scholarly journals Comparative study of laproscopic versus open appendicectomy

2016 ◽  
Vol 4 (1) ◽  
pp. 400
Author(s):  
Mahadeo R. Patil ◽  
Sandhyarani M. Patil
Keyword(s):  
Comparative Study ◽  
Operative Time ◽  
Open Cholecystectomy ◽  
Operation Time ◽  
Oral Feeding ◽  
Safe Procedure ◽  
Narcotic Analgesics ◽  
Medical College ◽  
Early Return ◽  
Initial Description

Background:Open appendicectomy (OA) has been the treatment of choice for acute appendicitis since its introduction in 1884. Since its initial description in 1983, laproscopic appendicectomy (LA) has struggled to prove its superiority over the open technique. This is in contrast to laproscopic cholecystectomy over open cholecystectomy. Some early studies showed equivocal results about benefits of LA. Recent studies showed overall benefits in favour of LA. So we have done comparative study with the aim to compare the safety and benefits of LA over OA.Methods: We have studied data of 753 appendicectomies done in Dr. D.Y. Patil Medical College Kolhapur from July 2011 to June 2016 for a period of 5 years.Results:We found mean operation time 32±5.7 minute and 36±7.4 minute in LA and OA. Duration of postoperative stay was 1.2 days shorter in LA group. LA required 1.1 less shots of analgesics. Oral feeding was resumed 21 hours earlier in LA as compared to OA.Conclusions:Our study found that LA is effective and safe procedure irrespective of age, sex and BMI of the patient. It requires less operative time, has minimal complications, less hospital stay, less narcotic analgesics requirements, early return of bowel movement and the advantage of diagnosing the concomitant pathologies.

scholarly journals Outcome comparison study between laparoscopic appendisectomy and conventional open appendisectomy

2019 ◽  
Vol 6 (5) ◽  
pp. 1520
Author(s):  
Mimamaychet B. Sangma ◽  
Selvakumaran Selvaraju ◽  
Pratheeba Natarajan ◽  
Fremingston Marak ◽  
Simon David Dasiah
Keyword(s):  
Return To Work ◽  
Hospital Stay ◽  
Operative Time ◽  
Meta Analysis ◽  
Operation Time ◽  
Significant Finding ◽  
Medical College ◽  
Early Return ◽  
Outcome Comparison ◽  
Gandhi Medical College

Background: Open appendisectomy (OA) had been the procedure of choice for acute appendisectomy for a century since Mc Burney introduced in 1884. Laprascopic appendisectomy (LA) didn’t gain popularity and many studies had been conducted to see the superiority of one over the other. Recent meta-analysis studies, found overall benefits in favour of LA. So, we have done comparative study with the aim to compare the benefits of LA over OA.Methods: Total of 90 appendisectomies was done, 45 each in OA and LA group and compared over a period of 1-year from October 2016 to October 2017 in Indira Gandhi Medical College and RI, Pondicherry. Outcome parameters were compared between the 2-groups in relation to operative time, analgesia used, length of post-operative hospital stay, return to work, resumption of a regular diet, post-operative scar and post-operative complications.Results: Mean age of LA was 35 years, OA was 30 years. Male preponderance observed in OA (67%), female in LA (60%). Post-operative short hospital stay was 3-days in LA, 5-days in OA. Early return to work was 9-days in LA, 15-days in OA. Operative time was significantly shorter in LA which was 30-minutes and 40-minutes in OA. In laprascopic group, no complications was observed, in open group we had two post-operative infections.Conclusions: LA is an effective and safe option and the procedure of choice for most patients regardless of age, sex and BMI, with a statistically significant finding in regards to operation time in LA compared to conventional OA group.

scholarly journals Laparoscopic vs Open Appendectomy : A Comparative Study

2014 ◽  
Vol 2 (1) ◽  
pp. 5-8
Author(s):  
Sardar Rezaul Islam ◽  
Kamal Pasha ◽  
Shahinur Rahman ◽  
Emdad Nasir ◽  
Emon Hanif ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Open Appendectomy ◽  
Operation Time ◽  
Oral Feeding ◽  
Narcotic Analgesic ◽  
Safe Procedure ◽  
Analgesic Requirement ◽  
College Hospital ◽  
Early Return

