scholarly journals COMPLICATED APPENDICITIS;

2017 ◽  
Vol 24 (01) ◽  
pp. 82-88
Author(s):  
Awais Shuja ◽  
Professor M Ramzan ◽  
Nadia Sharif
Keyword(s):  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Operating Time ◽  
Open Appendectomy ◽  
Complicated Appendicitis ◽  
Open Approach ◽  
Number Of Patients ◽  
Analgesia Requirement ◽  
Group A ◽  
The Mean

Appendectomy is the most common surgical procedure performed in surgicalemergency. The advent of minimal invasive surgery has massively influenced the field of surgery.Laparoscopic surgery might offer clinical benefits in perforated and complicated appendicitis.Objective: To compare laparoscopic appendectomy and open appendectomy as treatment ofcomplicated appendicitis in terms of mean requirement of post-operative analgesia, operativetime and hospital stay. Study design: Randomized control trial. Setting: All subjects for thestudy were recruited from Department of Surgery, Independent University Hospital, Faisalabad.Duration: The duration of study was of 6 months duration from February 2012 to august 2012.Results: In this study the divided into two groups, group A for open appendectomy (OA)and group B for Laparoscopic Appendectomy (LA). Both groups had 43 patients each. Theoperating time for open appendectomy group A had mean operating time 37.21 minutes .Thehospital stay in OA group was 2.63 days. The mean dosage of analgesia requirement was 258mg of diclofenac. The operating time for open appendectomy group A had mean operatingtime 39.16 minutes. The hospital stay in OA group was 2.95 days. The mean dosage of was258.14 mg of diclofenac. Conclusion: Our study concludes that both approaches laparoscopicand open approach have proved to be similar in terms of post-operative hospital stay, operatingtime and analgesia requirement. Where as LA is superior in terms of cosmesis and surgicalsite infection. Further studies with more number of patients are recommended to asscess thebenefits of laparoscopic approach in complicated appendicitis.

scholarly journals APENDECTOMY;

2017 ◽  
Vol 24 (05) ◽  
pp. 690-696
Author(s):  
Abdullah Bin Saeed ◽  
Ahmad Raees ◽  
Shoukat Ali
Keyword(s):  
Standard Deviation ◽  
Laparoscopic Appendectomy ◽  
Operating Time ◽  
Open Appendectomy ◽  
Safe Procedure ◽  
Laboratory Findings ◽  
Medical College ◽  
Operative Duration ◽  
Group A ◽  
Group B

Introduction: Appendicitis is one of the most common cause of an acuteabdomen in young adults. Open appendectomy (OA) has been the gold standard for thetreatment of acute appendicitis since its introduction by Charles McBurney in 1889.Laproscopicappendectomy (LA) was first performed by Semn in 1983.After its introduction laparoscopicappendectomy (LA) proved to be a feasible and safe procedure. Objective: To compare theoutcome of Open appendectomy and Laparoscopic appendectomy in terms of mean visualanalogue score of postoperative pain and mean operative duration in the treatment of acuteappendicitis. Study Design: Randomized clinical trial. Setting: Punjab Medical College andaffiliated Hospitals, Faisalabad. Duration: Study was carried out for one year from 01-01-2016to 31-12-2016. Subjects and Method: A total of 70 patients with Appendicitis were includedin the study. All patients were diagnosed clinically and confirmed with Laboratory findings. 35patients underwent open appendectomy and laparoscopic appendectomy was used in 35.Outcome in terms of pain and operating time was compared in both groups. Results: Meanage in group A was 27.74 years with a standard deviation of 12.040. Mean age of patients ingroup B was 29.26 years with a standard deviation of 12.650. Post-Operative pain using VisualAnalog Scale was 7.34±2.014 in group A and 3±1.94 in group B. Operative duration in groupA was 42.33±4.25(minutes) and group B had a duration of 34.48±3.5(minutes). Conclusion:Outcome of Laparoscopic appendectomy is better than open appendectomy in terms of painand operative duration in patients undergoing Appendectomy.

scholarly journals Efficacy and Safety of Laparoscopic Appendectomy for Complicated Appendicitis in Children in Tertiary Care Hospital

