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.

scholarly journals Laparoscopic Versus Open Appendicectomy: A Comparison of Primary Outcome

2015 ◽  
Vol 9 (2) ◽  
pp. 84-87
Author(s):  
Md Mazedur Rahman ◽  
Md Siddiqur Rahman ◽  
Guljar Ahmed ◽  
Md Mushfiqur Rahman ◽  
Md Zohirul Islam Miah ◽  
...  
Keyword(s):  
Wound Infection ◽  
Laparoscopic Appendectomy ◽  
Open Appendectomy ◽  
Early Discharge ◽  
Early Return ◽  
The Mean ◽  
Group 2 ◽  
A Prospective Study ◽  
Duration Of Operation ◽  
Laparoscopic Versus Open Appendectomy

Currently, laparoscopic appendectomy is widely practiced for the management of acute appendicitis. It is not clear whether open or laparoscopic appendectomy is more appropriate. Our aim was to compare the safety and the advantages of laparoscopic versus open appendectomy in a prospective study. 102 patients were participated in this study. The group 1 patients were subjected to laparoscopic appendectomy [LA], whereas the group 2 patients were subjected to open appendectomy [OA]. 46 patients included in LA group and 54 patients in OA group. The mean operative time for LA and OA was 84.4 (45-220) minutes and 59 (30-180) minutes respectively. Although LA was associated with a shorter hospital stay [LA-3.5 days versus OA-5 days] but duration of operation is prolong in LA than OA and the postoperative wound infection is significantly higher in OA than LA. LA is safe and superior to OA in respect to an early discharge, lesser postoperative pain; decreased post operative wound infection, early return to work and a better cosmetic scar.Faridpur Med. Coll. J. 2014;9(2): 84-87

scholarly journals Laparoscopic versus open appendectomy: a prospective comparative study

2017 ◽  
Vol 18 (2) ◽  
pp. 29-32
Author(s):  
Sumita Pradhan ◽  
Yagya Ratna Shakya ◽  
Hemant Batajoo ◽  
Balram Malla ◽  
Hem Nath Joshi ◽  
...  
Keyword(s):  
Laparoscopic Appendectomy ◽  
Operative Time ◽  
Open Appendectomy ◽  
P Value ◽  
Alvarado Score ◽  
Post Operative Pain ◽  
Prospective Comparative Study ◽  
A Prospective Study ◽  
Laparoscopic Versus Open Appendectomy

Introduction: Appendectomy is one of the most commonly performed surgeries usually done by conventional open method. The role of laparoscopic appendectomy is still not well defined in the literature and although widely practiced it still hasn’t gained popularity in Nepal. The aim of this study was to compare the outcomes of laparoscopic versus open appendectomy.Methods: A prospective study was carried out, between August 2013 and September 2014, involving 216 patients (93 males and 123 females) with a diagnosis of acute appendicitis based on Alvarado score of seven and above. Patients were allocated into two groups where every alternate patient was operated either open or laparoscopically. The groups were compared in terms of operative time, post operative pain, post operative complications and length of hospital stay.Results: Open appendectomy (OA) comprised of 106 patients and Laparoscopic appendectomy (LA) comprised of 110 patients. Patients’ characteristics were similar in both groups. The mean operative time in LA was 42.82±10.84 minutes and in OA 37.99±9.81 minutes (p<0.86). Conversion was done in 2.8% of laparoscopic cases. Mean comparison of postoperative pain by visual analogue scale was low in LA compared to OA (P<0.05). Mean post operative stay (3.19±1.26 vs 2.75±0.7, p<0.01) and surgical site infection was recorded in 9 patients (8.5%) in OA group and 3 (2.5%) in LA group, with p value of 0.06.Conclusions: Laparoscopic appendectomy is feasible and safe as open procedure with less post operative pain and shorter hospital stay. Journal of Society of Surgeons of Nepal, 2015; 18 (2), page: 29-32

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.

scholarly journals TWO-PORT LAPAROSCOPIC APPENDECTOMY IS MORE BENEFECIAL THAN OPEN APPENDECTOMY IN EARLY ACUTE APPENDICITIS

2017 ◽  
Vol 52 (2) ◽  
pp. 131
Author(s):  
Vicky S Budipramana
Keyword(s):  
Acute Appendicitis ◽  
Wound Infection ◽  
Laparoscopic Appendectomy ◽  
Operating Time ◽  
Open Appendectomy ◽  
Operation Time ◽  
T Test ◽  
Small Incision ◽  
Post Operative Pain ◽  
Significant Difference