Backgraound: Open appendectomy (OA) has been the treatment of choice for acute appendicitis since its introduction by Mc-burney in 1884. Laparoscopic appendectomy(LA) though widely practiced, has not gained universal approval. LA was first described in 1983. Some early studies showed equivocal results about benefit of LA. Recent studies showed overall benefit in favour of LA. So far no such a large study was done in any Bangladeshi hospital. So, we decided to do this study with a view to evaluate the therapeutic benefit of LA by comparing with conventional OA.Materials and methods: We collected data of 763 appendectomies done in Jahurul Islam medical college hospital from July 2007 to June 2012 for a period of 5 years. Out of them 448 had conventional OA and 315 had LA. We compared the mean operation time, time of first oral feeding, narcotic analgesic requirement, duration of post operative hospital stay.Results: We found that mean operation time was 33±5.8 minute and 37± 7.5 minute in LA and OA respectively. Duration of post operative hospital stay was 1.2 days shorter in Laparoscopic group. LA required 1.1 shots of  less analgesic than OA. Oral feeding was resumed 21 hours earlier following LA compared to OA. Laparoscpic appendectomy was safely performed in paediatric patient without any adverse effect. We also found that, in female patient, concurrent ovarian cysts, tubal pregnancy and endometriosis can be diagnosed and managed laparoscopically in the same sitting.Conclusion: Our study found that laparoscopic appendectomy is an effective and safe procedure irrespective of age and sex of the patient. LA has added advantage of early return of bowel movement, less post-op hospital stay and less requirement of narcotic analgesic.

scholarly journals A prospective randomized comparison of primary outcome between laparoscopic appendectomy and open appendectomy

2017 ◽  
Vol 4 (10) ◽  
pp. 3397
Author(s):  
Shivakumar T ◽  
Ved Prakash Ranjan ◽  
Yamuna V. S. ◽  
Karthik P.
Keyword(s):  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Open Appendectomy ◽  
Length Of Hospital Stay ◽  
Operation Time ◽  
Laparoscopic Group ◽  
Emergency Operation ◽  
Oral Feeding ◽  
Safe Procedure ◽  
Early Return

Background: Open appendectomy is one of the most common surgeries done in an emergency operation theatre even after three decades of introduction of laparoscopic surgeries. The previous studies done on laparoscopic appendectomy produced conflicting recommendations, and the adequacy of sample sizes is generally unknown. We compared primary outcomes after laparoscopic and open appendectomy in a sample of predetermined statistical power.Methods: A pre-study power analysis suggested that 200 randomized patients would yield 80% power to show a mean decrease of 1.3 days hospitalization. One hundred ninety-eight patients with a preoperative diagnosis of acute appendicitis were randomized prospectively to laparoscopic or open appendectomy. The primary outcomes measured were duration of operative time, postoperative pain and analgesia, length of hospital stay and cosmetic advantages.Results: It was found that mean operation time was 33±5.8 minute and 37± 7.5 minute in OA and LA respectively. Duration of post-operative hospital stay was 1.2 days shorter in Laparoscopic group. LA required 1.1 shots of less analgesic than OA. Oral feeding was resumed 21 hours earlier following LA compared to OA. Laparoscpic appendectomy was safely performed in paediatric patient without any adverse effect. We also found that, in female patient, concurrent ovarian cysts, tubal pregnancy and endometriosis can be diagnosed and managed laparoscopically in the same sitting.Conclusions: Present study found that laparoscopic appendectomy is an effective and safe procedure irrespective of age and sex of the patient. LA has added advantage of early return of bowel movement, less post-op hospital stays and less requirement of narcotic analgesic.

scholarly journals Laparoscopic cholecystectomy in Jordan

2001 ◽  
Vol 7 (4-5) ◽  
pp. 838-840
Author(s):  
A. Al Raymoony
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Postoperative Pain ◽  
Return To Work ◽  
Hospital Stay ◽  
Operative Time ◽  
Safe Procedure ◽  
Short Hospital Stay ◽  
Early Return ◽  
The Mean ◽  
Mean Time

This study was conducted on 100 patients with symptomatic gallbladder stones, aged 22-81 years with a mean of 51.5 years, who underwent cholecystectomy in Zarqa city, Jordan between July 1998 and July 1999. The success rate was 87% and the procedure was completed using the conventional method in 13 patients. The mean operative time was 60 minutes, complication rate was 5% and there were no deaths. The mean hospital stay was 1 day and mean time to return to work was 10 days. This study showed that laparoscopic cholecystectomy is a safe procedure with reasonable operative time, less postoperative pain, a short hospital stay, early return to work, and a low morbidity and mortality rate.

scholarly journals Comparison of T Tube Ileostomy and Bishop Koop Ileostomy for the Management of Uncomplicated Meconium Ileus

2017 ◽  
Vol 6 (3) ◽  
pp. 56 ◽  
Author(s):  
Md. Samiul Hasan ◽  
Ashrarur Rahman Mitul ◽  
Sabbir Karim ◽  
Kazi Md Noor-ul Ferdous ◽  
Kabirul Islam
Keyword(s):  
Operation Time ◽  
Oral Feeding ◽  
Meconium Ileus ◽  
Safe Procedure ◽  
Interventional Study ◽  
T Tube ◽  
Tube Removal ◽  
Significant Difference ◽  
Group A ◽  
Group B