2018 ◽  
Vol 28 (Number 1) ◽  
pp. 21-26
Author(s):  
Md. Anisuzzaman ◽  
ASM A Kabir ◽  
Md. A R l Sadiq ◽  
Md. A Matin ◽  
I Ahmed ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Wound Infection ◽  
Laparoscopic Appendectomy ◽  
Operative Time ◽  
Length Of Hospital Stay ◽  
Complicated Appendicitis ◽  
Safe Procedure ◽  
Care Hospital ◽  
Efficacy And Safety ◽  
The Mean

Laparoscopic appendectomy for uncomplicated appendicitis is associated with good outcomes but the role of laparoscopy in complicated appendicitis is more controversial because of high incidence of infectious complications. The aim of this current study is to evaluate the efficacy and safety of laparoscopic appendectomy in complicated appendicitis in children. This interventional study was carried out during the period from January 2015 to May 2018 in Holy Family Red Crescent Medical College Hospital. The study included 43 patients, age ranges from 3 years to 15 years who underwent laparoscopic appendectomy for complicated acute appendicitis. The following variables were analyzed : age, sex, operative findings, operative time, return of bowel function, resumption of oral feeds, length of hospital stay, postoperative complications such as deur, wound infection and intraabdominal abscess etc. The mean age of studied cases was 7.1 years. In 41 patients (95.3%) the procedure was completed laparoscopically. Two (4.7%) patients required conversion to open appendectomy. The operative time was 83.5+,25.8 minutes. Two patients (4.6%) had post-operative ileus. Four patients (9.7%) developed superficial wound infection. Three patients (7.3%) developed infra-abdominal collections. One (2.4%) patients were readmitted because of recurrent abdominal pain One patients (2.4%) developed postoperative pyrexia due to pneumonitis and Three patients (7.3) developed gastroenteritis. The mean length of hospital stay was 5.8±2.1 days. No mortality was recorded.Laparoscopic appendectomy can be the first choice for cases of complicated appendicitis in children. It is a feasible, safe procedure and is associated with acceptable post-operative morbidity with rapid recovery and better cosmetic results.

scholarly journals LAPAROSCOPIC AND OPEN APPENDECTOMY

2016 ◽  
Vol 23 (11) ◽  
pp. 1305-1310
Author(s):  
Nawaz Ali Dal ◽  
Qamber Ali Lighari ◽  
Zameer Hussain Laghari
Keyword(s):  
Postoperative Pain ◽  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Iliac Fossa ◽  
Open Appendectomy ◽  
Normal Activity ◽  
University Hospital ◽  
Rebound Tenderness ◽  
Co Morbidity ◽  
The Mean

Objectives: Objectives of this study are to compare the outcome of thelaparoscopic with open appendectomy in terms of postoperative pain, postoperativecomplications and hospital stay. Study Design: Randomized control trial. Place and Periodof Study: This study was held in Surgical Unit-III, Liaquat University Hospital Jamshoro, fromSeptember 2013 to March 2014. Methodology: This study comprised of sixty patients admittedvia outpatient department, and also through casualty department of LUHMS Jamshoro/Hyderabad. Cases were categorized into 2 groups. Group-A for open appendectomy andgroup-B for laparoscopic appendectomy. Comprehensive History was obtained from eachpatient. Right iliac fossa site was particularly assessed for tenderness assessment at Mc: Burney’spoint rigidity rebound tenderness and documented through proforma. A comprehensive reviewwas as well performed to observe any co-morbidity. Inclusion criteria comprised of all thosepatients of acute appendicitis who give written consent for study after counseling, irrespectiveof their age and sex. Criteria for exclusion included each patient with aspects of specifiedperitonitis, cases with obvious mass within right iliac fossa as well as cases with pre-operativehistory of lower abdomen or caesarean section. Outcomes were documented in the term ofterms of postoperative pain, postoperative complications and hospital stay and recorded onPerforma. Data analyzing was carried out with SPSS software. Results: From totally 60 casesin our study 40 patients males (66.67%) and 20 were females (33.33%); with female to maleproportion of 1:3. There was an extensive variation in age from 10 to 70 years among bothgroups. The mean age was 26.78 years. Both groups were symptomatically nearly similar withpain in RIF, pain initiating around umbilicus, nausea, vomiting, anorexia, fever, and modifiedbowel behavior, in 59 (98.33%), 45 (75%), 50 (83.33%), 35 (58.33%), 25 (41.67%), 22 (36.67%),20 (33.33%) respectively. Clinical assessment of cases exposed tenderness at Mc Burney’spoint in 59 (98.33%) cases, muscle guarding in 52 (86.67%) cases, rebound tenderness in55 (91.67%) cases and fever in 20 (33.33%) patients. Operative period in each group wasdocumented that ranged from 30 to 90 min. in each group. The mean operative period in OAgroup was 38.90+15.90 where as it was 26.30+12.96 minutes LA group. Post-operative painseverity in each group was documented. Mild pain was found in 5(16.67%) in OA group casesand 21 (70%) in LA group cases was noted, moderate pain in 22(73.33%) OA group casesand 9(30%) LA group cases was noted, severe pain was described by 3 (10%) patients in OA.The period of return to normal activity in open appendectomy ranged from 7-25 days (mean14.8 days) as contrasted to laparoscopic appendectomy (LA) group where it varied from 7-15days. Conclusion: In conclusion, we exhibited that LA has significant