Open appendectomy has already commonly been performed to treat acute appendicitis, but the relatively more painful and longer incision scar becomes a cosmetical problem. Two port laparoscopic appendectomy can be performed safely, less painful and leaving only two small incision scars. The aim of the study was to evaluate the benefit of two-port laparoscopic appendectomy and that of with open appendectomy in the case of early acute appendicitis. An observational study was conducted from 2012 to 2014; to compare the operating time, post operative pain and wound infection in early acute appendicitis, performed with two-port laparoscopic appendectomy and with open appendectomy. The statistical analysis in this study uses t-test. There were 114 patients (73 men and 41 women) divided into two groups based on the choice made by the patients themselves. The number of samples performed with two-port laparoscopic appendectomy was 64 and that with open appendectomy was 46. Four patients were excluded from this study. In analysis using t-test, we found that the two-port laparoscopic appendectomy was more beneficial than open appendectomy. There was a significant difference between the two groups, the length of operation time was 37.22 minute in two-port laparoscopic appendectomy and 43.83 minute in open appendectomy (p=0.00), VAS pain score was 1.58 in two-port laparoscopic appendectomy and 2.30 in open appendectomy (p=0.00) and no post operative wound infection in both two groups. The conclusion is two-port laparoscopic appendectomy technique is faster and less painful and the same risk of wound infection than open appendectomy in early acute appendicitis.

scholarly journals Laparoscopic versus conventional open appendicectomy: a prospective comparative analytical study in a tertiary care set up

2019 ◽  
Vol 7 (7) ◽  
pp. 2536
Author(s):  
Anurag Shrivastava ◽  
Anurag Jain ◽  
Rajiv Jain
Keyword(s):  
Operative Time ◽  
Tertiary Care ◽  
Operating Time ◽  
Open Appendectomy ◽  
Laparoscopic Appendicectomy ◽  
Open Appendicectomy ◽  
Open Procedure ◽  
Diagnostic Potential ◽  
Operative Complications ◽  
Set Up

Background: Present study outlines the outcomes of laparoscopic appendicectomy compared to open conventional appendicectomy in a tertiary care set up with aim to validate advantages and shortcomings of both procedures.Methods: A series of 80 cases above 18 years of age with clinical diagnosis of appendicitis having Alvarado score of seven and above were studied prospectively under the two groups after proper written consent: Open appendectomy-40 cases, Laparoscopic appendectomy-40 cases. Both groups were compared on grounds of intra-operative complications, additional diagnostic potential, operative time, postoperative analgesia, post-operative complications, length of hospital stay, subjective cosmesis, and return to routine normal activities. Values obtained were statistically analyzed.Results: The median operative time in Laparoscopic Appendicectomy was 58.22 minutes (range 32.68-85.46 min) as compared to open procedure which took 43.65 minutes (30.36-65.48min) (P<0.05). Conversion to open procedure was done in 10% (n=4) of laparoscopic cases. Mean value of postoperative pain by visual analogue scale was low in Laparoscopic Appendicectomy (LA) compared to Open Appendicectomy (OA) (P<0.05). Mean post-operative stay (3.2±0.34 days versus 2.3±0.24 days) and surgical site infection was recorded in 10 patients (25%) in OA group and 5 (13.9%) in LA group (P<0.05).Conclusions: It can be concluded that laparoscopic surgery is safe with greater diagnostic potential for additional pathologies and better Subjective cosmesis . But all these merits were at the price of longer operating time and a specialized set up needed for laparoscopy.

scholarly journals Comparison of Outcome of Appendectomy: Laparoscopic versus Open Surgery in Combined Military Hospital, Savar

2021 ◽  
Vol 16 (2) ◽  
pp. 51-54
Author(s):  
Mohammad Faruq Iqbal ◽  
Arif Imtiyaz Chowdhury ◽  
Sharkar Rushdi Aziz
Keyword(s):  
Laparoscopic Appendectomy ◽  
Open Appendectomy ◽  
Total Leukocyte Count ◽  
Military Hospital ◽  
Early Return ◽  
Post Operative Pain ◽  
Significant Difference ◽  
Operative Complications ◽  
Duration Of Operation ◽  
Post Operative Complications

