scholarly journals Pelvic sepsis following laparoscopic appendicectomy versus open appendicectomy: a retrospective study of 648 cases

2015 ◽  
pp. 331-336
Author(s):  
Hannah Adams ◽  
Sheik Jaunoo
Keyword(s):  
Retrospective Study ◽  
Laparoscopic Appendicectomy ◽  
Pelvic Sepsis ◽  
Open Appendicectomy

Laparoscopic versus Open Appendicectomy – A Retrospective Study

Endoscopy ◽  
2006 ◽  
Vol 38 (11) ◽  
Author(s):  
A Ghallab ◽  
H Ghous ◽  
S Mahmood ◽  
D McAvinchey
Keyword(s):  
Retrospective Study ◽  
Open Appendicectomy

scholarly journals Surgical site infection in Laparoscopic versus Open appendicectomy

2018 ◽  
Vol 7 (2) ◽  
pp. 39-43
Author(s):  
Ashok Koirala ◽  
Dipendra Thakur ◽  
Sunit Agrawal ◽  
Bhuwan Lal Chaudhary ◽  
Sagar Poudel
Keyword(s):  
Acute Appendicitis ◽  
Surgical Site Infection ◽  
Age Groups ◽  
Laparoscopic Appendicectomy ◽  
Surgical Removal ◽  
Age Group ◽  
Site Infection ◽  
Open Appendicectomy ◽  
Number Of Patients ◽  
The Mean

 Background: Acute appendicitis is very common surgical cause of acute abdomen and needs surgical removal either by laparoscopic or open appendicectomy. The aim of this study is to compare frequency of surgical site infection (SSI) in patients undergoing laparoscopic and open appendicectomy. Materials and Methods: The study was prospective study conducted in NMCTH, Biratnagar. Total 200 patients with diagnosis of acute appendicitis admitted through the emergency department of our hospital were included in the study. The patients were randomly allocated in two groups: Laparoscopic appendicectomy group (LA) and Open appendicectomy group (OA). Both groups underwent successful emergency appendicectomy. Wound infections in terms of surgical site infection (SSI) if present were recorded. All age groups and both sexes were included.  Results: Two hundred patients underwent appendicectomy, one hundred Laparoscopic appendicectomy (LA) and another hundred open appendicectomy (OA). The mean age of patients with acute appendicitis was 30.63±16.14 years with minimum of 6 years and maximum of 77 years. The highest number of patients were in age group of 10 to 20 years (29.5%). In LA group SSI noted in 3 patients (3%) whereas in OA group it was found in 12 patients (12%). Conclusion: Laparoscopic appendicectomy is better and offers great advantages in terms of SSI as compared to Open appendicectomy.  

scholarly journals Outcomes of laparoscopic versus open appendectomy: a comparative study

2017 ◽  
Vol 4 (7) ◽  
pp. 2185
Author(s):  
B A. Kolhar ◽  
Y. P. Lamani ◽  
R. M. Shekhar ◽  
Gururaj Shankar
Keyword(s):  
Wound Infection ◽  
Recovery Period ◽  
Open Appendectomy ◽  
Laparoscopic Appendicectomy ◽  
Open Appendicectomy ◽  
Early Return ◽  
Post Operative Pain ◽  
Recurrent Appendicitis ◽  
Laparoscopic Versus Open Appendectomy ◽  
Analgesic Use

Background: The advantages of laparoscopic appendicectomy over open appendicectomy were questioned because the recovery period with open appendicectomy was brief. In this study, the two techniques were compared with respect to post-operative pain and duration of us of an analgesic, complications such as vomiting, ileus, intra-abdominal abscess, wound infection, length of post-operative stay, and return to routine work.Methods: 50 patients who met the inclusion criteria were included in the study was subjected to either of the two procedures after randomisation and statistical analysis was done.Results: The patients who underwent laparoscopic appendicectomy had less post-operative pain with lesser analgesic use, less post- operative complications such as vomiting, ileus, wound infection, shorter hospital stay and early return to routine work.Conclusions: Laparoscopic appendicectomy is a better procedure in selected patients with acute or recurrent appendicitis.