scholarly journals Comparison of open versus laparoscopic appendectomy in terms of post operative pain and operative duration.

2019 ◽  
Vol 26 (10) ◽  
pp. 1706-1711
Author(s):  
Saddaqat Hayat ◽  
Osman Riaz ◽  
Muhammad Usman ◽  
Muhammad Faisal Bilal Lodhi ◽  
Asrar Ahmad Khan
Keyword(s):  
Laparoscopic Appendectomy ◽  
Operating Time ◽  
Open Appendectomy ◽  
P Value ◽  
Operative Duration ◽  
Post Operative Pain ◽  
History Of ◽  
Group A ◽  
Group B ◽  
Open Versus

Objectives: To measure the results of open appendectomy and laparoscopic appendectomy regarding mean postoperative pain and mean operative duration in the treatment of acute appendicitis. Study Design: Randomized clinical trial. Setting: Surgical unit Allied hospital Faisalabad. Period: June 2016 to December 2016. Material and Methods: 70 patients with appendicitis were included in the study through non-probability consecutive sampling. Patients with history of long standing pain, intake of analgesics (>3 times per week for >3 months) before surgery and patients in whom laparoscopic surgery was contraindicated were excluded. Patients were randomized in group A and group B. Open appendectomy was done in group A and laparoscopic appendectomy was carried in group B. Outcomes in terms of post-operative pain at visual analogue scale and operating time in minutes was measured. Results: Mean age was 28.50 years with standard deviation of 12.283. There were 32 (45.71%) patients were male and 38 (54.29%) patients were females. Post-Operative pain was 7.34±2.014 in group A and 3±1.94 in group B with p-value=0.0001. Operative time in group A was 42.33±4.25 minutes and group B had time of 34.48±3.5 minutes with p-value=0.0001. Conclusion: Laparoscopic appendectomy is superior to open appendectomy considering pain after surgery and time of surgery in patients with appendicitis.

scholarly journals Comparison of laparoscopic appendectomy versus open appendectomy in acute appendicitis in obese diabetic patients

2020 ◽  
Vol 10 (3) ◽  
pp. 145-148
Author(s):  
Mohammuddunnobi ◽  
Tasnuva Jahan ◽  
Abdullah Al Amin
Keyword(s):  
Acute Appendicitis ◽  
Hospital Stay ◽  
Wound Infection ◽  
Laparoscopic Appendectomy ◽  
Operating Time ◽  
Open Appendectomy ◽  
World Health ◽  
Diabetic Patients ◽  
Care Hospital ◽  
Post Operation

