Laparoscopic appendectomy in acute appendicitis with or without complication

Irfan Ahmad Ansari,Prasad Yogendra Bansod,B S Gedam,Yunus Shah,V B Kale

doi:10.7439/ijbar.v6i3.1857

Irfan Ahmad Ansari, Prasad Yogendra Bansod + Show 3 more

Open Access

https://doi.org/10.7439/ijbar.v6i3.1857

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Abstract

Laparoscopic appendectomy has the advantage of providing better access and good visualization of the peritoneal cavity through small incisions, as compared to open appendectomy. weevaluated the safety, outcome and feasibility of laparoscopic appendicectomy in patients presenting with or withput complications. we observedAppendicular lump was predominantly seen in male patients presenting after 48 hours of acute onset of abdominal pain with associated history of leukocytosis and fever.Laparoscopic appendectomy may potentially have more prominent clinical advantages over conventional surgery, when compared with the impact of LA on uncomplicated appendicitis.

Highlights

Laparoscopic appendectomy (LA) has the advantage of providing better access and good visualization of the peritoneal cavity through small incisions, as compared to open appendectomy (OA)
104 patients presenting after 48 hours with diagnosis of acute appendicitis underwent laparoscopic appendectomy (LA) during the study period
Out of 113 cases initially included, 9 cases were excluded as there was evidence of ovarian pathology with no features suggestive of acute appendicitis on laparoscopy

Summary

Introduction

Laparoscopic appendectomy (LA) has the advantage of providing better access and good visualization of the peritoneal cavity through small incisions, as compared to open appendectomy (OA). LA should be beneficial in the management of complicated appendicitis which has more morbidity than simple appendicitis. Despite numerous clinical trials and meta-analyses of the data, it is still not clear whether open appendectomy (OA) or laparoscopic appendectomy (LA) is the most efficacious and effective surgical approach to acute appendicitis presenting after 48 hours with or without complication. The purpose of the present clinical study was to evaluate the safety, outcome and feasibility of laparoscopic appendicectomy in patients presenting after 48 hours of onset of symptoms of acute appendicitis up to 7 days with or without complication

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Conclusion