Comparative Evaluation of Open Method and Laparoscopic Technique of Appendicectomy

Open Method and Laparoscopic Technique of Appendicectomy

Abstract

Background: Most  commonly  performed  abdominal  surgery  is  appendicectomy  open  appendectomy  (OA)  was introduced by Mc-burney in 1884 still it is the operation of choice in acute appendicitis. Laparoscopic appendectomy (LA) thoughwidely practiced, has not gained universal approval. LA was first described in 1983. Recent studies showed overall benefit in favor of LA.Aim:This study is done to view the therapeutic benefit of LA by comparing with conventional OA.Subjects and Methods:It is a prospective study in 103 patients who underwent appendicectomy from January 2019 to September 2019. Out of them 60 had conventional OA and 43 had LA. We compared the mean operation time, timeof adequateoral feeding, analgesic requirement, and duration of post-operative hospital stay.Results:We found that mean operation time was 335.8 minute foropen appendicectomy and 47 7.5 minute for laparoscopic appendicectomy. Duration of post-operative hospital stay was 1.2 days shorter in Laparoscopic group. LA required 1.1 shots of less analgesic than OA. Oral feeding was resumed 21 hours earlier following LA compared to OA. We  also  found  that,  in  female  patient,  concurrent  ovarian  cysts,  tubal  pregnancy  can  be  diagnosed  and managed laparoscopically in the same sitting.Conclusion: Our study found that laparoscopic appendectomy is an effective and safe procedure irrespective sex of the patient.  LA  has  added  advantage  of  early  return  of  bowel  movement,  less  post-op  hospital  stay  and  less requirement of analgesic.