RESUMEN
Introduction: Laparoscopic Appendicectomy is a gold standard of surgical management of Appendicitis. Our study is an Experience of first 60 cases of Laparoscopic Appendectomy at newly opened GCS Medical College and Hospital, Ahmedabad. Objectives: To study Laparoscopic Appendicectomy with respect to operative time, patient comfort, post-operative complications, hospital stay and cost effectiveness. Methodology: A non randomized study of first 60 patients underwent Laparoscopic Appendicectomy from December 2012 to August 2014 in surgery department of newly opened Teaching Hospital in Ahmedabad, Gujarat, India. Result: Mean operative time was 40 minutes; average post-operative hospital stay was 3 days, post-operative complication rate was 8.33% including URTI, Fever and Wound Infection. None of the patient required conversion to open surgery. Conclusion: Results of Laparoscopic Appendicectomy in our Institute were comparable with referenced studies and International data. It is also cost effective. Recommendation: A newly established surgical training Institute must focus on performing basic Laparoscopic surgeries such as Lap Appendicectomy on routine basis. the procedure were identified as the main predictors of surgical site infections.
RESUMEN
In this article we report a case of inferior lumbar hernia. The patient underwent preperitoneal meshplasty. The patient is well on follow up with no recurrence. The relevant literature has been reviewed and management discussed in brief.