An audit of training in laparoscopic appendicectomy in the South Thames Region

2007 ◽  
Vol 89 (3) ◽  
pp. 102-104
Author(s):  
N Kukreja ◽  
C Bhan ◽  
A Schizas
Keyword(s):  
Acute Appendicitis ◽  
Operative Treatment ◽  
Lifetime Risk ◽  
Laparoscopic Appendicectomy ◽  
Open Appendicectomy ◽  
Surgical Trainee ◽  
Open Procedure ◽  
Abdominal Operation ◽  
The Uk ◽  
Huge Variation

Appendicitis is extremely common, with a lifetime risk of 8% in the UK. McBurney performed the first appendicectomy in 1889. Operative treatment remains the mainstay of treatment for acute appendicitis: this procedure has altered little since it was developed. Open appendicectomy is often the first abdominal operation undertaken by the surgical trainee and therefore forms an important part of training for the junior surgeon. Laparoscopic appendicectomy (LA) represents the biggest change in the management of acute appendicitis since the introduction of the open procedure. An increasing number of surgeons are performing LA. In spite of this, there remains huge variation in the ability of SpRs to perform this procedure.

scholarly journals APPENDECTOMY

2011 ◽  
Vol 18 (01) ◽  
pp. 97-101
Author(s):  
ZULFIQAR ALI ◽  
TANVEER AHMAD ◽  
IRSHAD AHMAD ◽  
Muhammad Suhail Amir ◽  
AG Rehan
Keyword(s):  
Acute Appendicitis ◽  
Statistical Significance ◽  
Operating Time ◽  
Laparoscopic Appendicectomy ◽  
P Value ◽  
Continuous Variables ◽  
Open Appendicectomy ◽  
Chi Square ◽  
Student’S T ◽  
Study Setting

Objective: The aim of this study was to compare the outcomes and morbidities of laparoscopic appendicectomy (LA) and open appendicectomy (OA) in patients with acute appendicitis. Design: Interventional study. Setting: The study was conducted at Madina Teaching Hospital, University Medical & Dental College, Faisalabad. Period: From June 2007 to August 2009. Materials and Methods: The study group consisted of two hundred patients suffering from acute appendicitis. One hundred patients underwent LA and one hundred patients underwent OA. Comparison was based on operating time, complications, requirements for postoperative analgesia, time until resumption to regular diet, hospital stay, and return to full activity in days. Comparisons were made between continuous variables using Student’s t test of the means and were made between proportions using Fischer’s exact or chi-square testing where appropriate. Statistical significance was taken to be a p value of .05 or less. Results: Of the hundred patients, five patients (5%) had the procedure converted to open surgery. The rate of infection was significantly lower in patients undergoing LA. The median length of stay was significantly shorter after LA (2 days after LA, 5 days after OA, P < 0.05) than after OA. The operating time was shorter {OA: 25 min (median), LA: 30 min (median), P > .05} in patients undergoing open appendicectomy compared to laparoscopic appendicectomy. Conclusion: LA is associated with increased clinical comfort in terms of fewer wound infections, faster recovery, earlier return to work and improved cosmesis.

scholarly journals Laparoscopic versus open appendicectomy: a non-randomized comparative study

2020 ◽  
Vol 7 (6) ◽  
pp. 1925
Author(s):  
Swatej Hanspal ◽  
M. Yunus Shah ◽  
Murtaza Akhtar
Keyword(s):  
Comparative Study ◽  
Hospital Stay ◽  
Wound Infection ◽  
Operative Time ◽  
Laparoscopic Approach ◽  
Length Of Hospital Stay ◽  
Conventional Technique ◽  
Laparoscopic Appendicectomy ◽  
Open Appendicectomy ◽  
Number Of Patients

Background: Appendicectomy is one of the most common surgical procedures performed in emergency surgery. Despite this, there is still lack of consensus about the most appropriate technique for appendicectomy. In this longitudinal analysis, we aimed to compare the outcomes of laparoscopic appendicectomy (LA) and the conventional technique or open appendicectomy (OA) in the treatment of acute appendicitis.Methods: A non-randomized longitudinal comparative study was conducted in NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital, Nagpur, India. From November 2017 to October 2019, 53 patients underwent OA and 59 underwent LA, making a total number of patients included in this study to be 112 (n). The two groups were compared for operative time, length of hospital stay, postoperative pain, post-operative ileus and complication rate.Results: Laparoscopic appendicectomy was associated with a shorter hospital stay (4.34±1.37 days in LA and 5.09±1.71 days in OA, p<0.01), with a lower post operative pain score [VAS] (2.93±0.80 in LA and 4.62±0.92 in OA, p<0.001). Operative time was shorter in the open group (42.70±12.05 min in OA and 43.39±16.59 in LA). Complications were lesser in the LA group with a significantly lower incidence of wound infection (3.4% in LA and 13.2% in OA).Conclusions: Laparoscopic approach is safe and efficient in appendicectomy and it provides clinically advantages over open method (shorter hospital stays, lower post op pain, early food tolerance, earlier return to work and lesser wound infection) against only marginally longer operative time.

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