Background: Acute appendicitis (AC) is a common surgical problem requiring emergency hospitalization for urgent appendectomy. In case of diabetic patients, the incidence of developing acute appendicitis including its complications like abscess, gangrene and perforation is higher than non-diabetic. Day by day, laparoscopic appendectomy is having an improved outcome in non-diabetic and non-obese patients. The aim of this study was to compare the outcomes of laparoscopic appendectomy versus open appendectomy in acute appendicitis of obese diabetic patients. Methods: A comparative study was carried out in a tertiary care hospital in Dhaka City. Hospitalized obese diabetic patients with a diagnosis of acute appendicitis, who underwent appendectomy, were considered as study population. Obesity was defined as body mass index (BMI) greater than 30 kg/m2 according to World Health Organization and American Obesity Association guidelines. Patients were divided into two groups according to type of appendectomy; 50 patients by laparoscopic appendectomy as group LA and 50 patients by open appendectomy as group OA. Results: Most patients were obese I (30.0-34.9 kg/m2) in group LA and OA (92.0% and 86.0%, respectively, p<0.05). Uncontrolled diabetes mellitus was detected in most of the patients of both group LA (96.0%) and OA (98.0%). Mean operation time, mean duration of post-operation ileus, mean hospital stay and post-operation complications were less in group LA than group OA which is statistically significant (p< 0.05). No patient developed wound infection after laparoscopic appendectomy; whereas, 8.0% patients had wound infection in open appendectomy (p<0.05). Conclusion: In this study, laparoscopic appendectomy had good outcome over its open counterpart regarding shorter operating time, hospital stay, less wound infection, postoperative pain and time to return to usual activities. Birdem Med J 2020; 10(3): 145-148

scholarly journals A Prospective Study on Laparoscopic Intervention in Acute Appendicitis in a Teritiary Care Hospital, North Andhra

2021 ◽  
Vol 8 (24) ◽  
pp. 2034-2039
Author(s):  
Janni Laxman ◽  
Patnala Mohan Patro ◽  
Janardana Rao K.V.
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Hospital Stay ◽  
Clinical Outcomes ◽  
Laparoscopic Appendectomy ◽  
Operating Time ◽  
Open Appendectomy ◽  
Late Presentation ◽  
Age Group ◽  
A Prospective Study

BACKGROUND We wanted to determine the various pre-operative and intra-operative factors responsible for conversion to open technique of appendectomy and compare the clinical outcomes of hospital-stay and operating time between open appendectomy and laparoscopic appendectomy. METHODS Patients presented to General surgery Department of GITAM Institute of Medical Sciences and Research with features suggestive of acute appendicitis from September 2017 to November 2019 were included in this study. This is a prospective study which included a total of 100 patients. These patients were divided into two groups of 50 each. One group of patients with early presentation with symptoms of less than 3 days of duration, another group with late presentation of 3 or more days of onset of symptoms were included. In this study we wanted to compare the clinical outcomes of hospital stay and operating time between open appendectomy and laparoscopic appendectomy. RESULTS In this study, majority of patients belong to age group 20 - 44 years who had delayed presentation to hospital, in contrast to patients who presented early involved the age group of 21 – 30 years. In this study, pain abdomen was the commonest symptom (100 %) with which patient presented. The other symptoms were nausea/vomiting (72 %), fever (63 %). Seven patients presented with diarrhea. CONCLUSIONS Our data suggest that laparoscopic appendectomy is associated with improved clinical outcomes even in patients who had late presentation. KEYWORDS Appendicitis, Laparoscopic, Gangrenous

scholarly journals Predictors of Difficult Laparoscopic Appendectomy in Acute Appendicitis

2021 ◽  
Vol 17 (3) ◽  
pp. 234-240
Author(s):  
Mukesh Karki ◽  
Narayan Belbase
Keyword(s):  
Computed Tomography ◽  
Acute Appendicitis ◽  
Hospital Stay ◽  
Laparoscopic Appendectomy ◽  
Operating Time ◽  
Open Appendectomy ◽  
Duration Of Symptoms ◽  
Tertiary Center ◽  
Male Sex ◽  
Potential Factors