Background: Meconium ileus is a common cause of neonatal intestinal obstruction. Various surgical procedures are in practice for uncomplicated meconium ileus. Bishop Koop ileostomy allows distal passage of gut content and uses the distal absorptive area. T tube ileostomy avoids the need for gut resection and formal closure of stoma. The aim of this prospective interventional study was to compare the outcome of T-tube ileostomy and Bishop Koop ileostomy for the treatment of uncomplicated meconium ileus.Materials and methods: It was a prospective interventional study from January 2015 to December 2016. Patients were randomly assigned to the T-tube ileostomy group (group A) and Bishop Koop ileostomy group (group B). The patients were followed up for 6 weeks post-operatively. Surgical outcomes between the two groups were compared.Results: The age range of the patients was 1 to 7 days; majority of the patients were males. Mean operation time of group A (60.76±5.81 minutes) and group B (87.05±6.49 minutes) showed significant difference (p =0.0001). After operation, mean time to start bowel movements in group A (4.90±1.41days) and group B (6.53±2.58 days) showed significant difference (p= 0.020). Times to establish oral feeding, irrigation tube removal and postoperative complications showed no significant difference. All patients that survived in the group B required formal stoma closure, while in the group A stomas closed spontaneously. One patient in the group A had intraperitoneal leakage leading to mortality after second operation. Four patients had leakage in the group B; 2 of them died.Conclusions: T-tube ileostomy was found as an effective and safe procedure for the management of uncomplicated meconium ileus.

scholarly journals Comparative study between the excision-ligation and autoligation of vas deferens technique for teaser rams preparation

2019 ◽  
Vol 12 (6) ◽  
pp. 901-908
Author(s):  
Dhurgham Hameed Al Haideri ◽  
Hussein Kareem Ibraheim ◽  
Falah Baiee
Keyword(s):  
Comparative Study ◽  
Operative Time ◽  
Vas Deferens ◽  
Operation Time ◽  
Histopathological Changes ◽  
Long Period ◽  
Male Genital ◽  
Teaser Rams

Aim: The present study was designed to demonstrate the autoligation (AL) of vas deferens and the excision-ligation (EL) technique to generate vasectomized rams to reduce the complications, operative time, and price of the vasectomy techniques. Materials and Methods: A total of 12 healthy and mature Iraqi Awassi rams were used, which divided into two groups, six rams for each one. The former group was performed the EL technique while the latter group, the AL of vas deferens technique was used. Results: The results of the present study found that both techniques were same with the reproductive efficient examinations that mean the two techniques had same ability to close the male genital passage for teaser rams preparation. However, the methods were different with the histopathological changes, operation time, prices, and complications, which were minor in the AL of vas deferens compared with the EL technique. Conclusion: The AL technique of vas deferens to prepare teaser animal is recommended over the EL technique due to different aspects such as cost, fewer complications, and active teaser for a long period are the main aspects of AL technique.

scholarly journals Stapling devices: comparative study of stapled versus conventional hand sewn anastomosis in elective gastrointestinal surgery

2017 ◽  
Vol 4 (9) ◽  
pp. 2937
Author(s):  
Prabhat B. Nichkaode ◽  
Aditya Parakh
Keyword(s):  
Comparative Study ◽  
Intestinal Anastomosis ◽  
Gastrointestinal Surgery ◽  
Oral Feeding ◽  
Control Group ◽  
Anatomical Site ◽  
Benign Condition ◽  
Stapling Devices ◽  
Tissue Handling ◽  
Early Return

Background: Gastro intestinal anastomosis is a commonly performed surgical procedure to establish communication between two formerly distant portions of the bowel since the era of Sushruta. Various methods of intestinal anastomosis were followed. Stapling devices are now the newer alternative to conventional hand sewn method of anastomosis. It is stated that a key to a successful anastomosis is accurate anastomosis of two viable ends of the bowel without tension, with good vascularity. Because of the use of staplers technical failures is a rarity, anastomosis is more consistent, and can be used at difficult locations.Methods: A total of 68 cases which met the inclusion and exclusion criteria were included in this hospital based prospective comparative study. The study population included patients who underwent elective gastrointestinal surgeries. The subjects were allocated into two groups according to the type of anastomosis, hand sewn and stapler. Both hand sewn and stapled anastomosis were further divided into three sub-groups according to the anatomical site of anastomosis viz esophageal, gastrojejunal and colorectal. Outcome factors: anastomotic integrity, duration of operation, return of bowel activity, hospital stay.Results: A total of 68 patients with malignant or benign condition of bowel and oesophagus, requiring anastomosis were allocated in study group of GI staplers and control group of conventional hand sewn technique. Out of 68 cases there were 13 Esophageal anastomosis, 21 gastrojejunostomy and 34 colorectal anastomosis.Conclusions: In present study, we found that stapling technique can significantly reduce the time for anastomotic procedure, less tissue trauma due to less tissue handling, there is early restoration of gastrointestinal function, early resumption of oral feeding and reduced duration of hospital stay which helps ultimately in early return to routine work, importantly staplers can be used at places were hand sewn anastomosis is technically difficult. Technique related complications do not show significant differences which suggest that one can use staplers with same safety and accuracy as sutures.

