scholarly journals A randomized prospective comparative study of laparoscopic appendicectomy versus open appendicectomy

2017 ◽  
Vol 4 (9) ◽  
pp. 2987
Author(s):  
Rajbir Singh Bajwa ◽  
Navjot Brar
Keyword(s):  
Comparative Study ◽  
Laparoscopic Approach ◽  
Population Group ◽  
Laparoscopic Appendicectomy ◽  
Controlled Study ◽  
Laparoscopic Technique ◽  
Safe Procedure ◽  
Open Appendicectomy ◽  
Training Tool ◽  
Prospective Comparative Study

Background: Acute appendicitis is the most frequent cause of persisting progressive abdominal pain in all ages. However, there is no way to prevent the development of appendicitis, the only way to reduce the morbidity and to prevent the development of appendicitis, is to perform appendicectomy before perforation or gangrene has occurred. In this study, we have done a randomized, prospective comparative study of laparoscopic appendicectomy versus open appendicectomy in the Department of Surgery, Sri Guru Ramdas Hospital and Research Institute, Sri Amritsar from August 2014 to December 2016 a period of two years and four months.Methods: This prospective randomized controlled study was carried out in the department of General Surgery. The total population group included 144 patients with a mean age of 39 years (Age group between 18-60 years). Patients between 18 years and 60 years of age were candidates for randomization. The study was carried out as an open randomized single centre study.Results: In the present study patients were not blinded to the surgical technique employed but were equally informed to resume normal activity and work as soon as possible at their discretion. The results show that time to return to heavy work was significantly reduced by the laparoscopic approach. Less pain in the post-operative period was the major contributing factor. In the present study, laparoscopic appendicectomy was associated with improved cosmesis when compared with open appendicectomy (P <0.01).Conclusions: Laparoscopic appendicectomy is a safe procedure with lower morbidity it is also an excellent training tool in laparoscopic technique and with sufficient experience takes no longer than open appendicectomy.

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 Open versus laparoscopic appendicectomy: a prospective comparative study

2020 ◽  
Vol 7 (4) ◽  
pp. 1122
Author(s):  
Santoshkumar N. Deshmukh ◽  
Abhilash P. Pawar
Keyword(s):  
Acute Appendicitis ◽  
Comparative Study ◽  
Open Appendectomy ◽  
Laparoscopic Approach ◽  
Laparoscopic Group ◽  
Laparoscopic Appendicectomy ◽  
Medical College ◽  
Prospective Comparative Study ◽  
Open Versus ◽  
Laparoscopic Techniques

Background: Open appendectomy has been the gold standard for the treatment of acute appendicitis since its introduction by Charles Mc Burney in 1889.The introduction of laparoscopic surgery has dramatically changed the field of surgery. Various studies showed conflicting results about the superiority of laparoscopic approach over open for treatment of acute appendicitis. Present study is conducted to determine any possible benefits of the laparoscopic approach over open surgery.Methods: The study was conducted in Dr. V. M. Government Medical College and hospital located in Solapur (Maharashtra) from September 2017 to September 2019. It is a prospective comparative study. Patients were randomly divided into 2 groups alternately where group A and B were operated by conventional and laparoscopic techniques respectively and their outcomes were compared.Results: Mean age of patients in open and laparoscopic appendicectomy group was 29.67 years and 31 years respectively. Post-operative pain, wound infection and hospital stay was significantly more in open group as compared to laparoscopic group (p<0.05).Conclusions: From the results of our study we conclude that laparoscopic appendicectomy has superior results as compared to open appendicectomy.

scholarly journals Laparoscopic appendectomy versus laparoscopic assisted appendectomy: a hospital based comparative study

2020 ◽  
Vol 7 (6) ◽  
pp. 1935
Author(s):  
Gopal Sharma ◽  
Barinder Kumar
Keyword(s):  
Comparative Study ◽  
Laparoscopic Appendectomy ◽  
Operating Time ◽  
Laparoscopic Technique ◽  
Average Operating ◽  
Group A ◽  
Prospective Comparative Study ◽  
Average Operating Time ◽  
Group B ◽  
Laparoscopic Assisted