IntroductionAcute appendicitis is the most common surgical emergency of the abdomen and appendectomy is one of the most frequently performed surgical procedures. Laparoscopic appendectomy is one of the commonest surgical procedure in most of the tertiary center and is being an effective alternative to open appendectomy. Despite continuing evolution in laparoscopic appendectomy, this procedure continue to carry the risk of conversion to openappendectomy. The objective was to analyze the factor, identify the predictors for difficult laparoscopic appendectomy. MethodsThe study was conducted in College of Medical Sciences, Bharatpur. All patients who underwent laparoscopic appendectomy from 1st January 2020 to 30th December 2020 were included in the study after taking written informed consent. A detailed performa was developed to record informationregarding patient history, physical examination, laboratory parameters, ultrasonography findings, CT findings and intra-operative details. Laparoscopic appendectomy done in more than 120 minutes, converted into open due to difficulty in surgery and not due to complications, severe adhesions were considered to be a case of difficult appendectomy. ResultsIn our study total 94 patients underwent laparoscopic appendectomy among which 16 (17.02%) cases had difficult appendectomy. The incidence of difficult appendectomy was higher among older age group, male sex, long duration of symptoms, high white blood cell count, difficult anatomy, pre existing co-morbid condition, extreme findings on computed tomography and ultrasonography (USG). Operating time, anaesthetic time, and duration of hospital stay werelonger after difficult appendectomy.  ConclusionsIdentifying the potential factors for conversion preoperatively may assist the surgeons in making decisions concerning the management of patients with appendicitis and in the judicious use of laparoscopic appendectomy. From our study we found that independent predictors for difficult appendectomy are old age, male sex, prolonged duration of symptoms, high white blood cellcount, higher body mass index (BMI), extreme inflammation in computed tomography scan and ultrasonography. Proceeding directly with open appendectomy under these circumstances may reduce operative time, reduce hospital stay and morbidity. Keywords: Acute appendicitis, Laparoscopic appendectomy, Open appendectomy, Conversion 

scholarly journals Outcomes of Ureteroscopy and Laser Stone Fragmentation (URSL) for Kidney Stone Disease (KSD): Comparative Cohort Study Using MOSES Technology 60 W Laser System versus Regular Holmium 20 W Laser

2021 ◽  
Vol 10 (13) ◽  
pp. 2742
Author(s):  
Amelia Pietropaolo ◽  
Thomas Hughes ◽  
Mriganka Mani ◽  
Bhaskar Somani
Keyword(s):  
Operative Time ◽  
Laser System ◽  
Stone Fragmentation ◽  
System Versus ◽  
Number Of Patients ◽  
Higher Power ◽  
Group A ◽  
The Mean ◽  
Laser Group ◽  
Second Procedure

Background: For ureteroscopy and laser stone fragmentation (URSL), the use of laser technology has shifted from low power to higher power lasers and the addition of Moses technology, that allows for ‘fragmentation, dusting and pop-dusting’ of stones. We wanted to compare the outcomes of URSL for Moses technology 60 W laser system versus matched regular Holmium 20 W laser cases. Methods: Prospective data were collected for patients who underwent URSL using a Moses 60 W laser (Group A) and matched to historical control data using a regular Holmium 20 W laser (Group B), performed by a single surgeon. Data were collected for patient demographics, stone location, size, pre- and post-operative stent, operative time, length of stay, complications and stone free rate (SFR). Results: A total of 38 patients in each group underwent the URSL procedure. The stones were matched for their location (17 renal and 11 ureteric stones). The mean single and cumulative stone sizes (mm) were 10.9 ± 4.4 and 15.5 ± 9.9, and 11.8 ± 4.0 and 16.5 ± 11.3 for groups A and B, respectively. The mean operative time (min) was 51.6 ± 17.1 and 82.1 ± 27.0 (p ≤ 0.0001) for groups A and B. The initial SFR was 97.3% and 81.6% for groups A and B, respectively (p = 0.05), with 1 and 7 patients in each group needing a second procedure (p = 0.05), for a final SFR of 100% and 97.3%. While there were 2 and 5 Clavien I/II complications for groups A and B, none of the patients in group A had any infection related complication. Conclusions: Use of Moses technology with higher power was significantly faster for stone lithotripsy and reduced operative time and the number of patients who needed a second procedure to achieve a stone free status. It seems that the use of Moses technology with a mid-power laser is likely to set a new benchmark for treating complex stones, without the need for secondary procedures in most patients.

The Outcome Comparison of two Groups of total Extraperitoneal and Mesh Repair of Inguinal Hernia

2021 ◽  
Vol 15 (10) ◽  
pp. 2712-2714
Author(s):  
Muhammad Aamir Jamil ◽  
Muhammad Asif ◽  
Imran Yousaf ◽  
Muhammad Faheem Anwer ◽  
Muhammad Waseem Anwar
Keyword(s):  
Inguinal Hernia ◽  
Hospital Stay ◽  
Recovery Time ◽  
Mesh Repair ◽  
Operative Procedure ◽  
Total Extraperitoneal ◽  
Outcome Comparison ◽  
Group A ◽  
The Mean ◽  
Group B

