Identification of Preoperative Risk Factors Associated with the Conversion of Laparoscopic to Open Appendectomies: Prospective Randomized Study

Abstract

Bachground the principal advantages of this approach are a more precise diagnosis of appendicitis, reduction in post-operative pain, fewer superficial-surgical-site infection, earlier return to normal activity and reduction of the duration of hospital stay. Purpose to assess the preoperative patient and surgery risk factors that increase the likelihood of conversion of a laparoscopic appendectomy to an open Appendectomy in Egyptian patients. Patients and Methods this study was conducted in El Demerdash Hospital; Ain shams University, from December 2017 to June 2018. The study was conducted on 30 patients with suspected appendicitis. Results there were 30 patients identified who underwent an initial laparoscopic approach for acute appendicitis. The age range was from 18 to 52 years. The Female to Male ratio was 19:11. Of the 30 initial LA, 9 cases were converted to OA (30%). Conclusion surgeon can initiate open appendectomy or aim to have a low threshold of conversion if any of the above mention risk factors present in combination.