Efficacy of Open vs. Laparoscopic Appendectomies

Abstract

Background: Appendicitis is common problem treated surgically by open or laparoscopic appendectomy. Objectives: To compare short term complications of open versus laparoscopic appendectomy. Study design: Randomized control trial Setting: Department of General Surgery, Mardan Medical Complex, MTI, Mardan. Subjects: Total 110 patients of both gender aged 20 to 40 years undergoing appendectomy were enrolled. Methodology: This study was done from 12thJuly 2020 till 11th January 2021 after approval from hospital ethical committee. Total 110 patients were enrolled and divided in open appendectomy and laparoscopic appendectomy and short term complications were noted. Results: In our study total 110 patients were enrolled and divided in two groups. The mean age of patients was 32.65±4.8 years. There were 25.5% patients in younger age group and 74.5% in elder age group. In our study population there were 26.4% males and 73.6% female patients. The mean body mass index was 30.9±5.5 kg/m2. Mean duration of surgery was 1.4±0.4 hours in laparoscopic group and 1.5±0.4 hours in open appendectomy. The most common complication was wound infection in 12.7%, paralytic ileus in 10.9%, intra-abdominal abscess in 9.1% and vomiting in 6.4% patients. Complication rate was significantly increased in open appendectomy, p-value 0.032. Conclusion: Laparoscopic is safer as compared to open appendectomy.