Study of laparoscopic appendectomy: advantages, disadvantages and reasons for conversion of laparoscopic to open appendectomy

Agrawal, Sujan Narayan; Meshram, Sunita; Dhruv, Kamlesh

doi:10.18203/2349-2902.isj20170849

Cited by 4 publications

(4 citation statements)

References 8 publications

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“…Similar to this, Yagnik found that the laparoscopic appendectomy had a considerably lower SSI rate than the open appendectomy (10.63% in OA vs 1.92% in LA)23 . Laparoscopic appendectomy had rate of wound infection that was much lower than open appendectomy in this study (10.9% in the OA group vs 1.8% in the LA group)24 . The outcomes are equivalent to those of earlier research.…”

contrasting

confidence: 52%

Comparison of Laparoscopic Appendectomy with Open Appendectomy with Respect to Surgical Site Infection

Khan¹,

Khattak²,

Jamil³

et al. 2022

PJMHS

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Aim: The purpose of this study is to compare the incidence of wound infection in laparoscopic and open appendectomy. Study Design: A randomized, controlled study Place and Duration: In the Surgical department of Khalifa Gul Nawaz Medical Teaching Institute, Bannu and Ayub Teaching Hospital, Abbottabad for the duration from January 2021 to June 2021. Methods: In this study, 220 patients with the diagnosis of acute appendicitis were selected and divided randomly into two groups; OA group (open appendectomy) and LA group (laparoscopic) appendectomy. In both groups, the general anesthesia was given for appendectomy. The wound was examined on the 1st, 2nd and 3rd postoperative day, and then on the 7th and 14th day postoperatively and was scored conferring to the wound asepsis Score. The SSI and total wound asepsis score was calculated subsequently. Results: Total of 200 patients with acute appendicitis were selected. In laparoscopic appendectomy (LA); 22.0±7.85 years was the mean age and 24.12±9.08 years was the mean age in open appendectomy (OA) group. There were 70 men and 40 women in the LA group, and 50 men and 60 women in the OA group. The LA group has M:F ratio of 1.9: 1 in the and 1: 1.3 in the OA group. While 108 patients had no complications and surgical site infection were noticed in two patients only in the LA group, 98 patients in the OA group recovered and surgical site infection were seen in 12 patients. Conclusion: Laparoscopic appendectomy is a safer and better choice than open appendectomy which decreases postoperative complications significantly such as wound infections. Keywords: Open appendectomy, Laparoscopic appendectomy, Acute appendicitis and Surgical site infection.

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contrasting

confidence: 52%

Comparison of Laparoscopic Appendectomy with Open Appendectomy with Respect to Surgical Site Infection

Khan¹,

Khattak²,

Jamil³

et al. 2022

PJMHS

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“…16,17 In 2017 a research concluded that LA is better than OA with respect to the wound infection, duration of hospital stay, earlier return to normal activity, better cosmetic appeal, and lesser use of antibiotics. 18 Most studies chose LA to be the golden standard for any appendectomy due to its safe and more effective surgical approach than OA. Except for Kocata et al who have stated that 'laparoscopic approach to appendectomy for patient with uncomplicated appendicitis doesn't offer a significant advantage over the open approach'.…”

Section: Discussionmentioning

confidence: 99%

“…The control group here is the OA group, it's considered as a 'fake' or 'sham surgical' control group in surgical RCTs as it wouldn't be ethical to blind surgeons and patients from surgical interventions. 18,19 Various systematic reviews conducted to evaluate the same topic, focused particularly on the duration of hospital stay. Most of them reached to the same conclusion that LA is the gold standard treatment (intervention) for appendicitis.…”

Section: Discussionmentioning

confidence: 99%

Systematic Review Comparing Laparoscopic and Open Appendectomy

2018

J Bah Med Soc

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Various prospective randomized controlled trials were conducted to compare open and laparoscopic appendectomies. The aim of this systematic review is to compare both the surgical appendectomy interventions and to evaluate the most favored, safe, and effective choice of treatment for appendicitis. In this review, 2462 studies have been retrieved from three major databases: Medline, Scopus, and Cochrane. The inclusion criteria were clinical diagnosis of appendicitis, publication date, and patient’s age. Of these, six studies that met both inclusion and exclusion criteria were chosen. The studies selected were assessed for quality using the CONSORT PRO tool. The data extracted was later analyzed using NCCS 2007 software and Microsoft excel. The means and P values were calculated using the student t test and chi square test provided by the studies. The six studies chosen met the inclusion criteria and achieved an average quality of 15.5 over 25, which is in line with the CONSORT PRO tool. The results indicated that further elaboration on the randomization method should’ve been provided; however, the methodology was the same across the six studies showing a strong correlation and homogeneity in the outcomes. The primary outcomes were all favored in laparoscopic appendectomy (LA) except for intra-abdominal abscesses. The secondary outcomes were all favored by LA except for cost and mortality, which weren’t favored by both the interventions. In conclusion, LA is a safer and more effective surgical procedure than open appendectomy.

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“…Laparoscopic appendectomy is also associated with decreased rates of wound contamination. The only downside to laparoscopic appendectomy may be that the earliest research on laparoscopic appendectomy suggested a higher rate of infection when this procedure was used for perforated appendicitis [9][10][11].…”

Section: Introductionmentioning

confidence: 99%