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Vol. 2 No. 5 (2022)

Efficacy of Open vs. Laparoscopic Appendectomies

Clinical Medicine And Health Research Journal, Vol. 2 No. 5 (2022), 15 September 2022 , Page 208-212
https://doi.org/10.18535/cmhrj.v2i5.88

Abstract

Background: Appendicitis is common problem treated surgically by open or laparoscopic appendectomy.


Objectives: To compare short term complications of open versus laparoscopic appendectomy.


Study design: Randomized control trial


Setting: Department of General Surgery, Mardan Medical Complex, MTI, Mardan.


Subjects: Total 110 patients of both gender aged 20 to 40 years undergoing appendectomy were enrolled.


Methodology: This study was done from 12thJuly 2020 till 11th January 2021 after approval from hospital ethical committee. Total 110 patients were enrolled and divided in open appendectomy and laparoscopic appendectomy and short term complications were noted.


Results: In our study total 110 patients were enrolled and divided in two groups. The mean age of patients was 32.65±4.8 years. There were 25.5% patients in younger age group and 74.5% in elder age group. In our study population there were 26.4% males and 73.6% female patients. The mean body mass index was 30.9±5.5 kg/m2. Mean duration of surgery was 1.4±0.4 hours in laparoscopic group and 1.5±0.4 hours in open appendectomy. The most common complication was wound infection in 12.7%, paralytic ileus in 10.9%, intra-abdominal abscess in 9.1% and vomiting in 6.4% patients. Complication rate was significantly increased in open appendectomy, p-value 0.032.


Conclusion: Laparoscopic is safer as compared to open appendectomy.

How to Cite

Izhar , M. ., Khan, A. ., Ahmad, Z. ., Abubakar, M. ., Anjum, B. ., & Ullah, W. . (2022). Efficacy of Open vs. Laparoscopic Appendectomies. Clinical Medicine And Health Research Journal, 2(5), 208–212. https://doi.org/10.18535/cmhrj.v2i5.88

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References

  • Takami T, Yamaguchi T, Yoshitake H, Hatano K, Kataoka N, Tomita M et al. A clinical comparison of laparoscopic versus open appendectomy for the treatment of complicated appendicitis: historical cohort study. Eur J Trauma Emerg Surg. 2019; 2(2):1-5.
  • Hori T, Machimoto T, Kadokawa Y, Hata T, Ito T, Kato S et al. Laparoscopic appendectomy for acute appendicitis: How to discourage surgeons using inadequate therapy. W J Gastroenterol. 2017;23(32):5849.
  • Khalil M, Rhee P, Jokar TO, Kulvatunyou N, O’Keeffe T, Tang A, Hassan A, Gries L, Latifi R, Joseph B. Antibiotics for appendicitis! Not so fast. J Trauma Acute Care Surg. 2016;80:923–932.
  • Chen KC, Arad A, Chen KC, Storrar J, Christy AG. The clinical value of pathology tests and imaging study in the diagnosis of acute appendicitis. Postgrad Med J. 2016;92:611–619.
  • Shimoda M, Maruyama T, Nishida K, Suzuki K, Tago T, Shimazaki J et al. Comparison of clinical outcome of laparoscopic versus open appendectomy, single center experience. Heliyon. 2018;4(5):e00635.
  • Horvath P., Lange J., Bachmann R. Comparison of clinical outcome of laparoscopic versus open appendectomy for complicated appendicitis. Surg. Endosc. 2017;31(1):199–205.
  • Darwazeh G., Cunningham S.C., Kowdley G.C. A systematic review of perforated appendicitis and Phlegmon: interval appendectomy or wait-and-see? Am. Surg. 2016 ;82(1):11–15.
  • Di Saverio S., Birindelli A., Kelly M.D. WSES Jerusalem guidelines for diagnosis and treatment of acute appendicitis. World J. Emerg. Surg. 2016;11:34.
  • Shaikh A, Sangrasi A, Shaikh G. Clinical Outcomes of Laparoscopic Versus Open Appendectomy. JSLS. 2017;13(4):574-580.
  • Biondi A., Di Stefano C., Ferrara F. Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness. World J. Emerg. Surg. 2016;11(1):44.
  • Yu G, Han A, Wang W. Comparison of Laparoscopic Appendectomy with open appendectomy in Treating Children with Appendicitis. Pak J Med Sci. 2016 Mar-Apr;32(2):299-304. doi: 10.12669/pjms.322.9082. PMID: 27182227; PMCID: PMC4859010.
  • Keckler SJ, Tsao K, Sharp SW, Ostlie DJ, Holcomb GW 3rd, St Peter SD. Resource utilization and outcomes from percutaneous drainage and interval appendectomy for perforated appendicitis with abscess. J Pediatr Surg. 2008 Jun. 43 (6):977-80.
  • Mahesh P, Ahmed R, Anjum N, Anwar A. Outcomes of laparoscopic appendectomy; a prospective study focusing on gender wise comparison of complications of the surgery. ASH & KMDC.2019; 24(1):9-13.
  • Biondi A, Di Stefano C, Ferrara F, Bellia A, Vacante M, Piazza L. Laparoscopic versus open appendectomy: a retrospective cohort study assessing outcomes and cost-effectiveness. World J Emerg Surg. 2016;11(1):44-9.
  • Takami T, Yamaguchi T, Yoshitake H, Hatano K, Kataoka N, Tomita M et al. A clinical comparison of laparoscopic versus open appendectomy for the treatment of complicated appendicitis: historical cohort study. Eur J Tra Emerg Surg. 2019;46(4):847-51
  • Poprom N, Wilasrusmee C, Attia J, McEvoy M, Thakkinstian A, Rattanasiri S. Comparison of postoperative complications between open and laparoscopic appendectomy. J Tra Acu Car Surg. 2020;2(1):1-7.
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