Introduction: Open appendectomy and laparoscopic appendectomy are two modalities in the treatment of appendicitis. Superiority of one over another is not clear. Objectives: To compare per-operative and post operative outcomes between open and laparoscopic appendectomy. Material and Methods: Prospective comparative study was conducted on patients with acute appendicitis who underwent open appendectomy (OA) (n=43) or laparoscopic appendectomy (LA) (n=59) from October 2018 to October 2019 in Combined Military Hospital (CMH), Savar. The two groups were compared in respect to patients' characteristics, duration of operation, operative findings, post operative pain, return of peristalsis, resume of oral feeding, post operative complications, return to activities and cosmesis. Statistical analysis was performed using SPSS 25.0. Continuous and categorical variables were analyzed using independent sample t test and chi-square test respectively and p <0.05 was considered statistically significant. Results: There was no statistical difference regarding patient characteristics between the two groups except total leukocyte count (TLC) and neutrophil count, both were higher in OA group (p<0.001). LA group was associated with less post operative pain (p<0.001), early resume of oral feed (OA-34.74±8.34 minutes vs LA-24.51±6.13 minutes; p<0.01), early return to light work (OA-4.26±1.3 days vs LA-2.53±0.7 days; p<0.001), heavy work (OA-66.93+19.38 days vs LA-37.36+10.02 days; p<0.001) and better cosmesis (highly satisfied in LA group 96.6% vs 30.2% in OA group). No significant difference was seen in duration of operation (50±13.72 and 53.31±7.69 minutes in OA and LA groups respectively; p>0.05). There was no significant difference in post operative complications (p>0.05). Conclusion: Laparoscopic appendectomy was found clearly superior to open appendectomy in terms of less post operative pain, early resume of oral feed, early return to light and heavy works and better cosmetic result. Both procedures are comparable in terms of duration of operation and post operative complications. JAFMC Bangladesh. Vol 16, No 2 (December) 2020: 51-54

PERITONEAL CLOSURE VERSUS NON-CLOSURE IN OPEN APPENDICECTOMIES

2021 ◽  
pp. 11-12
Author(s):  
V. Manmadha Rao M.S ◽  
D. N. S. Sai Kumar ◽  
K. Neelesh
Keyword(s):  
Acute Appendicitis ◽  
Hospital Stay ◽  
Wound Infection ◽  
Operative Time ◽  
Open Appendicectomy ◽  
Duration Of Hospital Stay ◽  
Peritoneal Closure ◽  
Post Operative Pain ◽  
Duration Of Surgery ◽  
King George Hospital

Acute Appendicitis is a common surgical emergency and Open Appendicectomy is widely performed. This study aims to analyze the difference of outcome in peritoneal closure versus Non closure in open appendicectomy. Adult patients (18- 65 years) admitted and operated for Acute appendicitis were studied prospectively from July 2019 to July 2020 at King George Hospital, Visakhapatnam. The intra operative time, post-operative pain, wound infection and duration of hospital stay were analyzed. Between July 2019 and July 2020 there were 86 patients with diagnosis of Acute appendicitis to the emergency casualty of KGH, Visakhapatnam and underwent Open appendicectomy. They were divided into two groups randomly, Group A: Open appendicectomy with peritoneal closure (39) and Group B: Open appendicectomy with non-closure of peritoneum (47). There was found to be a reduction in the duration of surgery, less post operative pain and shorter duration of hospital stay in patients who underwent non-closure of peritoneum compared to patients who underwent peritoneal closure. There was no difference in incidence of post-operative wound infection when compared to closure of peritoneum. Non closure of peritoneum is associated with shorter operative time, reduced requirement of post-operative analgesia and shorter duration of hospital stay and hence can be safely recommended.

Laparoscopic versus Open Appendectomy: Outcomes Analysis

2012 ◽  
Vol 78 (10) ◽  
pp. 1083-1086 ◽  
Author(s):  
Arezou Yaghoubian ◽  
Amy H. Kaji ◽  
Steven L. Lee
Keyword(s):  
Wound Infection ◽  
Open Appendectomy ◽  
Multivariable Analysis ◽  
Perforated Appendicitis ◽  
Wound Infection Rate ◽  
Readmission Rates ◽  
Abscess Drainage ◽  
Medical Centers ◽  
Male Patients ◽  
Laparoscopic Versus Open Appendectomy

