Assessment of the Role of Laparoscopic Management in Patients with Complicated Appendicitis

Priyank Patel,Jaimini Jaiswal

doi:10.47008/ajs/2020.3.2.2

Abstract

Background: Present research aimed to evaluate the wellbeing and the effectiveness of laparoscopy for managing complicated appendicitis. Subjects and Methods: Present descriptive research was carry out on 50 patients at tertiary care institution of Gujarat for the period of 1 year. This study is including patients of complicated appendicitis undergoing laparoscopic management. Parameters studied included Age, Gender, WBC count, wound infection and hospital stay. Results: There was increase of total leucocytic count (leukocytosis) in most of the patients; Mean WBCs was 12.71 5.37. 33 patients had pus free IPF collection and perforated appendicitis (PA), 11 patients had turbid free IPF collection with AA (highly inflamed appendix), 2 case was mucocele of the appendix, 2 cases of appendicular abscess (3.3%) and 2 cases of gangrenous appendix. Conclusion: management of complicated appendicitis laparoscopically is practicable, secure and can present a small occurrence of infectious impediments, fewer post-operative pain, fast revival and improved cosmesis on the cost of extended operating time than OA.

Highlights

Appendicitis is the commonest abdominal surgical emergency in the world which may lead to complications like appendicular abscess or mass, gangrene, perforation and peritonitis. [1] About seven percentage of the residents developed appendicitis in their existence, with crest occurrence amid the ages of 10 and 30 years, building appendectomy the mainly often executed abdominal operation
[2] The possibility and strength of the laparoscopic approach has reason important argument mostly owing to premature information of the augmented occurrence of intra-abdominal abscess rateson the other hand, quite a few further fresh trials have establish a statistically significant lessening in premature postoperative complications with the laparoscopic approach to the end that it has really been future as the technique of option for complicated appendicitis. [3,4,5,6,7,8,9,10,11,12]
[19] it is rational that laparoscopic appendectomy (LA) could have compensation above open appendectomy (OA) in patients with complicated appendicitis, since LA is linked with fewer wound surface area out to contagion and possible assists straight apparition throughout peritoneal lavage. [20]

Summary

Introduction

Appendicitis is the commonest abdominal surgical emergency in the world which may lead to complications like appendicular abscess or mass, gangrene, perforation and peritonitis. [1] About seven percentage of the residents developed appendicitis in their existence, with crest occurrence amid the ages of 10 and 30 years, building appendectomy the mainly often executed abdominal operation. Complicated appendicitis has been linked with a important danger of postoperative septic difficulties, with wound infections and intraabdominal abscess formation. [2] The possibility and strength of the laparoscopic approach has reason important argument mostly owing to premature information of the augmented occurrence of intra-abdominal abscess rateson the other hand, quite a few further fresh trials have establish a statistically significant lessening in premature postoperative complications with the laparoscopic approach to the end that it has really been future as the technique of option for complicated appendicitis. Perforated appendicitis happens in 20% to 30% of acute appendicitis patients and is linked with greatly superior threats of postoperative infectious complications present study carry out to assess the protection and the effectiveness of laparoscopy for managing complicated appendicitis. Conclusion: management of complicated appendicitis laparoscopically is practicable, secure and can present a small occurrence of infectious impediments, fewer post-operative pain, fast revival and improved cosmesis on the cost of extended operating time than OA

Methods

Results

Conclusion