Study of 200 cases of appendicectomy for analysis of laparoscopic versus open appendicectomy.

Dr. Mahendra Goswami; Dr. Shashank Desai; Dr. Ajay P. Munshi

Volume : IV, Issue : VI, June - 2015

Study of 200 cases of appendicectomy for analysis of laparoscopic versus open appendicectomy.

Dr. Mahendra Goswami, Dr. Shashank Desai, Dr. Ajay P. Munshi

Abstract :

Introduction: comparative study of 120 cases of open appendicectomy (OA) versus laparoscopic appendicectomy (LA) done at GCS Medical College, Hospital and Research Centre, Ahmedabad. Objectives: Compare operation time, patient�s comfort, post operative complication, average post operative hospital stay, post operative course of antibiotics and analgesics� between open appendicectomy and laparoscopic appendicectomy. Methodology: Randomized study between 80 cases of laparoscopic appendicectomy and 120 cases of open appendicectomy operated in last 2 years at GCS Medical College, Hospital and Research Centre, Ahmedabad. All age group patients were included in this study. Results: No Mortality in both the series. Mean operative time was 40 minutes in L.A. While 25 minutes in O.A. Post operative hospital stay was 2 days in L.A. While 3–6 days in O.A. Post operative complications like wound infection, fever, Upper Respiratory Tract Infection (URTI), was 8% in L.A. While 12% in O.A. Not a single case of L.A. was converted in to O.A. And L.A. Was also found cost effective. Conclusion: Results were compared with international study data and found that L.A. Is safe with good cosmetic result and with less complications and cost effective also. All medical college and district hospital should start basic laparoscopic surgery likes laparoscopic Appendicectomy.