ABSTRACT
Seventy one patients with acute as well as recurrent subacute appendicitis were scheduled for laparoscopic appendicectomy [LA]. One was converted to open surgery [1.4%] and five had concomitant laparoscopic procedures. The remaining 65 cases were compared with 176 conventional appendicectomies [CA] done during the same time interval. LA took a significantly longer time in the operating theatre, 81.4 minutes versus 52.9 minutes for CA. Less than three days hospitalizations was encountered in 78.5% of LA and in 30.11% of CA cases [p <0.001], less than two days in 15.4% and 3.41% respectively [p <0.025%]. Return to normal activity averaged 10 days for LA and 14.4 days for CA [p <0.001]. Complications were less for LA [7.7% than for CA [13.1%], yet the difference is insignificant [p <0.05]. The cosmetic appearance was most satisfactory for the LA patients. Laparoscopic appendicectomy is a safe operation that has the advantages of lasser hospitalization, early return to work and better cosmetic results
Subject(s)
Humans , Male , Female , Appendectomy/methods , Laparoscopy/methods , MortalityABSTRACT
The aim of this work is to study the factors that are most likely to produce gastric mucosal lesions in patients with portal hypertension. For 53 portal hypertension cases upper GI endoscopy was performed for assessment of the gastroduodenal mucosa. For these patients and for 15 control cases basal acid output [BAO], maximal acid output [MAO], and gastric mucosal blood flow [GMBF] by the technetium-99m clearance method were performed. Gastric mucosal lesions which were found to be common did not correlate with either BAO but their, occurrence showed a definite relation with the diminution of GMBF that in turn was observed to be lower in portal hypertension than in normal individuals. This proves that mucosal ischaemia is the main factor causing these lesions and calls for a reconsideration of the measures used to combat acute bleeding on the basis of their effect on GMBF