Is Laparoscopic Appendectomy Recommended in Perforated Appendicitis?

Authors

  • Yasir Arfat Department of General Surgery, Combined Military Hospital Abbottabad/National University of Medical Sciences (NUMS) Pakistan
  • Isma Rauf Department of Obstetrics & Gynecology, Women Medical College, Abbottabad Pakistan
  • Muhammad Younus Awan Department of General Surgery, Combined Military Hospital, Malir/National University of Medical Sciences (NUMS) Pakistan
  • Rabea Al Hassan Department of Obstetrics & Gynecology, Combined Military Hospital, Malir/National University of Medical Sciences (NUMS) Pakistan
  • Adnan Rauf Combined Military Hospital, Abbottabad/National University of Medical Sciences (NUMS) Pakistan
  • Muhammad Nafe Bin Tahir Combined Military Hospital, Abbottabad/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v74i5.9473

Keywords:

Laparoscopic Appendectomy, Open Appendectomy, Perforated Appendicitis.

Abstract

Objective: To compare Open Appendectomy and Laparoscopic Appendectomy in the treatment of perforated Appendicitis.

Study Design: Quasi-experimental study.

Place and Duration of Study: Department of Surgery, Combined Military Hospital, Abbottabad Pakistan, from Dec 2016 to Jan 2022.

Methodology: A total of 240 patients underwent either open (Group-A) or laparoscopic (Group-B) appendectomy. Patients of Perforated Appendicitis fulfilling inclusion criteria were included in the study after getting informed consent. Variables of operative time, hospital stays, surgical site infection and Intra-abdominal infection were recorded.

Results: Mean operating time for the Open Appendectomy-Group (49.7±6.10 minutes) was significantly shorter than the time of Laparoscopic Surgery-Group (58.93±5.41 minutes; p<0.001). The mean hospitalization time was shorter (2.57±0.77 days) in Laparoscopic Appendectomy than Open Surgery-Group (3.23±0.62 days, p=0.001).  Two port sites (6.7%) in the Laparoscopic Group and nine surgical sites (30.0%) in the Open Surgery-Group got infected (p=0.021). Two patients (6.7%) in Open Appendectomy-Group and three patients (10.0%) in Laparoscopic Appendectomy-Group had postoperative complication of intra-abdominal abscess (p=1.00).

Conclusion: As compared to open approach, laparoscopic appendectomy had significantly lesser surgical site infections, shorter hospital stays and longer operating time. There was no statistically significant difference in the intra-abdominal infection in both techniques.

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Published

31-10-2024

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Original Articles

How to Cite

1.
Arfat Y, Rauf I, Awan MY, Rauf A, Tahir MNB. Is Laparoscopic Appendectomy Recommended in Perforated Appendicitis?. Pak Armed Forces Med J [Internet]. 2024 Oct. 31 [cited 2024 Dec. 3];74(5):1319-23. Available from: https://pafmj.org/PAFMJ/article/view/9473