Abstract
Appendicitis is a common disease in paediatric age group. Surgical management by way of appendectomy is the gold standard of treatment. Introduction of minimally invasive approach via laparoscopic technique has revolutionised the surgical management of this condition. In this paper we compare between single incision versus conventional approach for laparoscopic appendectomy. This was a retrospective review and analysis of a prospectively maintained database. The cohort was matched for age and sex. The total number of patients (n = 29) were divided into two groups. Group A (n = 15) underwent single incision laparoscopic appendectomy and group B (n = 14) underwent appendectomy via the conventional laparoscopic approach. The patient data was selected from patients who underwent appendectomy from July 2015 to December 2019. The data was analysed on various parameters like operative time, post-operative complications, starting of oral feeds, ambulation time, hospital stay, etc. The findings were compared using various statistical tools and conclusions drawn accordingly. There was a significant difference in operative times by the two approaches. The results showed no significant differences in the two approaches with respect to post-operative mobilization, feeding and recovery. The difference in the operative time can be attributed primarily to the complexity of cases that were operated by either approach. Minimally invasive laparoscopic technique is the standard of care for appendectomy in today’s age. Both single incision and conventional approach can be used for removal of appendix as there is no significant difference between the two methods. The single incision approach gives a better cosmetic result and can be better suited in uncomplicated appendicitis, whereas the conventional approach is more suitable for complicated cases.
Published Version
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