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Article in English | IMSEAR | ID: sea-175759

ABSTRACT

Background: Appendicectomy is the treatment for appendicitis. A recent development in Appendicectomy has been the introduction of less invasive single incision laparoscopic surgery. There are still many unanswered questions regarding efficiency of this new technique in terms of benefits, cosmetic outcome, complications, etc. To study and compare the outcome, effectiveness and safety of single port laparoscopic Appendicectomy with that of open appendectomy. Methods: This comparative study was carried out to analyze and evaluate the advantages and disadvantages of single port laparoscopic appendicectomy over open appendicectomy. The patient Age, sex, time of surgery, start up time, anesthesia given, Post-operative pain, Period of Nil by Mouth, Hospital stay and Post-operative complications were studied and compared. Results: The study of 137 patient revealed Single port laparoscopic appendicectomy better over open appendicectomy in terms of early resumption of oral feeds, shorter duration of stay, early resumption of daily activities and excellent cosmetic results. All these advantages are at a cost of slightly increased duration of surgery, steep learning curve and higher overall cost. Conclusion: Going by our study we definitely find an overall advantage of single port laparoscopic appendicectomy over Open appendicectomy.

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