Aim: The outcome comparison of total extraperitoneal versus mesh repair for inguinal hernia. Study design: Quasi experimental study. Place and duration of study: Department of Surgery, M. Islam Teaching Hospital, Gujranwala from March 2018 to March 2019. Methodology: After the approval of hospital ethical committee, a total of 50 patients were included and randomly divided into two groups equally. Group A (Total extraperitoneal), Group B (Mesh repair). An informed consent was taken from every patient about operative procedure and the outcome. A detailed history of the patient i.e. clinical examination, routine investigations (CBC, Urine R/E, urea, creatinine) and some specific investigations (chest X-ray, ECG and ultrasound abdomen and prostate) was done for surgery. All data of patients was collected on proforma and was analyzed with the help of a computer SPSS programme 20. Results: The mean age of patients was 34.22±11.54 years in group A and 35.63±11.25 years in group B. All male and female patients included in this study in both groups. Twelve (48%) of patients were direct inguinal hernia in group A 13(22%) were in group B and 14(56%) patients were in group A and 11(44%) patients were in group B. The mean±SD postoperative hospital stay was 24.48±4.62 in group A and 34.65±12.26 hours in group B (p 0.001). The mean±SD postoperative recovery time in weeks was 2.18±0.43 in group A and 2.90±0.46 weeks in group B (p 0.001). Only 2 (4%) patient had postoperative infection on first week and 4 (8%) patients had infection respectively. No recurrence was seen in group A and only 3% recurrence was in group B. Conclusion: It is concluded that group A had shorter hospital stay, recovery time, postoperative time and less infection rate as compared to group B. In group A 13% patients had severe pain and in group B 25% patients. Keywords: Inguinal Hernia, Total extraperitoneal, Mesh repair.

scholarly journals ACUTE CHOLECYSTITIS

2010 ◽  
Vol 17 (02) ◽  
pp. 185-192
Author(s):  
TARIQ HASSAN CH ◽  
ASGHAR ALI ◽  
MUNAWAR JAMIL
Keyword(s):  
Hospital Stay ◽  
Wound Dehiscence ◽  
Biliary Tree ◽  
Postoperative Hospital Stay ◽  
Total Hospital ◽  
Acute Calculous Cholecystitis ◽  
Total Hospital Stay ◽  
Group A ◽  
The Mean ◽  
Group B

Introduction: Gallstones are common biliary pathology. The Vast majority of subjects are asymptomatic. About 0.2% of the population suffering from gallstones develop acute cholecystitis every year. In case of acute calculous cholecystitis, cholecystectomy can be performed early i.e during the same admission or interval i.e after 6 weeks of conservative management. Objective: To compare the early and interval cholecystectomy in acute calculous cholecystitis for morbidity, postoperative hospital stay, total hospital stay and complications. Study Design: Quasi-experimental study. Setting: Department of Surgery Bahawal Victoria Hospital Bahawalpur. Duration of Study: Two year study from December 2007 to December 2009. Subject and Methods: Sixty patients fulfilling the inclusion criteria were selected for this study. The patients were divided into two groups. Group A patients were managed by early cholecystectomy and group B patients by intervalcholecystectomy. Postoperatively patients were evaluated for postoperative hospital stay, total hospital stay and postoperative complications. Results: The mean age of the patients in group A was 42.2 + 10.7 years and in group B was 42.2+ 10.7 years. The Male to female ratio was 1:4 in both groups. The mean postoperative hospital stay in group A was 4.0+ 1.8days and in group B was 3.8+ 1.4 days. The mean total hospital stayin group A was 6.5 + 1.7 days and in group B was 10.2 + 1.3 days. The P value was less than 0.001, which was significant. In distribution of postoperative complications, in group A there were 1(3.3%) injury to biliary tree, 4(13.3%) wound infection,1(3.3%) wound haematoma, 3 (10%) seroma and 1(3.3%) wound dehiscence. While in group B there were 1(3.3%) injury to biliary tree, 3(10%) wound infection,2 (6.7%) wound haematoma, 2(6.7%) & no patient of wound dehiscence. Conclusion: Our study suggests that early cholecystectomy is a better treatment option than interval cholecystectomy because it has less total hospital stay, needs single hospital visit and has no risk of developing complications during wait for surgery.

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