Outcomes of laparoscopic versus open appendectomy: a comparative study

Kolhar, Bailappa; Lamani, Yamanur P.; Shekhar, Raj; Shankar, Gururaj

doi:10.18203/2349-2902.isj20172763

Cited by 4 publications

(4 citation statements)

References 7 publications

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“…In LA group mean analgesic dose required was 2.45 ± 0.71 and in OA group analgesic dose required was 4.40 ± 0.93. Similar results were obtained by [2,11,12] they showed number of analgesic dose requirement was less in LA group than OA group, frequency of use of analgesia was less in laparoscopic appendectomy as compared to open appendectomy. Small trocar incisions of laparoscopy also leads to minimum trauma to abdominal wall, less pain and faster recovery.…”

Section: Discussionsupporting

confidence: 83%

“…This could be because the minimally invasive operation (LA) by definition allow for a quicker recovery as compared to open surgery. Similar results were also obtained by [13,14,11] reported length of hospital stay was shortened by 1.1 day in laparoscopic approach and duration of hospital stay was significantly low for laparoscopic group (2.84±0.9) as compared to open group (7.68±2.38). It has been shown that shorter hospital stay in LA group as compared to OA group was attributed to minimal trauma to abdominal wall which is a significant factor in postsurgical discomfort and lead to better mobility and earlier ambulation.…”

Section: Length Of Hospital Staysupporting

confidence: 85%

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Laparoscopic versus open appendectomy: A comparative study

Singh¹,

Sharma²,

Abbas³

2021

Int. J. Surg. Sci.

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The current study was done to compare the effectiveness, safety and clinical outcome between Laparoscopic and Open Appendectomy in terms of operating time, complications and length of hospital stay. Patients undergoing Appendectomy by Laparoscopic and Open technique from November 2016 to October 2017 were enrolled in the study after fulfilling eligibility criteria. According to surgical approach patients were randomly divided into two groups Laparoscopic Appendectomy Group (LA group) & Open Appendectomy Group (OA group) respectively. The following parameters were assessed primarily in terms of operating time, resumption of oral diet, length of hospital stay, no. of analgesic doses, conversion rate, post-operative pain, Intraoperative and post operative complications like wound infection, prolong ileus, intraabdominal abscess, diarrhea and urinary tract infection. Results: We found that operating time was comparable in both groups, resumption of oral diet was earlier in LA Group as compare to OA Group (with p value of <0.0001) which was statistically significant, No. of analgesic doses used, length of hospital stay, Postoperative pain, Intraoperative and postoperative complications was less in LA Group whereas 2 patients in LA group was converted to open Group but difference was statistically significant. Conclusion: we concluded that Laparoscopic Appendectomy is safe and effective than Open Appendectomy irrespective of the indication for conversion to open.

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Section: Discussionsupporting

confidence: 83%

Section: Length Of Hospital Staysupporting

confidence: 85%

Laparoscopic versus open appendectomy: A comparative study

Singh¹,

Sharma²,

Abbas³

2021

Int. J. Surg. Sci.

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“…For many treatments, including cholecystectomy, laparoscopic surgery has lately acquired widespread acceptability because it provides advantages like reduced scarring, less pain, and an earlier return to normal activities 18 . The first LA was carried out by German gynaecologist Semm in 1981 19 . In 1982, he discussed the procedure at a surgery conference.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Laparoscopic Appendectomy with Open Appendectomy with Respect to Surgical Site Infection

Khan¹,

Khattak²,

Jamil³

et al. 2022

PJMHS

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Aim: The purpose of this study is to compare the incidence of wound infection in laparoscopic and open appendectomy. Study Design: A randomized, controlled study Place and Duration: In the Surgical department of Khalifa Gul Nawaz Medical Teaching Institute, Bannu and Ayub Teaching Hospital, Abbottabad for the duration from January 2021 to June 2021. Methods: In this study, 220 patients with the diagnosis of acute appendicitis were selected and divided randomly into two groups; OA group (open appendectomy) and LA group (laparoscopic) appendectomy. In both groups, the general anesthesia was given for appendectomy. The wound was examined on the 1st, 2nd and 3rd postoperative day, and then on the 7th and 14th day postoperatively and was scored conferring to the wound asepsis Score. The SSI and total wound asepsis score was calculated subsequently. Results: Total of 200 patients with acute appendicitis were selected. In laparoscopic appendectomy (LA); 22.0±7.85 years was the mean age and 24.12±9.08 years was the mean age in open appendectomy (OA) group. There were 70 men and 40 women in the LA group, and 50 men and 60 women in the OA group. The LA group has M:F ratio of 1.9: 1 in the and 1: 1.3 in the OA group. While 108 patients had no complications and surgical site infection were noticed in two patients only in the LA group, 98 patients in the OA group recovered and surgical site infection were seen in 12 patients. Conclusion: Laparoscopic appendectomy is a safer and better choice than open appendectomy which decreases postoperative complications significantly such as wound infections. Keywords: Open appendectomy, Laparoscopic appendectomy, Acute appendicitis and Surgical site infection.

