Comparative Study of Open Versus Laparoscopic Appendicectomy Outcome in Our Local Area

Abstract

It is a comparative study between open appendicectomy and laparoscopic appendicectomy. MATERIALS AND METHODS The study subjects of this dissertation consist of 126 Patients who have undergone Appendicectomy; 60 Patients had undergone Appendicectomy by the conventional open method and the remaining 66 patients underwent surgery by the laparoscopic method with abdominal pain and with clinical features simulating acute appendicitis. RESULTS In most of the patients (95%) of the open Appendicectomy group and the entire laparoscopic group, the position of the appendix was retrocaecal. It also shows that the blood loss was below 50 mL in 93% of the patients who underwent open Appendicectomy and 98% among those who underwent laparoscopic (P=0.2). There was no instance of adjacent organ injury in the open Appendicectomy procedure and in the laparoscopic group one had injury. The duration of laparoscopic procedure was 73 mins. as compared to 64 mins. for the open procedure. The difference was not statistically significant (P=0.07). Laparoscopic Appendicectomy was of longer duration 73+26 mins. than open Appendicectomy which took 64+30 mins. Even though this did not turn out to be statistically significant, when theatre charges are levied by the hour and may be in future by the minute. Negative appendicectomy was similar in both the groups to the mild increase in the laparoscopy group. This difference was not statistically significant. There was a significant difference (P=0.02) in the wound infection rate which was around 8 %in the open group while none of the patients in the laparoscopic group. CONCLUSION It can be concluded that laparoscopic appendicectomy was better than open appendicectomy with respect to pain, wound infection, tackling co-existing pathology, duration of hospital stay, earlier return to normal activity, excellent cosmetic end result, lesser use of antibiotics, and earlier resumption of oral feeds.