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Laparoscopic versus open appendicectomy in adults. (Prospective Study of 50 cases)

Ketan Vagholkar, Swapnil Tople, Suvarna Vagholkar.




Abstract
Cited by 0 Articles

Background:
Appendicectomy is one of the common procedures performed by a general surgeon. The advent of laparoscopic appendicectomy has led to a reduction in the number of open appendicectomies performed. Therefore there is a need to study the advantages of the laparoscopic approach over the traditional open approach.
Aims:
The aim of the study was to compare laparoscopic appendicectomy with open appendicectomy based on various intraoperative and postoperative parameters
Materials and methods:
50 patients undergoing interval appendicectomy were randomised into two groups. Group A comprised 25 patients who underwent laparoscopic appendicectomy and group B comprised 25 patients who underwent open appendicectomy.
Results:
Confirmation of diagnosis and evaluation of intraoperative findings was easier in group A patients. Early commencement of feeds with early bowel movements, reduced need for postoperative analgesia due to less pain, lesser complications and shorter duration of hospital stay were observed in group A patients.
Conclusion:
Laparoscopic appendicectomy has better outcomes rendering it a preferable procedure for appendicectomy.

Key words: Laparoscopic, Open, Appendicectomy, Outcomes, Complications






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