Abstract
Background: There is definitely added advantage of laparoscopic operations. Most of the surgeons now prefer these minimally invasive proce- dures. Laparoscopy has become the number one choice of educated and affording patients. The aim of the study was to compare and evaluate the open and laproscopic method of appendectomy in acute appendicitis. Subjects and Methods: The subjects undergoing appendectomy were evaluated for age, sex, episode number, duration of pain before presentation in hospital, operative time, conversion rate, wound infection, post-operative intra-abdominal abscess formation, and stay in hospital. Results: It was found that average operative time in open surgery was
 67.5 minutes and 104 minutes in laparoscopic surgery, with a conversion to open in about 20% of the cases. Oral feeding in the open group was around the 5th day while it was around 2nd day in the laparoscopic group. Average hospital stay was also low in the laparoscopic group, being only around 5 days in laparoscopic group and around 8 days in the open group. Overall complications were also low in the laparoscopic surgery group. Conclusion: It was noted that though conversion to open operation was definitely high but there were other advantages of laparoscopic surgery as well. Stay in the hospital, beginning of oral feeds, requirement of analgesics, wound infection, intra-abdominal abscess; pulmonary complications were less in laparoscopy group.
Highlights
In present era of minimal access surgery most of the surgeons are very well trained in laparoscopic surgical maneuvers in hepatobiliary, resection-anastomoses of gut, anal surgeries, thoracic and urological operations
Even in first trimester of pregnancy laparoscopic appendectomy and other operations are safer with laparoscopy. [5–8] Most of the surgeons prefer these minimally invasive procedures
Stay in the hospital, beginning of oral feeds, wound infection, intra-abdominal abscess; pulmonary complications were less in laparoscopy group
Summary
In present era of minimal access surgery most of the surgeons are very well trained in laparoscopic surgical maneuvers in hepatobiliary, resection-anastomoses of gut, anal surgeries, thoracic and urological operations. There is definitely added advantage of laparoscopic operations in the form of lesser hospital stay, lesser wound infection, early work resumption, lesser pain and agony to patients. In obese patients the time taken for operations is more but there are fewer complications with minimal access surgery as compared to open procedures. Subjects and Methods: The subjects undergoing appendectomy were evaluated for age, sex, episode number, duration of pain before presentation in hospital, operative time, conversion rate, wound infection, post-operative intra-abdominal abscess formation, and stay in hospital. Conclusion: It was noted that though conversion to open operation was definitely high but there were other advantages of laparoscopic surgery as well. Stay in the hospital, beginning of oral feeds, requirement of analgesics, wound infection, intra-abdominal abscess; pulmonary complications were less in laparoscopy group
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
