COMPARATIVE STUDY ON OPEN APPENDICECTOMY VERSUS LAPAROSCOPIC APPENDICECTOMY
Abstract
Background: Appendectomy is done by two methods one is open appendectomy, and the other is with the help of laparoscopic appendectomy. Open Appendectomy is a technique in which small right lower quadrant incision is done and in which the postoperative recovery takes a long time. Laparoscopic appendectomy is termed as the procedure which has gained popularity and is a frequently used technique nowadays that is preferred for patients who are highly sensitive and experience difficulty in surgical recovery.
Aim: To compare the laparoscopic approach and the conventional technique in the treatment of acute appendicitis
Materials and methods: It was a prospective study conducted between March 2017 and February 2018. It involved 60 cases (30 cases opened and 30 cases laparoscopic) which were consecutively selected at the Department of Surgery, Banas Medical College and Research Institute, Palanpur, Gujarat.
Results: The mean age of the patients in the two groups was 23.9 and 22.1years, respectively. History of vomiting was present in 18 (60%) in open and 16 (54%) in the laparoscopic group. The other complaints were fever 14 (46%) in the open group and 12 (40%) in the laparoscopic group. In the present study, abnormal pathology was noted in 26 (86%) and 22 (73%) in the open and laparoscopic group respectively. Ultrasound was normal in 4 (14%) of open group and 8 (27%) in the laparoscopic group. Both pain and analgesics used were significantly reduced in laparoscopic compared to open appendicectomy.
Conclusion: Through the findings of this study, it was evident that variation in outcomes between laparoscopic and open appendicectomy can be differentiated based on different parameters such as VAS value, Post-operative recovery and complications faced as well. Use of analgesics in laparoscopic appendicectomy is less as compared to open appendicectomy. The length of hospital stay is more in open appendicectomy as compared to laparoscopic appendicectomy.
