TO TEST THE EFFICACY OF HARMONIC SCALPEL IN LAPAROSCOPIC APPENDECTOMY FOR SEALING THE BASE OF APPENDIX

Abstract

Background- Appendicitis is a perception that urgent operation is essential to prevent the increased morbidity and mortality of peritonitis. In our study, laparoscopic appendectomy was done via conventional method except Harmonic Scalpel was used to coagulate the mesoappendix. Base of the appendix was sealed via harmonic scalpel in a stepwise manner at the setting of minimum just to occlude the lumen and just distil to previous site till the appendix is divided. The purpose of this study was to test the efcacy of harmonic scalpel in laparoscopic appendectomy for sealing the base of appendix. Total 54 appendectomies were performed by harmonic during this period out Methodology- of which 44 were done as elective and 10 were done as emergencies case. Statistical analysis was done by Chi-square test with Yates correction. The mean age and standard Resultsdeviation (SD) were 31.22SD13.35 years. Maximum number of patients belonged to age group 21-40 years. Mean operative time for 54 appendectomies by harmonics was 28.463SD7.19 min and maximum and minimum time taken was 48 min and 17 minute. ConclusionTechniques of the appendicular stump closure by harmonic scalpel is effective and safe. Postoperative complications following appendicectomy are relatively uncommon and it is recommended as the approach of choice in the management of appendicitis. There was no mortality occurred in this study