Background: Within the last decade, the laparoscopic appendectomy has gained popularity. During laparoscopic appendectomy, any other pathology that comes to view could be diagnosed rather easier and dealt with in the same time. The decision as to do the laparoscopic appendectomy is usually based on the surgeon's preference rather than on knowledge of the advantage of it.
Aim of Study:The aim of this study is to evaluate laparoscopic appendectomy in complicated appendicitis in a teaching hospital regarding operative time, intraoperative complications, time of return to oral intake, length of hospital stay, postoperative pain and complications.Patients and Methods: Forty patients with suspected complicated acute appendicitis were admitted to ER in Ahmed Maher Teaching Hospital, from September 2021 to September 2023. All underwent laparoscopic appendectomy. We conducted a prospective study evaluating laparoscopic appendectomy in complicated appendicitis.
Results:In laparoscopic appendectomy the monopolar diathermy was used to divide the mesoappendix and controlling the appendicular artery then the base was cut between two ligatures whether by end loops or intracorporeal suture. Laparoscopic appendectomy is a safe and feasible in management of complicated acute appendicitis. Laparoscopic appendectomy has the advantage of shorter operative room time, less intra-operative complications, less post-operative complications, less time needed for oral intake, and shorter hospital stay.
Conclusion:From the previous study we concluded that laparoscopic appendectomy in complicated appendicitis is a safe and efficient procedure with lower incidence of complications and should be the initial choice for all patients with complicated appendicitis, laparoscopic appendectomy has the advantage of shorter operative room time, less intra-operative