Laparoscopy versus open appendectomy- a Comparison of outcome

Authors

  • B.P.N. Wijerathne Teaching Hospital, Kurunegala
  • D.C. Rajapakse Teaching Hospital, Kurunegala
  • M.P.P.U. Chulasiri National Dengue Control Programme, Narahenpita

Abstract

Objectives: To assess the effectiveness of Laparoscopic appendectomy over open appendectomy

Methods: The study was done using the secondary data from the bed head tickets of the surgery wards in Teaching Hospital Kurunegala among 117 patients who were undergone appendectomy from 2014.04.01- 2014.09.30. The bed head tickets of the patients undergone appendectomy were selected randomly.

Results: Sixty nine males (59%) and forty eight females (41%) were undergone appendectomies. Eighty one (68%) had undergone laparoscopy appendectomy (mean age 24 years) and 36 (32%) had undergone open appendectomy (mean age 26 years). Abscesses were seen among 42 (36%) appendectomies: 26 (22%) among laparoscopic surgeries and 16 (14%) among open surgeries. Lesser post-operative days (mean- 3.35 days) were among laparoscopy surgeries compared to open appendectomies (3.69 days) which is not statistically significant (p>0.05). Average time of anesthesia is higher among laparoscopy surgeries (44 min) over open appendectomy (30.67 min) which is statistically significant (t=2.7, p= 0.01).

Conclusions: Considering the complications of surgery (post operative surgical site infections and ileus), post-operative days and cosmetic reasons, laparoscopic surgery is better option over the open appendectomy for both complicated (appendicular abscesses) and uncomplicated appendicitis.

 

Author Biographies

B.P.N. Wijerathne, Teaching Hospital, Kurunegala

Teaching Hospital, Kurunegala

D.C. Rajapakse, Teaching Hospital, Kurunegala

Teaching Hospital, Kurunegala

M.P.P.U. Chulasiri, National Dengue Control Programme, Narahenpita

National Dengue Control Programme, Narahenpita

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Published

2015-06-11