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Comparative Study of Laparoscopic Versus Open Appendicectomy

Md Ehtesham Afzal , S. Asif Ali1 , Md Ehtesham Afzal2

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New Indian Journal of Surgery 10(1):p 63-65, January-February 2019. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10119.10

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Abstract

 Background: Frequently commonly happened abdominal surgery is appendicectomy. Open appendicectomy (OA) first introduced by Mac Burney in 1884, as on now operation of choice in acute appendicitis. Laparoscopic Appendicectomy (LA) now a days is widely practiced but could not gain universal approval. LA was first done in 1983. All recent studies shows in favour of LA. Our study is to view the therapeutic benefits of LA by comparing with open appendicectomy. Methods: It is a prospective study in 101 cases underwent in district hospital Gulbarga which was attached to esic medical college. Our study series is taken from july 2017 to aug 2018 in LA and OA from jan 2018 to july 2018, and compared mean operating time, time of oral feeding, post operative stay, analgesics administered. Results: we observed that mean operating time for LA is 48±8 and OA is 35±10, LA requires 1.1 shots less analgesics than OA, Oral feeding was resumed in 20 hours earlier following LA when compared to OA, Post operative stay 2.1 days shorter in LA than OA, In female patients we noticed other pathologies like ovarian cysts and peritoneal pathology, diagnosis done and managed laparoscopically in same sitting. Conclusion: In our study it is found that LA is more effective and safe procedure in both male and female sexes. LA has tremendous advantage having less post operative infection, hospital stay and less analgesia administered and early return of bowel movements.

Keywords: (LA) Laparoscopic Appendicectomy; (OA) Open Appendicectomy; Appendicitis.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.10119.10

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