Laproscopic versus open appendectomy: a comparative study
JPMA-Journal of Pakistan Medical Association. 2010; 60 (11): 901-904
in English
| IMEMR
| ID: emr-117748
ABSTRACT
To compare the results of open with laparoscopic appendectomy in terms of postoperative pain, rate of wound infection and hospital stay. This quasi-experimental study was conducted in Deprtment of Surgery, Ziauddin University Hospital, Karachi, over a period of six months. Patients undergoing surgery for acute appendicitis were randomly assigned into one of the two groups [A or B] after obtaining written and informed consent. In Group-A patients underwent open appendectomy and in Group B laparoscopic appendectomy was performed. Post operatively pain chart and wound infection was recorded and, at the time of discharge, number of days in hospital was calculated. Sixty patients [38 male, 22 female], with clinical diagnosis of acute appendicitis based on Alvarado score of six and above, were included in the study. They were randomized into 2 groups of A and B with 30 patients in each group. Group-A comprised open appendectomy procedure and Group-B comprised laparoscopic appendectomy. Mean comparison of postoperative pain by visual analogue scale, was significantly low in Group B, compared with Group A, on day 0, 1 and 2. Number of days in Hospital was 4.1 +/- 0.8 days in Group A and 1.5 +/- 0.06 days in Group B. None of the patients in Group B, while 8 [26.67%] patients in-Group A, developed postoperative wound infection at 1 week follow up. Laparoscopic appendectomy is safe and effective. Wound infection and postoperative pain is significantly lower after this mode of surgery
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Index:
IMEMR (Eastern Mediterranean)
Main subject:
Surgical Wound Infection
/
Treatment Outcome
/
Laparoscopy
/
Length of Stay
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
J. Pak. Med. Assoc.
Year:
2010
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