What is gold standard for Appendicectomy? Open or laparoscopic

Abstract

Introduction: Appendicectomy is one of the most common acute surgical emergency. Laparoscopic appendicectomy was first reported well before laparoscopic cholecystectomy, the market penetration is very poor. Role of laparoscopic appendicectomy remains controversial even after 30 years of inception. The present study is designed to assess these conflicts. Methods: 60 patients admitted in department of surgery with diagnosis of acute appendicitis, recurrent appendicitis and those kept for interval appendicectomy were randomly divided into two groups A and B. The patients in group A were subjected to laparoscopic appendicectomy and patients in group B underwent open appendicectomy. Results: Mean duration of surgery in LA was 41.78+ 13.55 mins, in OA was 61.66+ 25.25 and 102+ 3.54 mins for converted group. Postoperative pain was significantly less in patients operated with laparoscopic technique (3.18+ 1.09) as compared to OA (4.76+ 2.03) group as evident by number of analgesic requirement. Mean length of stay was shortest in LA group 2.5 + 1.07 days, followed by OA 4.833 + 2.11 days and 8.5 + 3.54 in converted group. Conclusion: Laparoscopic appendicectomy is having less complications as compared to open appendicectomy.Hence laparoscopic appendicectomy also decreases the morbidity associated with operative procedure , wound infection , paralytic ileus and prolonged hospitalization.

Comparison of Post-Operative Pain Score Between Open Appendectomy and Laparoscopic Appendectomy on Acute Appendicitis Patient in Siloam Hospital Lippo Village

“…Since the founding of laparoscopic appendectomy, this method is now more commonly used since it has better scar healing, faster recovery, better cosmetic result, and a significantly lower postoperative pain according to a lower dose of analgesic used post-surgery. 4,5 Pain, as described by the Taxonomy Committee of International Association for the Study of Pain (IASP), is a sensory and emotional experience related to true or possible tissue damage. Post-operative pain is categorized as acute pain caused by inflammation and activation of afferent neurons resulted from operative trauma and can be measured using Visual Analogue Scale (VAS).…”