OUTCOMES OF LAPAROSCOPY IN COMPLICATED APPENDICITIS AND CHANCES OF CONVERSION TO OPEN APPENDICECTOMY

Abstract

Laparoscopic appendectomy (LA) was performed mostly on uncomplicated appendicitis due to opinions about its safety when it was first introduced. Nevertheless, there are still concerns about surgical difficulties in managing complicated appendicitis with laparoscopy, possible post-op complications and conversion to an open appendectomy (OA) during the surgery. Aims and Objectives: To study outcomes of laparoscopy in complicated appendicitis and chances of conversion to open appendicectomy. Methods:The study consists of 50 patients who underwent laparoscopic appendectomy in department of General Surgery at Navodaya Medical College hospital and research center, Raichur.. The study population was enrolled after fulfilling the selection criteria from department of General Surgery. Informed consent was taken from all the patients who are involved in this study. Patients diagnosis was based on clinical findings, complete blood counts, abdominal sonography and CT in selected cases. Result: Fifty patients underwent laparoscopic appendectomy for complicated appendicitis. Of the 50 patients, perforated appendix cases are 31, gangrenous appendix are 15, acute appendicitis with abscess were 4 cases.Three patients were converted to open appendicectomy. Post operation wound infection, conversion rate and hospital stay rate are very less. Conclusions: The present study proved that laparoscopic appendectomy is the best approach in complicated appendicitis. Most cases of complicated appendicitis can be treated laparoscopically. Laparoscopic appendicectomy is a useful method for reducing hospital stay, post operativepain,complications and return to normal activity.