Article informationBackground: The most frequent reason of pain abdomen and a common cause of emergency surgery is appendicitis. Males have an 8.6% lifetime risk of suffering appendicitis, while females have a 6.7 percent lifetime risk. Materials and Methods: Between July 2018 and June 2019, we did a retrospective review of patients who had appendectomies at The Oxford Medical College Hospital in Bangalore, Karnataka. We looked at the clinical data of 140 patients who matched the inclusion criteria. The patients were split into two groups: those who had a laparoscopic appendectomy [LA = 70] and those who had an open appendectomy [OA = 70]. A total of 140 patients with acute appendicitis, 70 patients each underwent open and laparoscopic appendectomy. Results: The time taken to return to ordinary daily activities were significantly different between the two groups, with the laparoscopic group taking 11.5±3.1 days on average against 16.1±3.3 days in the open appendectomy group. In the laparoscopic group, seven patients had complications, while in the open appendectomy group fifteen had complications. Laparoscopic appendectomy has fewer complications than open appendectomy. Conclusion: Regardless of age, sex, or return to regular activity, laparoscopic appendectomy is the operation of choice for the majority of patients. It has fewer complications and requires a fewer hospital stays, as well as the ability to treat concurrent disorders.
Article informationBackground: In the mid-1980s, laparoscopic cholecystectomy [LC] was introduced to Europe as a replacement option to open cholecystectomy [OC], a surgery that had been used for almost a century. This technique has quickly achieved general acceptance as the treatment of choice for symptomatic cholelithiasis patients. Objective: To review the experience and understanding with LC in patients with benign gallbladder diseases and to compare the results as per different adult age groups [18-30 years, 31-45 years and 46-60 years]. Patients and Methods: The research was a retrospective review of 150 patients with elective LC for benign gallbladder disease. According to their ages, the patients were split into three groups: Group A [18-30 years, n = 34], Group B [31-45 years, n = 76], and Group C [46-60 years, n = 40]. A four-port approach was employed to conduct LC. Results: A total of 150 patients were involved in our study, with Group A [18-30 years, n = 34], Group B [31-45 years, n = 76], and Group C [46-60 years, n = 40] being the three age groups. Males numbered 90, while females numbered 60. In Groups A, B, and C, the mean ages were 24.60±3.14, 38.99±8.06, and 51.32±5.06, respectively. All three groups had statistically significant coincidental biliary diseases [p=0.03914]. The majority of individuals with acute cholecystitis can have a laparoscopic cholecystectomy. However, compared to normal cholecystectomy, the complication incidence appears to be modest in laparoscopic cholecystectomy. Conclusion:LC is an effective and safe treatment for individuals with benign gallbladder illnesses, especially those who are elderly. However, surgeons should be aware of these disorders and use caution in these instances both before and after surgery.
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