Comparison of open versus laparoscopic appendectomy

Kumar, Jitendra; Aggarwal, Manish

doi:10.18203/2320-6012.ijrms20182301

Cited by 3 publications

(3 citation statements)

References 15 publications

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“…Similar findings were also noted in Subramaniam and Khatana et al study. 13,14 Mean operative time for open group and laparoscopic group was 61.5 and 86.5 minutes respectively in our study. This figure is comparable with Marzouk et al, Yong et al, Moodadla et al study.…”

Section: Discussionmentioning

confidence: 47%

Open versus laparoscopic appendicectomy: a prospective comparative study

Deshmukh

Pawar

2020

Int Surg J

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Background: Open appendectomy has been the gold standard for the treatment of acute appendicitis since its introduction by Charles Mc Burney in 1889.The introduction of laparoscopic surgery has dramatically changed the field of surgery. Various studies showed conflicting results about the superiority of laparoscopic approach over open for treatment of acute appendicitis. Present study is conducted to determine any possible benefits of the laparoscopic approach over open surgery.Methods: The study was conducted in Dr. V. M. Government Medical College and hospital located in Solapur (Maharashtra) from September 2017 to September 2019. It is a prospective comparative study. Patients were randomly divided into 2 groups alternately where group A and B were operated by conventional and laparoscopic techniques respectively and their outcomes were compared.Results: Mean age of patients in open and laparoscopic appendicectomy group was 29.67 years and 31 years respectively. Post-operative pain, wound infection and hospital stay was significantly more in open group as compared to laparoscopic group (p<0.05).Conclusions: From the results of our study we conclude that laparoscopic appendicectomy has superior results as compared to open appendicectomy.

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Section: Discussionmentioning

confidence: 47%

Open versus laparoscopic appendicectomy: a prospective comparative study

Deshmukh

Pawar

2020

Int Surg J

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“…Thus, the results of LA were comparable to OA, if not better. 10 In our study, laparoscopic approach was reserved only for elective cases while all the emergency appendicitis cases were treated with open appendectomy. Cases posted electively who had significant guarding and rigidity and had been given a trial of antibiotics were also treated by open appendectomy.…”

Section: Discussionmentioning

confidence: 97%

Laparoscopy superseding open appendectomy: a prospective view

Deshpande

Khade

2020

Int Surg J

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Background: Appendicitis is the most common surgical disease with appendectomy being the traditional treatment of choice. Different operative procedures exist for appendectomy. The objectives of the study were to compare the efficiency of laparoscopic versus open appendectomy and to compare post-operative complications between laparoscopic and open appendectomy.Methods: This is a longitudinal study done from January 2018 till January 2020 in a tertiary care hospital of central India. A total of 400 operative patients were randomly selected and analysed with acute appendicitis (AA) as diagnosis. Sample size was randomized into two groups. Data was analysed with of open Epi version 2.3 and p value <0.05 was considered significant.Results: Most common symptom was pain in right iliac fossa (94.63%). 18.18% had perforation while 26.38% had inflamed appendix. Histopathological assessment showed that 8.3% and 2.87% had suppurative and gangrenous appendicitis respectively. 23.82% of the open cases reported with surgical site infection (SSI). No SSI were reported in the laparoscopic group. Post-op duration for open and laparoscopic appendectomy was 4.91±0.86 and 2.98±0.76 (p value=0.04150) and was found to be statistically significant.Conclusions: Open appendectomy is considered safe and effective but associated with complications such as ileus, intestinal obstruction, and wound sepsis. Laparoscopic appendectomy with high accuracy and low complication rate has emerged as the modus operandi and has superseded the open approach for treatment of AA.

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“…It also corresponds to a study done by Khatana, PS et al from India in 2018. 13 Out of total 93 clinically diagnosed cases of acute appendicitis, in case of 09 patients, conversion to open surgery was required. The prevalence rates of negative laparoscopy and open conversion rate were 6.5% and 9.7% respectively.…”

Section: Discussionmentioning

confidence: 99%

Outcome of laparoscopic appendicectomy for acute appendicitis in tertiary level hospitals

Biswas

Hossain

Faruquzzaman

2019

Bangladesh med. j. Khulna

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Background: In the very recent years, laparoscopic appendicectomy is widely accepted for the surgical procedure of acute appendicitis. Though the application of laparoscopic technique for appendicectomy is expanding very rapidly and now performed in almost all major cities and tertiary level hospitals in our country, but the reports are scanty and conflicting in our surgical practice. Objective: This prospective clinical study was conducted to evaluate the outcome of laparoscopic appendicectomy in acute appendicitis in terms of complication, post surgical pain, conversion rate, negative appendicectomy and duration of hospital stay. Methods: The study was carried out taking a total number of 93 patients of which 53 fulfilled the inclusion criteria admitted in BIRDEM General Hospital, Dhaka and 40 such patients from Khulna Medical College Hospital Khulna and a private clinic in Khulna City during the period from April, 2016 to August, 2018 with the patients of laparoscopic appendicectomy (LA) for acute appendicitis. Data was collected on history and clinical examination, investigation, histopathological examination and post operative complication. Results: Among total 93 patients, majority of the patients were in age group of 20 to 30 years in both sexes and 65.6% were male and 34.4% were female. In case of 06(6.5%) patients negative appendicectomy were done and in 09(9.7%) patients conversion to open appendicectomy was required. Post operative complications like port site bleeding and infection were 4.3% and 2.1% respectively. Majority (87.10%) patients were discharged within 72 hours of LA. Conclusion: This study reveals that laparoscopic appendicectomy is a minimally invasive and relatively safe procedure for acute appendicitis. Bang Med J (Khulna) 2018; 51 : 12-15

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Comparison of open versus laparoscopic appendectomy

Cited by 3 publications

References 15 publications

Open versus laparoscopic appendicectomy: a prospective comparative study

Open versus laparoscopic appendicectomy: a prospective comparative study

Laparoscopy superseding open appendectomy: a prospective view

Outcome of laparoscopic appendicectomy for acute appendicitis in tertiary level hospitals

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