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“…However B. A. Kolhar [20] showed the age of patients ranged from 13 years (youngest) to 53 years (oldest) with a mean age of 25.08 years in open and 23.36 years in laproscopic group.…”

Section: Ao: Open Appendicectomy Group La: Laparoscopic Appendicectom...mentioning

confidence: 99%

Comparison of Outcomes of Laparoscopic and Open Appendectomy in Management of Appendicitis

Mirza¹,

Yousfani²,

Brohi

et al. 2022

JPRI

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Objective: To compare the outcomes in relations to postoperative pain and complications, and hospital stay of laparoscopic versus open appendectomy in management of appendicitis. Study Design: Cross sectional study. Place and Duration of Study: This study was conducted in department of surgery Unit III of PUMHS Nawabshah and Suleman Roshan Medical College Tando Adam, Sindh Pakistan, from January 2020 to December 2021. Methodology: This study consisted of 136 consecutive cases of either gender, aged between 13 to 60 years, that were enrolled during study period and matching with the inclusion and exclusion criteria. After the permission of ethical committee, a detailed history was taken from all the patients with special regard to the pain in RIF, Pain starting around umbilicus, nausea, vomiting, fever and altered bowel habits. All the cases were randomly divided into Group A comprising of 68 cases which were operated by conventional open appendectomy (OA) and other group B also comprising of 68 cases which were operated by laparoscopically appendectomy (LA). All the clinical and demographic data was collected on a proforma designed for the study, and analyzed by using Statistical Package for Social Science (SPSS) software version 22. Effect modifier like age, gender was controlled by stratification and chi-square test was applied to see the effect of these on both open versus laparoscopic appendectomy outcome variable. P <0.05 was taken as significant. Results: In open appendectomy group male:female ratio of 1.2:1 and in laparoscopically appendectomy group male:female ratio of 1.5:1. The mean age was 31.28±4.30 years for OA group and 35.47±3.23 years for LA group (p 0.02).Alvarado score was showed <4 Score 0% in both groups, where as 4-7 Score in 9(13.23%) patients of OA group and 8(11.76%) patients of LA group, and > 7 Score was seen in 59(86.76%) patients of OA group and 60(83.23%) patients of LA group. The mean time in OA group was 45.21±12.1 minutes and LA group was 43.44±9.4 minutes (p 0.026).Mild pain was felt in 7(10.29%) patients of OA group and 39(57.35%) patients of LA group, Moderate pain was seen in 31(45.58%) patients of OA group and 26(38.23%) patients of LA group, severe pain was described by 30 (44.11%) patients in OA group and 3(4.41%) patients in LA group (p 0.005).The common complications seen in this study Ileus was 29(42.64%) patients in OA and 18(26.47%) patients in LA group) followed by wound infection 10(14.70%) patients in OA and 1(1.47%) patients in LA group. The duration of hospital stay was longer about 3-4 days in 58(85.29%) of OA patients as compared to LA cases where majority 65(95.58%) were discharged within 2 to 3 days. Conclusion: We conclude that laparoscopic appendectomy procedure has a low rate of complications, earlier mobilization, implies a shorter hospital stay and offers the patient a more comfortable postoperative period than open appendectomy procedure.

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Outcomes of laparoscopic versus open appendectomy: a comparative study

Cited by 4 publications

References 7 publications

Laparoscopic versus open appendectomy: A comparative study

Laparoscopic versus open appendectomy: A comparative study

Comparison of Laparoscopic Appendectomy with Open Appendectomy with Respect to Surgical Site Infection

Comparison of Outcomes of Laparoscopic and Open Appendectomy in Management of Appendicitis

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