The advantages of laparoscopic appendectomy (LA) over open appendectomy (OA) are unclear. This study compares the outcomes of LA versus OA. A retrospective study from 1998 to 2008 of patients (18 years or older) with appendicitis was performed from 12 medical centers. Study outcomes included 30-day postoperative morbidity and length of hospitalization (LOH). Overall, 16,512 patients were included in this study (LA = 10,075, OA = 6437). Male patients (LA = 52.9% vs OA = 57.3%, P < 0.0001) and patients with perforated appendicitis (LA = 19.3% vs OA = 32.8%, P < 0.0001) were more likely to undergo OA. LA for nonperforated appendicitis was associated with a lower wound infection rate (LA = 1.9% vs OA = 3.1%, P < 0.0001) and shorter LOH (LA = 1.4 ± 1.2 vs OA = 1.7 ± 1.2 days, P < 0.0001). Similar results were seen with LA for perforated appendicitis (wound infection: LA = 5.0% vs OA = 9.1%, P < 0.0001; LOH: LA = 3.8 ± 2.7 vs OA = 5.2 ± 3.0, P < 0.0001). Postoperative abscess drainage and readmission rates were similar between LA and OA for both nonperforated and perforated appendicitis. Multivariable analysis demonstrated that LA was associated with lower wound infection (odds ratio [OR], 0.6; 95% confidence interval [CI], 0.5 to 0.7), higher abscess drainage (OR, 1.3; 95% CI, 1.1 to 1.6), and shorter LOH. In conclusion, LA continues to be the preferred operation for appendicitis in adults.

scholarly journals APPENDICECTOMY;

2012 ◽  
Vol 19 (01) ◽  
pp. 001-005
Author(s):  
JAHANGIR SARWAR KHAN ◽  
UMAR FAROOQ ◽  
HAMID HASSAN
Keyword(s):  
Hospital Stay ◽  
Wound Infection ◽  
Controlled Trial ◽  
Tertiary Care ◽  
Open Appendectomy ◽  
Length Of Hospital Stay ◽  
Laparoscopic Group ◽  
P Value ◽  
Pain Scores ◽  
Post Operative Pain

Objective: The objective of this study was to compare length of hospital stay, pain scores and the rate of wound infectionsbetween laparoscopic and open appendectomy. Design: Randomized Controlled trial. Place and Duration of study: This study wasconducted in surgical unit I Holy Family hospital, Rawalpindi from 1st June 2009 to 31st May 2010. Patients and methods: The patients weredivided into open and laparoscopy groups and their age, sex, time of discharge, pain scores and wound infection rates were compared andanalyzed. Results: Total of 160 patients were included in the study, 80 in each group. There were 58% male and 42% female patients. Mean agewas 22.78 years (±6.2).Post operative pain scores were significantly less in the laparoscopic group (p<0.05). The length of hospital stay in opengroup was 35.10 hrs (±5.4) hours and in the laparoscopic group was 38.70(4.8) hrs with a p value of 0.592.Wound infection was 0.037% in openand 0.025% in the laparoscopic group. Conclusions: Laparoscopic appendectomy is superior in terms of less morbidity and shorter postoperative hospital stay in the setting of an overworked tertiary care surgical floor of a Pakistani hospital.

scholarly journals Predictors for conversion to open appendicectomy in patients undergoing laparoscopic appendicectomy: a prospective study

2018 ◽  
Vol 5 (7) ◽  
pp. 2588
Author(s):  
Lakshmi M. Peedikathara ◽  
John M. Mandumpala ◽  
Suresh M. Vallon ◽  
Alfie J. Kavalakat
Keyword(s):  
Postoperative Morbidity ◽  
Univariate Analysis ◽  
Operating Time ◽  
Laparoscopic Appendicectomy ◽  
Open Appendicectomy ◽  
Operative Morbidity ◽  
Duration Of Hospital Stay ◽  
Post Operative Pain ◽  
Independent Risk Factors ◽  
A Prospective Study

Background: Laparoscopic appendicectomy is a common surgery performed by emergency surgeons now-a-days. The conversion from laparoscopic to open appendicectomy  increases operating  time and post-operative morbidity. Identifying the variables associated with the risk of conversion pre-operatively would avoid wasteful laparoscopic attempts by proceeding directly to an open surgery. Therefore, developing a pre-operative criterion to decide ideal operative approach for individuals may be useful.Methods: Patients admitted to the Department of General Surgery with appendicitis, who got converted to open appendicectomy were studied prospectively based on the reasons for their conversion and were compared with primary open appendicectomy patients with respect to postoperative morbidity and mortality. There were 385 cases among which there were 307 (79.74%) laparoscopic appendicectomies, 42 (10.9%) primary open appendicectomies and 36 (9.35%) conversion appendicectomies.Results: Fourteen significant predictors of conversion were identified by univariate analysis. Ten independent risk factors were identified by stepwise logistic regression.Conclusions: The commonest reason for conversion was appendix mass. Post-operative pain, complications and duration of hospital stay were higher in conversion appendicectomy when compared to open appendicectomy. A conversion predicting score of >4 had good sensitivity and negative predictive value.

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