To Study the Comparison between Open Appendicectomy, Laparoscopic Appendicectomy and Lap Assisted Appendicectomy in appendicitis Patients in terms of post operative results

Dr. chalwade Suhas Prafullchandra; Dr. Amit B. Aiwale; Dr. Rupesh Gopal Thakare

Volume : V, Issue : VI, June - 2016

To Study the Comparison between Open Appendicectomy, Laparoscopic Appendicectomy and Lap Assisted Appendicectomy in appendicitis Patients in terms of post operative results

Dr. Chalwade Suhas Prafullchandra, Dr. Amit B. Aiwale, Dr. Rupesh Gopal Thakare

Abstract :

 Background: Laparoscopy has gained widespread acceptance and importance in today’s era of surgery. A rigid endoscope is introduced through a metal sleeve into the peritoneal cavity, which has been previously inflated with carbon dioxide to produce a pneumo–peritoneum.The advantages and efficacy of laparoscopic cholecystectomy over open cholecystectomy have been well documented and today laparoscopic cholecystectomy has become the gold standard for the treatment of gall stone disease . Objective: To study the intraoperative variability of different factors in open appendicectomy, laparoscopic assisted appendicectomy & lap appendicectomy. Methods: Prospective observational study .Detailed record of each patient’s data was obtained from case papers. Written informed consent of procedures was checked from each patient for necessary surgical procedure appendicectomy Results: There was a declining pattern of pain on the VAS Scale in all the three groups, .Operative time calculated from giving incision to closure of wound. Thus, the mean operative time was the lowest for LAA and maximum for LA. Return of bowel sound was earlier in laparoscopic group as compared to Open appendectomy. This was thought due to minimal handling of gut & this difference is statistically significant. The mean post operative hospital stay was the minimum in patients undergoing LAA and maximum in the patients undergoing open appendectomy. The difference is significant. The average time taken by patients undergoing open appendectomy to resume routine daily activities was 12–17 days, whereas those undergoing LAA took 10–15 days for the same. Patients who underwent LA took 10–16 days to resume all daily activities. Thus, there was a significant difference between the open and the laparoscopy groups. However, the difference between the LAA and LA was not significant. The Average time for resumption of work in the open group was 12–17 days, whereas in the LAA group was 10–15 days. In the LA group it was around 10–16 days. Conclusion: Laparoscopic appendicectomy, in general, is a good therapeutic and diagnostic procedure and is superior to open surgery in several aspects– shorter post operative stay, less pain, early tolerance of oral feed, early resumption work and better cosmosis.