scholarly journals Prediction of Infectious Complications after Percutaneous Nephrolithotomy

2018 ◽  
Vol 21 (2) ◽  
pp. 12-18
Author(s):  
Raj Kumar Chhetri ◽  
Suman Baral ◽  
Neeraj Thapa
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Analytical Study ◽  
Operative Time ◽  
Univariate Analysis ◽  
Operation Time ◽  
Infectious Complications ◽  
Cross Sectional ◽  
Medical College ◽  
Stone Burden ◽  
Life Threatening

Introduction: Post-operative infection is one of the most common and potentially life-threatening complications following percutaneous nephrolithotomy, ranging from Systemic inflammatory response syndrome (SIRS) to severe sepsis. It is reported to be the most common peri-operative cause of death. Despite taking utmost precautions, we come across major complications such as haemorrhage and urosepsis after percutaneous nephrolithotomy. This study aims to find the risk factors for infectious complications after percutaneous nephrolithotomy. Methods: This was an observational, cross-sectional, analytical study carried out in the Department of Surgery of Lumbini Medical College and Teaching Hospital over a period of six months. Pre- operative and intra-operative parameters of ninety-seven patients who underwent percutaneous nephrolithotomy were analysed to see the association between perioperative and intraoperative factors in development of post-operative infectious complications. Results: Post-operatively, SIRS was observed in 28.9% of the patients and 6.2% developed post operative sepsis. Stone burden, types of stone, abnormal urinalysis and mean operative time were associated with post-operative SIRS while stone burden, abnormal urinalysis, positive urine culture and operation time were statistically associated with post-operative sepsis. In univariate analysis only mean operation time and mean stone burden were statistically associated in development of post operative SIRS and sepsis. Conclusion: In the present study mean operation time and mean stone burden were found to be the predictive factors for post-operative infectious complications after percutaneous nephrolithotomy.

scholarly journals A comparative study of laparoscopic (LC) vs. open cholecystectomy (OC) in a medical school of Bihar, India

2018 ◽  
Vol 5 (6) ◽  
pp. 1412
Author(s):  
Rajiv Ranjan ◽  
Kishore K. Sinha ◽  
Mahesh Chaudhary
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Open Cholecystectomy ◽  
Gallstone Disease ◽  
Randomized Study ◽  
Operation Time ◽  
Surgical Removal ◽  
Medical College ◽  
Hospital Stays ◽  
Group 5 ◽  
Developed Nations

Background: Gallstone disease is a significant health problem world over (in both developing and developed nations). The incidence of gallstone disease increases after age of 40years and it becomes 4-10 times more common in old age. As many as 16% and 29% of women above the age of 40-49 years and 50-59 years, respectively, had gall stones. Laparoscopic cholecystectomy introduced in 1985 has become the procedure of choice for surgical removal of the gallbladder. The aim is to compare laparoscopic cholecystectomy and open cholecystectomy in patients of cholelithiasis by measuring parameters such as use of post-operative analgesia, operative time, post-operative hospital stays, morbidity, mortality and patient satisfaction.Methods: It is a prospective randomized study of 120 patients of cholelithiasis aged between 20years to 80years operated during 2015-2018 at of Anugrah Narayan Magadh Medical College and Hospital, Gaya, Bihar, India. They were divided into open and laparoscopic Cholecystectomy groups by drawing a lottery.Results: The median (range) operation time for laparoscopic cholecystectomy was 55-155 min (mean=102 min) and 40-105 min (mean=72 min) for open cholecystectomy (p <0.001). Form LC group 5 cases had to be converted to OC. Rate of conversion was 5/60=8.3% which is within limits of worldwide laparoscopic cholecystectomy conversion rate of 5% to 10%. LC was found to be superior to OC.Conclusions: Laparoscopic cholecystectomy is better than open cholecystectomy However, open cholecystectomy is preferable in cases of complicated cholecystectomy.

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