Comparison of the complications between laparoscopic and open appendectomy: a study in a teaching hospital in Telangana, India

Abstract

INTRODUCTIONOpen appendectomy has been a safe and effective operation for acute appendicitis for over a century. It is one of the most frequently performed abdominal operation. It is estimated that approximately 7% of the population develop appendicitis in their life time. 1Laparoscopic surgery for appendectomy was first introduced in 1983 by Semm, but since then, it has struggled to prove its superiority over open appendectomy, while its counterpart, laparoscopic cholecystectomy has become a gold standard technique for gall stone disease. 2,3 Open appendectomy has withstood the test of time for more than a century, since its introduction by McBurney. 4 This procedure is standardized among the surgeons and is completed using a small right lower quadrant incision unlike the open cholecystectomy. The number of post-operative Results:The mean operating time in the laparoscopic group was 68 minutes while in the open group it was 55 minutes. The number of analgesic doses given to the patients was 2.4 in the laparoscopic group and 3.6 in the open group. The intake of the oral foods was also faster after the laparoscopy than after open surgery while the hospital stay was lesser. Post-operative complications observed in the laparoscopic surgery patients were diarrhea in 2 patients, one case of urinary tract infection, post-operative bleeding, surgical site infections and intra-abdominal abscess. Among the open group patients, 4 patients had surgical site infection and 3 had diarrhea. 2 patietns had intraabdominal abscess and intraoperative bleeding. Conclusions: Laparoscopic appendectomy is an effective and safe procedure which can be performed on any kind of patient regardless of the age, sex and BMI.