL LAPAROSCOPIC APPENDICECTOMY

Dr Lalit Patel, Dr. Maulin Patel

Abstract :

 

Introduction: This study is to know if Single port appendectomy would offer similar operative time, length of stay, and complication profile with improved cosmesis and less postoperative pain in comparison to conventional multi–incision laparoscopic appendicectomy or also called standard laparoscopic appendicectomy (LA).

Methods and Materials: In total 50 cases of laparoscopic appendectomy,25 cases of single incision laparoscopic appendectomy and 25 cases of conventional laparoscopic appendectomy was done. Primary endpoints are operative time, complication rate, postoperative pain, recovery time and long–term cosmetic outcome.

Results: Operative time in conventional laparoscopic appendectomy is 53 minutes and in single incision laparoscopic appendectomy is 74.4 minutes. Post operative hospital stay in conventional laparoscopic appendectomy is 1.72 days and in single incision laparoscopic appendectomy is 1.24 days. Time taken to return to daily routine work in conventional laparoscopic appendectomy is 6.24 days and in single incision laparoscopic appendectomy is 5.72 days. Conversion rate to open appendectomy in conventional laparoscopic appendectomy is 4% and in single incision laparoscopic appendectomy is 12%. Post operative pain in conventional laparoscopic appendectomy according to visual analogue score in average is 6.84 and in single incision laparoscopic appendectomy is 5.16.

Conclusions: Single incision laparoscopic appendicectomy is good in post operative pain, cosmetic outcome, post operative hospital stay and return to daily routine activities than conventional laparoscopic. But complication rate is more in single incision procedures because incision length is more in this procedure. Operative time and conversion rate is more in single incision procedures due to long learning curve.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

SINGLE INCISION LAPAROSCOPIC APPENDICECTOMY COMPARED WITH CONVENTIONAL LAPAROSCOPIC APPENDICECTOMY , DR LALIT PATEL, DR. MAULIN PATEL , INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-7|Issue-11| November-2018

Number of Downloads : 113

References :