Background: Laparoscopic appendectomy is more expensive and time consuming as compared to open technique. On the other hand, laparoscopic assisted appendectomy has the advantages of both the open and laparoscopic methods.Methods: This was a prospective comparative study of patients that underwent appendectomy by laparoscopic or laparoscopic assisted techniques.Results: A total of 40 patients were selected for the study. Standard laparoscopic technique was performed in 20 patients and laparoscopic assisted appendectomy was performed in 20 patients. The average operating time was 25.4±15 minutes in laparoscopic assisted appendectomy while it was 46.20±10.90 minutes in standard laparoscopic appendectomy which was statistically significant. Mean hospital stay in group A was 2.70±0.70 and in group B it was 2.10±0.70 which was not statistically significant.Conclusions: The laparoscopic-assisted method of appendix removal can be performed as efficiently as laparoscopically. It is fast and easy to perform, and it is expected to decrease the overall cost of laparoscopic appendectomy.

scholarly journals Outcome of laparoscopic appendicectomy for acute appendicitis in tertiary level hospitals

2019 ◽  
Vol 51 (1-2) ◽  
pp. 12-15
Author(s):  
Proshanta Kumar Biswas ◽  
Syed Mozammel Hossain ◽  
Md Faruquzzaman
Keyword(s):  
Acute Appendicitis ◽  
Histopathological Examination ◽  
Laparoscopic Appendicectomy ◽  
Laparoscopic Technique ◽  
Prospective Clinical Study ◽  
Tertiary Level ◽  
Safe Procedure ◽  
College Hospital ◽  
Negative Appendicectomy ◽  
Almost All

Background: In the very recent years, laparoscopic appendicectomy is widely accepted for the surgical procedure of acute appendicitis. Though the application of laparoscopic technique for appendicectomy is expanding very rapidly and now performed in almost all major cities and tertiary level hospitals in our country, but the reports are scanty and conflicting in our surgical practice. Objective: This prospective clinical study was conducted to evaluate the outcome of laparoscopic appendicectomy in acute appendicitis in terms of complication, post surgical pain, conversion rate, negative appendicectomy and duration of hospital stay. Methods: The study was carried out taking a total number of 93 patients of which 53 fulfilled the inclusion criteria admitted in BIRDEM General Hospital, Dhaka and 40 such patients from Khulna Medical College Hospital Khulna and a private clinic in Khulna City during the period from April, 2016 to August, 2018 with the patients of laparoscopic appendicectomy (LA) for acute appendicitis. Data was collected on history and clinical examination, investigation, histopathological examination and post operative complication. Results: Among total 93 patients, majority of the patients were in age group of 20 to 30 years in both sexes and 65.6% were male and 34.4% were female. In case of 06(6.5%) patients negative appendicectomy were done and in 09(9.7%) patients conversion to open appendicectomy was required. Post operative complications like port site bleeding and infection were 4.3% and 2.1% respectively. Majority (87.10%) patients were discharged within 72 hours of LA. Conclusion: This study reveals that laparoscopic appendicectomy is a minimally invasive and relatively safe procedure for acute appendicitis. Bang Med J (Khulna) 2018; 51 : 12-15

scholarly journals Prospective comparative study between retroperitoneoscopic and hand-assisted laparoscopic approach for radical nephrectomy

2009 ◽  
Vol 35 (3) ◽  
pp. 284-292 ◽  
Author(s):  
Marcos Tobias-Machado ◽  
Pedro I. Ravizzini ◽  
Leonardo O. Pertusier ◽  
Eduardo Pedroso ◽  
Eric R. Wroclawski
Keyword(s):  
Comparative Study ◽  
Radical Nephrectomy ◽  
Laparoscopic Approach ◽  
Prospective Comparative Study
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