Laparoscopic Management of Complicated Appendictis

Abstract

AIMS The aims of this study are to evaluate the effectiveness, feasibility and safety of Laparoscopy formanaging complicated appendicitis and to look for postoperative complications as well as morbidity, in a tertiarycare hospital.OBJECTIVESTo study the Laparoscopic Appendicectomy in cases of Complicated Appendicitis with respect to:1. Mean duration of the surgical procedure.2. Number of days of antibiotics given, post operatively.3. Post -operative day-start of oral feeds.4. The incidence of Postoperative morbidity.5. Analgesics required.MATERIALS AND METHODSThis prospective study was conducted in a tertiary care hospital at Ahmedabad on 50 patients who underwentLaparoscopic appendicectomy between June 2022 to March 2023CONCLUSIONOur study has shown results encouraging the use of laparoscopic appendicectomy in cases of complicatedappendicitis, having found less post- operative morbidity along with early start of post-operative oral feeds anddecrease requirement of post-op antibiotics.Although the laparoscopic method can be technically challenging, but the results have demonstrated itsfeasibility and safety.Although the number of patients enrolled in this study is far too small, preliminary results show that ourexperiences with Laparoscopic appendicectomy in Complicated Appendicitis has been encouraging, althoughtechnically demanding, but with proper surgical technique, it can be done without much of post-op complication.As laparoscopic approach is having less morbidity in our study, we recommend the use of laparoscopy evenwith complicated appendicitis.