Comparison of Small Access and Classic McBurney’s Incisions for Open Appendectomy: A Randomized Controlled Trial

Javadi, Seyed Mohammad Reza; Zarghami, Seyed Yahya; Ghaderzadeh, Pezhman; Ghorbanpoor, Manoochehr; Makarchian, Hamid Reza; Derakhshanfar, Amir; Sharifi, Ali; Khorshidi, Hamid Reza

doi:10.5812/semj.14565

Cited by 3 publications

(2 citation statements)

References 23 publications

(30 reference statements)

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“…The amount of pain medication administered during the hospital stay in the small incisopn appendectomy group was significantly lower than the conventional appendectomy group. 11 A new small access incision was introduced by Malik et al 12 The incision is 1.5 to 2 cm in length, located in the middle third of the lateral third of the spinoumbilical line, lateral to McBurney's point. It has been shown that appendectomy using this method is feasible in children with advantages of less postoperative pain, shorter hospital stay, and better cosmesis.…”

Section: Discussionmentioning

confidence: 99%

Conventional versus small incision appendectomy: a retrospective randomized controlled trial study

Selvarajan¹

2021

Int Surg J

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Background: Open appendectomy is practiced for more than a century and in the recent times small incision appendectomy is also practiced frequently. The efficacy of conventional appendectomy and small incision appendectomy in terms of pain, operating time and duration of hospital stay and have produced conflicting results. Hence this study was conducted to assess the same. Methods: A hospital based randomized controlled trial study was conducted among the patients with appendicitis undergoing surgical intervention for the same in department of general surgery in Sri Muthukumaran Medical College Hospital and Research Institute, Chennai, during the study period from January 2017 to December 2019. A total of eighty cases with acute appendicitis were included in the study. Group A (n=40) includes conventional open appendectomy cases and group B (n=40) includes small incision open appendectomy cases. Data entry was done using Microsoft excel and data was analyzed using SPSS version 17. Results: Blood loss, post-operative pain scores on day 1 and day 2, duration of hospital stay were found to be reduced in Small incision open appendectomy group compared to conventional open appendectomy group. Duration taken to resuming the normal activities and the complications were found to be similar in both conventional and small incision appendectomy group and small incision open appendectomy group. Conclusions: Small incision open appendectomy is superior to conventional open appendectomy in terms of length of hospital stay, return to normal activity, blood loss and postoperative pain scores, which are considered the major advantages of minimally invasive surgery.

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Section: Discussionmentioning

confidence: 99%

Conventional versus small incision appendectomy: a retrospective randomized controlled trial study

Selvarajan¹

2021

Int Surg J

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“…Similar results were seen in Bhasin et al study where analgesics used in mini appendectomy were less, that is, 2.13 doses against 4.2 doses in conventional appendectomy group. Similarly in Javadi et al [5] study, the amount of analgesics administered during the hospital stay in small access group (110±29.2 mg) was lower than the conventional appendectomy group (134±29.7 mg).…”

Section: Singh Et Almentioning

confidence: 52%

A Prospective Study to Compare the Post-Operative Pain and Post-Operative Complications in Conventional Grid Iron and Transverse Crease Cosmetic Incision Appendectomy

Singh,

Salim,

Jalthania

et al. 2023

Asian J Pharm Clin Res

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Objective: The objective of our study is to compare the conventional grid iron incision with transverse crease cosmetic incision in terms of post-operative pain, mean operating time, duration of hospital stay, and post-operative complications. Methods: This is a prospective and comparative study and was carried out between December 2021 and November 2022. During the study period, 50 patients presented to surgical outdoor and emergency at PBM hospital, Bikaner, with clinical presentation and eventual radiological diagnosis of acute appendicitis were enrolled in the study and were randomly allocated to two groups including grid iron=25 and transverse crease=25. All patients were contacted 1 week and 2 months after surgery and the efficacy of grid iron and transverse crease incision in terms of post-operative pain, mean operating time, duration of stay in hospital, and post-operative complications. Results: Post-operative pain, duration of stay in hospital (mean stay for grid iron group=4.32 vs. transverse crease group=2.16 days), and operating time (mean operating time for grid iron group=33 min vs. transverse crease group was 20.3 min) were significantly lower in cases of transverse crease incision as compared to grid iron cases. Post=operative complications were lesser in transverse crease incision but were not very significant as compared to grid iron incision. Conclusion: Open appendectomy using transverse crease cosmetic incision was superior to conventional grid iron incision in terms of post-operative pain, operating time, duration of hospital stay, blood loss, and post-operative complications.

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Day Care Appendectomy Is Safe in Young Patients with Uncomplicated Early Presentation

González-Urquijo

Guajardo-Nieto²,

Muñiz-Eguia³

et al. 2020

Indian J Surg

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Comparison of Small Access and Classic McBurney’s Incisions for Open Appendectomy: A Randomized Controlled Trial

Cited by 3 publications

References 23 publications

Conventional versus small incision appendectomy: a retrospective randomized controlled trial study

Conventional versus small incision appendectomy: a retrospective randomized controlled trial study

A Prospective Study to Compare the Post-Operative Pain and Post-Operative Complications in Conventional Grid Iron and Transverse Crease Cosmetic Incision Appendectomy

Day Care Appendectomy Is Safe in Young Patients with Uncomplicated Early Presentation

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